title: A case of successful use of microsnare to hold and pull the retrograde guidewire for the intervention to peripheral chronic total occlusion.
abstract: A basket-shaped microsnare has various uses such as the pull through technique during coronary intervention to chronic total occlusion (CTO). A 79-year-old man underwent angioplasty for the femoral artery occlusion. We performed a controlled antegrade and retrograde tracking (CART) with dilatation of a balloon on the antegrade guidewire. The retrograde guidewire partly ran in the true lumen but could not pass through the CTO lesion because of inadequate CART. Eventually, we successfully gripped the top of the retrograde guidewire in the CTO lesion using the basket-shaped microsnare (Soutenir(®)). The microsnare may be useful for bidirectional approach in peripheral CTO lesions.
authors: Department of Cardiovascular Medicine, Institute of Health Biosciences, Tokushima University Hospital, University of Tokushima Graduate School, 2-50-1 Kuramoto-cho, Tokushima, 770-8503, Japan.
authors: Tomoya
authors: T
authors: Hara
authors: Tetsuzo
authors: T
authors: Wakatsuki
authors: Yoshio
authors: Y
authors: Taketani
authors: Koji
authors: K
authors: Yamaguchi
authors: Takashi
authors: T
authors: Iwase
authors: Masataka
authors: M
authors: Sata
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D004867:Equipment Design; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D015607:Stents; D018084:Ultrasonography, Interventional