| Impact of aggressive endovascular recanalization techniques on success rate in chronic total arterial occlusions (CTOs). | |
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MedLine Citation:
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PMID: 20484077 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report experience with aggressive recanalization approaches in chronic total arterial occlusion (CTO). METHODS: Chronic total arterial occlusion recanalization was attempted on 112 limbs in 99 consecutive patients between January 1999 and December 2006. RESULTS: There were 63 iliac arteries, 45 femoropopliteal arteries, and 4 occluded stents. Mean occlusion length was 8.7 ± 4.7 cm. Conventional recanalization was attempted first and was successful in 71 limbs (70%). Probing with the guidewire's stiff end was attempted in 33 of the 41 procedures where conventional techniques failed and was successful in 18 (54%), improving the overall procedural success rate to 80%. For the remaining 15 limbs, home-made directional sharp needle recanalization was attempted in 11 and was successful in 9 (82%), further improving the overall recanalization success to 88%. Procedural complications were self-limited or managed nonoperatively. CONCLUSIONS: Aggressive recanalization techniques in CTO following failure of traditional means are safe and can substantially improve procedural success rates. |
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Authors:
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Melhem J Sharafuddin; Jamal J Hoballah; Timothy F Kresowik; Rachael M Nicholson; William J Sharp |
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Publication Detail:
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Type: Journal Article Date: 2010-05-18 |
Journal Detail:
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Title: Vascular and endovascular surgery Volume: 44 ISSN: 1938-9116 ISO Abbreviation: Vasc Endovascular Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-09-16 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136421 Medline TA: Vasc Endovascular Surg Country: United States |
Other Details:
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Languages: eng Pagination: 460-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, IA 52242, USA. mel-sharafuddin@uiowa.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon* / adverse effects, instrumentation Arterial Occlusive Diseases / diagnosis, physiopathology, therapy* Chi-Square Distribution Chronic Disease Constriction, Pathologic Endovascular Procedures* / adverse effects, instrumentation Equipment Design Female Femoral Artery* / physiopathology Humans Iliac Artery* / physiopathology Iowa Kaplan-Meier Estimate Logistic Models Magnetic Resonance Angiography Male Middle Aged Popliteal Artery* / physiopathology Radiography, Interventional Retrospective Studies Stents Time Factors Treatment Outcome Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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