Comparison of the OUTBACK&lt;sup&gt;®&lt;/sup&gt; Elite Reentry Catheter and the Bi-directional Approach after Failed Antegrade Approach for Femoro-popliteal Occlusive Disease

Kawasaki, Daizo; Fukunaga, Masao; Nakata, Takashi; Kato, Masaaki; Ohkubo, Nobukazu

doi:10.5551/jat.40048

Cited by 10 publications

(2 citation statements)

References 15 publications

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“…Dedicated re-entry devices are extremely helpful tools in those circumstances [ 2 , 10 , 18 , 19 , 20 , 21 ]. The use of re-entry catheters has been shown to avoid extending the length of dissection as well as the procedural time [ 2 , 22 ]. In addition, retrograde recanalizations are increasingly used in chronic total occlusion.…”

Section: Discussionmentioning

confidence: 99%

Target Balloon-Assisted Antegrade and Retrograde Use of Re-Entry Catheters in Complex Chronic Total Occlusions

Patrone

Theivacumar

Dharmarajah

et al. 2023

JCDD

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Purpose, Retrograde recanalizations have gained increasing recognition in complex arterial occlusive disease. Re-entry devices are a well described adjunct for antegrade recanalizations. We present our experience with target balloon-assisted antegrade and retrograde recanalizations using re-entry devices in challenging chronic total occlusions. Materials and Methods: We report data from a retrospective multicenter registry. Eligibility criteria included either antegrade or retrograde use of the OutbackTM or GoBackTM re-entry catheter in combination with a balloon as a target to accomplish wire passage, when conventional antegrade and retrograde recanalization attempts had been unsuccessful. Procedural outcomes included technical success (defined as wire passage though the occlusion and delivery of adjunctive therapy with <30% residual stenosis at final angiogram), safety (periprocedural complications, e.g., bleeding, vessel injury, or occlusion of the artery at the re-entry site, and distal embolizations), and clinical outcome (amputation-free survival and freedom from target lesion revascularization after 12-months follow-up). Results: Thirty-six consecutive patients underwent target balloon-assisted recanalization attempts. Fourteen (39 %) patients had a history of open vascular surgery in the index limb. Fifteen patients were claudications (Rutherford Class 2 or 3, 21 presented with chronic limb threatening limb ischemia (Rutherford Class 4 to 6). The locations of the occlusive lesions were as follows: iliac arteries in 3 cases, femoropopliteal artery in 39 cases, and in below-the-knee arteries in 12 cases. In 15 cases, recanalization was attempted in multilevel occlusions. Retrograde access was attempted in 1 case in the common femoral artery, in the femoropopliteal segment in 10 cases, in below-the-knee arteries in 23 cases, and finally in 2 patients via the brachial artery. In 10 cases, the re-entry devices were inserted via the retrograde access site. Technical success was achieved in 34 (94 %) patients. There were 3 periprocedural complications, none directly related to the target balloon-assisted re-entry maneuver. Amputation-free survival was 87.8 % and freedom from clinically driven target lesion revascularization was 86.6 % after 12-months follow-up. Conclusion: Target balloon-assisted use of re-entry devices in chronic total occlusions provides an effective and safe endovascular adjunct, when conventional antegrade and retrograde recanalization attempts have failed.

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Section: Discussionmentioning

confidence: 99%

Target Balloon-Assisted Antegrade and Retrograde Use of Re-Entry Catheters in Complex Chronic Total Occlusions

Patrone

Theivacumar

Dharmarajah

et al. 2023

JCDD

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“…The initial step of the endovascular process is to cross the lesion using a guidewire, and although passing through the true lumen is the principle, subintimal angioplasty [59,60] is an alternative option. Re-entry devices such as OUT-BACK (Cardinal Health Japan G.K., Tokyo) (Figure 5) are used for navigating guidewire tips through subintimal spaces to distal true lumina [61][62][63][64][65][66][67][68][69].…”

Section: (4) Other Devices I Re-entry Cathetermentioning

confidence: 99%

Recent Update on Peripheral Arterial Endovascular Therapy for Peripheral Arterial Occlusive Disease

Tanaka

2020

Interventional Radiology

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Endovascular treatment is effective for symptomatic peripheral arterial disease (PAD). Following recent device improvements, favorable long-term outcomes have been achieved in iliac arteries as well as small arteries such as the femoral and popliteal arteries. This paper outlines the history and recent advances in endovascular treatment of peripheral vascular diseases as well as the characteristics and usage of devices. The history and the advances in endovascular treatment of peripheral vascular disease have been parallel, with the development of devices such as catheters and stents. Accordingly, endovascular treatment is now recommended in guidelines as the first-line for PAD.

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Using the OUTBACK Catheter to Overcome Aortic Reentry Issues in Retrograde Open Mesenteric Stenting

Abdallah

Sénémaud²,

Alsac³

et al. 2020

Annals of Vascular Surgery

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Comparison of the OUTBACK<sup>®</sup> Elite Reentry Catheter and the Bi-directional Approach after Failed Antegrade Approach for Femoro-popliteal Occlusive Disease

Cited by 10 publications

References 15 publications

Target Balloon-Assisted Antegrade and Retrograde Use of Re-Entry Catheters in Complex Chronic Total Occlusions

Target Balloon-Assisted Antegrade and Retrograde Use of Re-Entry Catheters in Complex Chronic Total Occlusions

Recent Update on Peripheral Arterial Endovascular Therapy for Peripheral Arterial Occlusive Disease

Using the OUTBACK Catheter to Overcome Aortic Reentry Issues in Retrograde Open Mesenteric Stenting

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