PMID: 16628327Apr 22, 2006Paper

Crossing chronic total occlusions of the iliac and femoral-popliteal vessels and the use of true lumen reentry devices

Perspectives in Vascular Surgery and Endovascular Therapy
Donald L JacobsRaghunandan L Motaganahalli

Abstract

Treatment of chronic total occlusions of the iliac and femoral-popliteal vessels with endovascular techniques has become the standard approach for shorter lesions and is increasingly applied to long, complex arterial occlusive lesions. As the complexity of the arterial occlusions increases, the demands for technical skills and devices needed to successfully cross and treat the occlusion also increases. We describe here our technique for treatment of iliac and femoral-popliteal occlusions. Important aspects of that that have allowed for a high technical success include (1) the use of hydrophilic wires and catheters to traverse occlusions in the subintimal plane, (2) femoral access with axially supported catheters or sheaths to apply the force needed for successful recanalization, and (3) the use of true lumen reentry devices when, after crossing the occlusion, the wire or catheter cannot be manipulated into the true lumen beyond the occlusion.

Citations

Feb 7, 2008·Cardiovascular and Interventional Radiology·Greg RamjasSaid Habib
Jan 13, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Timothy A Mixon
Dec 16, 2011·Journal of Vascular Surgery·Carlos F BecharaPanagiotis Kougias
May 21, 2010·Vascular and Endovascular Surgery·Melhem J SharafuddinWilliam J Sharp
Oct 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Elias NooryThomas Zeller
May 21, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Damianos G KokkinidisEhrin J Armstrong
Oct 14, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Katherine A GallagherJames F McKinsey

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