Intravascular Ultrasound-Assisted Crosser System Through the Retrograde Approach to Treat a Trans-Atlantic Inter-Society Consensus D Lesion in the Superficial Femoral Artery After Graft Failure

Annals of Vascular Surgery
Junya MatsumiShigeru Saito

Abstract

The crosser system is useful to treat chronic total occlusion (CTO) lesions refractory to guidewire recanalization. However, the Inter-Society Consensus for the Management of Peripheral Arterial Disease recommends bypass graft surgery for Trans-Atlantic Inter-Society Consensus (TASC) type D femoropopliteal (FP) lesions. This approach may not be practical in patients with previous graft failure. In these patients, endovascular therapy with the crosser system may be appropriate. However, there are few reports of the crosser system to treat CTO after failure of FP bypass grafts. A 74-year-old man with a history of 2 FP bypass grafts presented with left lower-limb ischemic rest pain. Ankle-brachial pressure index (ABPI) in the left leg was 0.45. Angiography revealed a TASC type D lesion in the left superficial femoral artery (SFA). A bidirectional approach was used, but the very stiff dedicated CTO guidewire could not pass through the lesion. Therefore, after confirming that the guidewire was in the true lumen by intravascular ultrasound (IVUS), we used a CROSSER(®) 14S catheter (Bard Peripheral Vascular Inc., Tempe, AZ) through the retrograde route in the popliteal artery. The lesion was crossed, and a stent was successfully impla...Continue Reading

References

Jun 10, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gloria MelziAntonio Colombo
Jan 16, 2007·Journal of Vascular Surgery·L NorgrenUNKNOWN TASC II Working Group
Nov 14, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Klaus TirochJeffrey J Popma
Mar 14, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roberto GandiniGiovanni Simonetti
Jul 25, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hazim Al-AmeriDavid M Shavelle
Apr 30, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Osami Kawarada, Yoshiaki Yokoi
May 28, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·M Rizwan KhalidKhusrow Niazi
Aug 25, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Fabrizio FanelliRoberto Passariello
Feb 9, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Andrej SchmidtDierk Scheinert

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