A novel device for true lumen re-entry after subintimal recanalization of superficial femoral arteries: First-in-man experience and technical description

Flavio Airoldi, Ezio Faglia, Sergio Losa, Davide Tavano, Azeem Latib, Manuela Mantero, Gaetano Lanza, Giacomo Clerici

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)166-169
Number of pages4
JournalCardiovascular and Interventional Radiology
Volume34
Issue number1
DOIs
StatePublished - Feb 2011
Externally publishedYes

Keywords

  • Angioplasty
  • Critical limb ischemia
  • Femoral artery
  • Re-entry

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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