Document Detail


Chronic total occlusions in peripheral vasculature: techniques and devices.
MedLine Citation:
PMID:  19814671     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peripheral artery disease continues to increase in an ever-aging society and consumes a significant part of health resources. Chronic total occlusions account for a significant portion of the lesions encountered by endovascular interventionalists. Unlike the coronary circulation, these occlusions are often long and associated with other features of complexity. The two primary issues concerning these lesions are the ability to safely achieve intimal angiographic success and the long-term durability of therapy. Traditionally, the use of percutaneous techniques was limited to certain anatomic subsets, such as stenosis or total occlusions. However, recent advances in wire technology, re-entry catheters, alternative crossing tools and atherectomy devices have increased the interventional armamentarium for this challenging disease subset. This article will focus on some of the techniques in crossing chronic total occlusions lesions, as well as the available devices to improve long-term patency.
Authors:
Shishir Murarka; Richard R Heuser
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Expert review of cardiovascular therapy     Volume:  7     ISSN:  1744-8344     ISO Abbreviation:  Expert Rev Cardiovasc Ther     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-09     Completed Date:  2010-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101182328     Medline TA:  Expert Rev Cardiovasc Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  1283-95     Citation Subset:  IM    
Affiliation:
Banner Estrella Medical Center, 9301 West Thomas Road, Phoenix, AZ 85037, USA. shishirmurarka@gmail.com.
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MeSH Terms
Descriptor/Qualifier:
Arterial Occlusive Diseases / pathology,  surgery,  therapy*
Chronic Disease
Humans
Peripheral Vascular Diseases / pathology,  surgery,  therapy*
Vascular Surgical Procedures / instrumentation*,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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