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Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-20717

Husmann, M; Federer, J; Keo, H H; Schmidli, J; Kickuth, R; Baumgartner, I; Do, D D (2009). Bailout revascularization of chronic femoral artery occlusions with the new outback catheter following failed conventional endovascular intervention. Journal of Endovascular Therapy, 16(2):206-212.

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Abstract

PURPOSE: To report the application of a true lumen re-entry device in the bailout treatment of chronic total occlusions (CTO) of the superficial femoral artery (SFA) after failed angioplasty. METHODS: Nineteen patients (12 men; mean age 81 years, range 61-97) with 20 SFA CTOs and Rutherford category 2 to 5 ischemia were prospectively evaluated. All CTOs had unsuccessful recanalization using conventional techniques and were subsequently treated with the Outback LTD catheter. Follow-up at 3, 6, and 12 months included ankle/toe pressure measurement and pulse volume recordings. Endpoints were revascularization rate, target lesion revascularization, and limb salvage. RESULTS: Revascularization was achieved in 95% of the cases. There were 2 (10%) periprocedural complications unrelated to the re-entry device, which were resolved by endovascular or surgical treatment. The target lesion revascularization rate was 10%, with the 2 events occurring at 3 and 6 months, respectively, in patients with Rutherford category 4-5 ischemia. There was one below-the-knee amputation in the patient with failed revascularization. CONCLUSION: The acute failure of endovascular treatment of SFA CTOs is most often due to an inability to re-enter the true lumen after the occlusion is crossed in a subintimal plane. Bailout revascularization with the Outback LTD catheter is highly successful and shows a low device-related complication rate. This needle- and fluoroscopic-based re-entry device increases the endovascular success rate and is therefore expanding the minimally invasive treatment options for surgically unfit patients.

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Angiology
DDC:610 Medicine & health
Date:2009
Deposited On:23 Sep 2009 15:34
Last Modified:28 Nov 2013 07:57
Publisher:International Society of Endovascular Specialists
ISSN:1526-6028
Publisher DOI:10.1583/08-2496.1
PubMed ID:19456187
Citations:Web of Science®. Times Cited: 13
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Scopus®. Citation Count: 14

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