| Crossing chronic total occlusions of the iliac and femoral-popliteal vessels and the use of true lumen reentry devices. | |
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MedLine Citation:
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PMID: 16628327 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Donald L Jacobs; Daniel E Cox; Raghunandan Motaganahalli |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2006-04-21 Completed Date: 2006-07-20 Revised Date: 2007-05-15 |
Medline Journal Info:
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Nlm Unique ID: 100970607 Medline TA: Perspect Vasc Surg Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 31-7 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Saint Louis University School of Medicine, MO 63110-0250, USA. jacobsmd@slu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon
/
instrumentation,
methods Arterial Occlusive Diseases / therapy* Catheterization, Peripheral Femoral Artery* Humans Iliac Artery* Patient Selection Popliteal Artery* Stents |
| Comments/Corrections | |
Comment In:
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Perspect Vasc Surg Endovasc Ther. 2006 Mar;18(1):37-8
[PMID:
16628328
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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