Femoropopliteal CTO Subintimal Recanalization Using a Homemade Reentry Device
| Autor: | Marta Lobato, August Ysa, Gonzalo Bonmati, Amaia Arroniz, Leire Ortiz de Salazar, Juan L. Fonseca, Matthew Metcalfe |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Treatment outcome Lumen (anatomy) 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Femoral access Angioplasty medicine Humans Popliteal Artery Aged 80 and over business.industry Drug-Eluting Stents Equipment Design General Medicine Reentry Surgery Femoral Artery Catheter Treatment Outcome Cardiology and Cardiovascular Medicine business Vascular Access Devices Angioplasty Balloon |
| Zdroj: | Annals of Vascular Surgery. 58:384.e15-384.e18 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2018.11.013 |
| Popis: | A case of a femoropopliteal recanalization procedure using a new bailout technical maneuver to aid reentry into the true lumen is described. After a failed standard reentry attempt, at the level of the vessel reconstitution in the subintimal space, the guidewire was exchanged for a GooseNeck Snare Kit. A needle was inserted across the target artery, piercing both arterial walls and passing through the snare loop. Once the needle had exited the artery, a wire was inserted and the needle withdrawn. The snare was closed, withdrawn, and the wire externalized through the femoral access. Finally, a catheter was advanced from the antegrade sheath up to the arterial reconstitution. Selective injection at the site of reentry confirmed the intraluminal position, and the procedure was successfully completed from the antegrade sheath. |
| Databáze: | OpenAIRE |
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