title: Simultaneous antegrade and retrograde access for subintimal recanalization of peripheral arterial occlusion.
abstract: 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.
authors: Department of Radiology, University of Virginia Health System, Charlottesville, Virginia 22908, USA. djs4m@virginia.edu
authors: David J
authors: DJ
authors: Spinosa
authors: Daniel A
authors: DA
authors: Leung
authors: Nancy L
authors: NL
authors: Harthun
authors: Dorothy L
authors: DL
authors: Cage
authors: J
authors: J
authors: Fritz Angle
authors: Klaus D
authors: KD
authors: Hagspiel
authors: Alan H
authors: AH
authors: Matsumoto
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged