2014
DOI: 10.1583/13-4460mr.1
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Contemporary Crossing Techniques for Infrapopliteal Chronic Total Occlusions

Abstract: The synergism of technical refinement and advanced technology has significantly increased the popularity of infrapopliteal intervention. Since chronic total occlusion (CTO) is a common disorder among patients with symptomatic infrapopliteal artery disease, infrapopliteal CTO intervention is now evolving rapidly in the field of endovascular intervention. Guidewire crossing through the CTO is essential for a successful procedure. We review up-to-date infrapopliteal CTO crossing techniques based on the current li… Show more

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Cited by 39 publications
(19 citation statements)
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“…With the advent of dedicated guidewires, a variety of crossing techniques have emerged in the field of infrapopliteal intervention (Figure 3). 14 In the clinical setting, combining these techniques may increase the success rate of crossing, and intraluminal or subintimal tracking can occur in either direction and with each type of technique. Thus, different scenarios can be observed during the passing of CTO lesions (true-to-true, true-to-false-to-true, etc).…”
Section: Endovascular Crossing Technique and Management Of Complicationsmentioning
confidence: 99%
“…With the advent of dedicated guidewires, a variety of crossing techniques have emerged in the field of infrapopliteal intervention (Figure 3). 14 In the clinical setting, combining these techniques may increase the success rate of crossing, and intraluminal or subintimal tracking can occur in either direction and with each type of technique. Thus, different scenarios can be observed during the passing of CTO lesions (true-to-true, true-to-false-to-true, etc).…”
Section: Endovascular Crossing Technique and Management Of Complicationsmentioning
confidence: 99%
“…Most recently, infrapopliteal CTO intervention can benefit from this technique. 12 Depending on the situation, retrograde guide wire can be advanced into the antegrade catheter at the rendezvous. Shimada et al.…”
Section: Discussionmentioning
confidence: 99%
“…If the antegrade approach failed, a retrograde approach involving a distal puncture or a transcollateral approach was adopted, as described previously. 7,8,11,13,14 Following the insertion of a guidewire, balloon angioplasty was performed using an optimally sized long balloon for at least 3 minutes. For PAA, a 0.014-inch hydrophilic guidewire was used with the support of a microcatheter, and a bidirectional approach was employed if needed, as described previously.…”
Section: Methodsmentioning
confidence: 99%