Simultaneous antegrade and retrograde access for subintimal recanalization of peripheral arterial occlusion.
Subintimal recanalization can be a useful procedure in selected patients with severe peripheral vascular disease with tissue loss or rest pain and limited surgical bypass options. Technical failure occurs in approximately 20% of patient who undergo percutaneous intentional extraluminal recanalization due to inability to reenter the distal true lumen. A technique to improve technical success when performing subintimal recanalization when there is failure to reenter the distal true lumen or possibly when there is a limited segment of patent distal target vessel for reentry is proposed. Further evaluation of this technique is necessary to confirm its safety and determine its technical and clinical success.
Spinosa
David J
DJ
Department of Radiology, University of Virginia Health System, Charlottesville, Virginia 22908, USA. djs4m@virginia.edu
Leung
Daniel A
DA
Harthun
Nancy L
NL
Cage
Dorothy L
DL
Fritz Angle
J
J
Hagspiel
Klaus D
KD
Matsumoto
Alan H
AH
D000368:Aged; D017130:Angioplasty / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged