Novel CenterCross and MultiCross devices for the treatment of infrainguinal chronic total occlusions: initial single-centre experience
| Autor: | Rajendra H. Mehta, Thomas LaLonde, Shwan Jalal, Thomas Davis, Howard S. Rosman, Andrew Boshara, Hiroshi Yamasaki |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Databases Factual Arterial disease Dissection (medical) 030204 cardiovascular system & hematology Risk Assessment Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Risk Factors medicine.artery North Carolina medicine Clinical endpoint Humans Popliteal Artery In patient 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over business.industry Endovascular Procedures Retrospective cohort study Middle Aged medicine.disease Popliteal artery Surgery Peripheral Single centre Treatment Outcome Lower Extremity Chronic Disease Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | EuroIntervention. 11:1063-1069 |
| ISSN: | 1774-024X |
| Popis: | Aims Our aim was to evaluate the effectiveness and safety of CenterCross/MultiCross devices to facilitate the crossing of chronic total occlusions in peripheral arteries. Methods and results This was a single-centre study in which 53 consecutive patients who were not amenable to initial attempts at crossing using standard guidewires underwent an attempt to recanalise chronically occluded infrainguinal peripheral arteries with MultiCross/CenterCross devices. The primary endpoint of interest was the ability to advance the guidewire beyond the chronic total occlusion (CTO) lesions with the use of these devices. Safety endpoints were freedom from bleeding, distal embolisation and vessel perforation, dissection or need for emergent surgical intervention. Popliteal artery and below lesions were the most commonly treated, comprising 89% of the total. The CTO lesions were crossed successfully in 92.4% of the cases within a relatively short time (5.5±3.5 minutes). There was no bleeding, dissection or need for emergent surgery and 98.1% and 96.2% of the patients were free from distal embolisation and perforations, respectively. Conclusions Our study demonstrated that MultiCross and CenterCross were effective and safe for recanalisation of peripheral CTO lesions which were not amenable to conventional guidewires. Further study is required to define the role of these novel devices in the treatment of complex lesions, particularly CTOs in patients with peripheral arterial disease. |
| Databáze: | OpenAIRE |
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