Abstract:
INTRODUCTION:We report 2 cases where the Outback catheter facilitated extra-anatomical bypass after vessel perforation during attempted subintimal vessel dissection. REPORT:Attempted subintimal angioplasty of the superficial femoral artery (SFA) resulted in vessel perforation in 2 patients with chronic SFA occlusion and limb ischemia. Due to the lack of other endovascular or surgical options, the Outback catheter was used to reenter the patent lumen distal to the perforation. A stent graft was then deployed from proximal to the perforation to beyond the reentry point with successful outcomes. DISCUSSION:Although the reentry devices are typically used to enter the lumen from the subintimal plane, this novel technique involves using the Outback catheter to enter from the extravascular compartment and facilitate bypass of the SFA occlusion via an extra-anatomical route. This novel technique can be used to restore in-line blood flow when attempted endovascular revascularization failed due to vessel perforation.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Kirk J,Wilson R,Kovacs F,Tennant W,Braithwaite B,Habib Sdoi
10.1177/1538574411422959subject
Has Abstractpub_date
2012-01-01 00:00:00pages
62-5issue
1eissn
1538-5744issn
1938-9116pii
1538574411422959journal_volume
46pub_type
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