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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A novel device for true lumen re-entry after subintimal recanalization of superficial femoral arteries: First-in-man experience and technical description
CardioVascular and Interventional Radiology, Volume 34, No. 1, Year 2011
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Description
Subintimal angioplasty (SAP) is frequently performed for the treatment of critical limb ischemia (CLI) and has been recognized as an effective technique for these patients. Nevertheless, this approach is limited by the lack of controlled re-entry into the true lumen of the target vessel. We describe a novel device for true lumen re-entry after subintimal recanalization of superficial femoral arteries (SFA). We report our experience with six patients treated between April 2009 and January 2010 with a novel system designed to facilitate true lumen re-entry. The device was advanced by ipsilateral antegrade approach through a 6-French sheath. Successful reaccess into the true lumen was obtained in five of six patients without complications. The patient in whom the reaccess to the true lumen was not possible underwent successful bypass surgery. At 30 days follow-up, the SFA was patent in all patients according to echo-Doppler examination. Our preliminary experience indicates that this novel re-entry device increases the success rate of percutaneous revascularization of chronically occluded SFA. © Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010.
Authors & Co-Authors
Airoldi, Flavio
Italy, Milan
Irccs Multimedica
Faglia, Ezio
Italy, Milan
Irccs Multimedica
Losa, Sergio
Italy, Milan
Irccs Multimedica
Tavano, Davide
Italy, Milan
Irccs Multimedica
Latib, Azeem M.
South Africa, Cape Town
University of Cape Town
Mantero, Manuela
Italy, Milan
Irccs Multimedica
Lanza, Gaetano
Italy, Milan
Irccs Multimedica
Clerici, Giacomo
Italy, Milan
Irccs Multimedica
Statistics
Citations: 11
Authors: 8
Affiliations: 2
Identifiers
Doi:
10.1007/s00270-010-9859-1
ISSN:
01741551
e-ISSN:
1432086X
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study