title: Successful treatment of chronic total peripheral occlusions that failed conventional techniques using the stiff backend of the Glidewire.
abstract: The vast majority of failures of transcatheter interventions in patients with peripheral vascular disease are due to inability to cross the lesion with a guidewire. Although the use of the Glidewire has clearly improved the success rate, failures with especially chronic total occlusions still occur. We describe a new technique using the very stiff backend of the Glidewire, which we have found very successful, when conventional techniques fall in crossing highly resistant lesions.
authors.affiliation: Department of Internal Medicine, University of Texas Medical School, Houston 77030, USA.
authors.forename: O
authors.initials: O
authors.lastname: Kjellgren
authors.forename: S
authors.initials: S
authors.lastname: Feld
authors.forename: D
authors.initials: D
authors.lastname: Loyd
authors.forename: G
authors.initials: G
authors.lastname: Schroth
authors.forename: H V
authors.initials: HV
authors.lastname: Anderson
authors.forename: R W
authors.initials: RW
authors.lastname: Smalling
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography