Successful extra-anatomical recanalization of occluded superficial femoral arteries using the Outback device--a report of 2 cases.

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 Surg

authors

Kirk J,Wilson R,Kovacs F,Tennant W,Braithwaite B,Habib S

doi

10.1177/1538574411422959

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

62-5

issue

1

eissn

1538-5744

issn

1938-9116

pii

1538574411422959

journal_volume

46

pub_type

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