Document Detail

Crossing chronic total occlusions of the iliac and femoral-popliteal vessels and the use of true lumen reentry devices.
MedLine Citation:
PMID:  16628327     Owner:  NLM     Status:  MEDLINE    
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.
Donald L Jacobs; Daniel E Cox; Raghunandan Motaganahalli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Perspectives in vascular surgery and endovascular therapy     Volume:  18     ISSN:  1531-0035     ISO Abbreviation:  Perspect Vasc Surg Endovasc Ther     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-21     Completed Date:  2006-07-20     Revised Date:  2007-05-15    
Medline Journal Info:
Nlm Unique ID:  100970607     Medline TA:  Perspect Vasc Surg Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-7     Citation Subset:  IM    
Division of Vascular Surgery, Saint Louis University School of Medicine, MO 63110-0250, USA.
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MeSH Terms
Angioplasty, Balloon / instrumentation,  methods
Arterial Occlusive Diseases / therapy*
Catheterization, Peripheral
Femoral Artery*
Iliac Artery*
Patient Selection
Popliteal Artery*
Comment In:
Perspect Vasc Surg Endovasc Ther. 2006 Mar;18(1):37-8   [PMID:  16628328 ]

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

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