Document Detail


Technical report and preliminary clinical data of a novel catheter for luminal re-entry after subintimal dissection.
MedLine Citation:
PMID:  16230905     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE AND OBJECTIVES: The objective of this study was to evaluate the safety and the effectiveness of the Outback catheter for intraluminal re-entry after subintimal dissection in the crossing of chronic arterial occlusions. METHODS: This study was a proof-of-concept feasibility. Ten patients with totally occluded arteries in the iliac artery to the distal femoral artery (mean occlusion length, 13.1 cm; range, 5-25 cm) were treated with the novel catheter. After successful re-entry, PTA or PTA plus stenting was performed. RESULTS: No perforations, dissections, lacerations, or device complications occurred. The procedural re-entry success rate with the Outback catheter was 50% (5/10 patients). CONCLUSIONS: Although the Outback catheter is safe, the percentage of intraluminal reaccess should be ameliorated through engineering improvements because there is some evidence to suggest that subintimal recanalization could produce improved long-term results.
Authors:
Benjamin Wiesinger; Hermann Steinkamp; Claudius König; Gunnar Tepe; Stephan H Duda
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Investigative radiology     Volume:  40     ISSN:  0020-9996     ISO Abbreviation:  Invest Radiol     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-18     Completed Date:  2006-01-12     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  725-8     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, University of Tuebingen, Tuebingen, Germany. benjamin.wiesinger@med.uni-tuebingen.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Balloon Dilatation / instrumentation*,  methods
Feasibility Studies
Female
Femoral Artery
Humans
Iliac Artery
Intermittent Claudication / therapy*
Male
Middle Aged
Treatment Outcome
Tunica Intima

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


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