Use of Stingray re-entry system in treatment of complex tibial artery occlusive disease.
One of the mechanisms of technical failure in the treatment of tibial artery occlusive disease includes an inability to re-enter the true lumen of the tibial vessel distal to the occlusion following tracking of the interventional wire into the subintimal space. We report the first case using a coronary 0.014″ re-entry system (Stingray Chronic Total Occlusions Re-entry System, BridgePoint Medical) in the treatment of a complex tibial artery occlusion where the antegrade approach initially failed due to this mechanism. The re-entry system allowed completion of antegrade recanalization of the occlusion and represents an important addition to the interventional armamentarium for the treatment of complex tibial artery disease.
Casserly
Ivan P
IP
Division of Cardiology, University of Colorado Denver, Aurora, Colorado 80045, USA. ivan.casserly@ucdenver.edu
Rogers
R Kevin
RK
D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D003251:Constriction, Pathologic; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016909:Tibial Arteries / Q000000981:diagnostic imaging; D016896:Treatment Outcome