title: Outback catheter-assisted simultaneous antegrade and retrograde access for subintimal recanalization of peripheral arterial occlusion.
abstract: Subintimal recanalization techniques have been shown to be beneficial in selected patients with severe peripheral vascular disease with tissue loss or rest pain and limited surgical options. In this report, we use an Outback catheter in order to gain access to the subintimal channel from the true lumen during percutaneous intentional extraluminal recanalization using the subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) technique. To the best of our knowledge, this is the first report where the Outback catheter was used in antegrade fashion in order to gain access to the subintimal space from the true lumen using the SAFARI technique.
authors.affiliation: Department of Radiology, University of Virginia Health System, Charlottesville, VA 22908, USA.
authors.forename: Ugur
authors.initials: U
authors.lastname: Bozlar
authors.forename: Ming-Chen Paul
authors.initials: MC
authors.lastname: Shih
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Harthun
authors.forename: Klaus D
authors.initials: KD
authors.lastname: Hagspiel
mesh_terms: D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D002404:Catheterization; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008875:Middle Aged; D018570:Risk Assessment; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology