Abstract:Chronic peripheral artery occlusions can be challenging to recanalize. Two general strategies are prevalent, and neither is necessarily under the direct control of the operator. In the classic (and in my opinion favored) "centriluminal" technique, the operator attempts to direct guidewires in tandem with controlling catheters to traverse the occlusive atheroma while remaining within the confines of the arterial media. The second technique, inaptly called the "subintimal" approach [1,2], in some ways resembles … Show more
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