Recanalization of iliac artery occlusion by subintimal dissection using the ipsilateral and the contralateral approach

Bolia, A.; Fishwick, Guy

doi:10.1016/s0009-9260(97)80032-3

Cited by 35 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subintimal angioplasty is increasingly being recognized as an option in the treatment of chronic CLI. [28][29][30] In this process, the subintimal space proximal or distal to the occlusion is entered, traversing the occlusion in the subintimal channel to exit downstream in the natural lumen. Major complications occur rarely but may compromise important collaterals or runoff vessels, which may be deleterious.…”

Section: Subintimal Balloon Angioplastymentioning

confidence: 99%

“…This technique is primarily effective in lengthy occlusions and the tibioperoneal vessels, locations in which conventional PTA usually fails. Bolia et al 28 described a technique of recanalization of iliac artery occlusion by subintimal dissection us-ing the ipsilateral and contralateral approaches. An exchange-length guidewire affixed at both the antegrade and retrograde entry sites created a flossing wire, which allowed easy advancement of the balloon catheter for performing subintimal angioplasty.…”

Section: Subintimal Balloon Angioplastymentioning

confidence: 99%

See 1 more Smart Citation

An Update on Endovascular Therapy of the Lower Extremities

Bates

AbuRahma

2004

J Endovasc Ther

View full text Add to dashboard Cite

ࡗ ࡗConsiderable advances have been made over the last decade in percutaneous technology for treatment of atherosclerotic diseases in the iliac, femoropopliteal, and distal tibioperoneal arteries. While treatment strategies are well defined in the iliofemoral segment, where angioplasty and stenting perform well in appropriately selected lesions, the search for a durable transcatheter therapy for femoropopliteal and distal occlusive disease continues. The spectrum of treatment alternatives to angioplasty ranges from transcatheter plaque excision to laser ablation, rotational atherectomy, cryoplasty, brachytherapy, and stenting. We review in this article the status of percutaneous endovascular techniques for the treatment of lower extremity vascular occlusive disease.

show abstract

Section: Subintimal Balloon Angioplastymentioning

confidence: 99%

Section: Subintimal Balloon Angioplastymentioning

confidence: 99%

An Update on Endovascular Therapy of the Lower Extremities

Bates

AbuRahma

2004

J Endovasc Ther

View full text Add to dashboard Cite

show abstract

“…Initial experience was gained in the area of femoropopliteal occlusions, but subintimal angioplasty has now been used to treat occlusions of the crural, iliac, femoral, profunda, brachial, axillary, and subclavian arteries. [1][2][3][4][5][6][7][8][9][10][11][12][13] In this patient, we employed the subintimal technique to revascularize a below-knee amputation stump causing rest pain and non-healing stump ulceration. The only other alternative would have been revision to an above-knee amputation.…”

Section: Discussionmentioning

confidence: 99%

Subintimal Recanalization of the Femoropopliteal Segment to Promote Healing of an Ulcerated Below-Knee Amputation Stump

Karkos¹,

Bright²,

Bolia³

et al. 2006

Journal of Endovascular Therapy

View full text Add to dashboard Cite

show abstract

“…If it is not possible to cross from this approach, it is usually possible to connect a subintimal channel, as described by Bolia and Fishwick for the iliac artery. 38 If the true lumen has been recanalized, then ideally a self-expanding stent should be inserted without prior balloon dilation to avoid embolization. 24 The stent is subsequently ballooned to the required diameter.…”

Section: Primary Recanalization and Stentingmentioning

confidence: 99%

“…It is usually possible to achieve this either intraluminally 24 or subintimally. 38 Once the wire is through the occlusion, it is often possible actually to steer it into the introducer sheath down to the hub, then withdraw the sheath and wire together and subsequently reinsert the sheath over the now exposed wire. If this maneuver is not possible, a gooseneck snare can be used to capture the wire and draw it out through the sheath.…”

Section: Technique Of Stentingmentioning

confidence: 99%

Metallic Stents in the Renal and Peripheral Arteries

Dyet¹

2001

Semin intervent Radiol

View full text Add to dashboard Cite

Clinical ConsiderationsIn experienced hands, renal artery stenting has a high technical success rate, 1 and long-term patency is good. 2,3 Why, then, are physicians still reluctant to refer patients with symptoms of renal artery stenosis for this procedure? The answer probably lies in the discrepancy between technical and clinical success rates.The three clear clinical indications for renal revascularization are hypertension, renal insufficiency, and flash pulmonary edema. HYPERTENSIONHypertension was the first clinical condition for which renal artery stenosis was shown to be a possible cause. 4 In young adults, fibromuscular dysplasia of one or both renal arteries is a potentially curable condition. Renal artery angioplasty is recommended and has a high technical and clinical long-term success rate. 5 For these young patients, most operators feel that renal artery stenting is neither necessary nor desirable.For hypertension in older persons, the position is much less clear. In this age group, the underlying disease is usually atherosclerosis, and when the ostium of 215 ABSTRACT This article summarizes the role of metallic stents in the renal and peripheral arteries. The indications for the use of such stents and the technique, results, and complications of placement are outlined.Objectives: On completion of this article, the reader should understand the uses of metallic stents in the renal arteries, as well as the complications and results. Accreditation: Tufts University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Tufts University School of Medicine takes full responsibility for the content, quality, and scientific integrity of this continuing education activity. Credit: Tufts University School of Medicine designates this education activity for a maximum of 1.0 hour credit toward the AMA Physicians Recognition Award in category one. Each physician should claim only those hours that he/she actually spent in the educational activity.

show abstract

Recanalization of iliac artery occlusion by subintimal dissection using the ipsilateral and the contralateral approach

Cited by 35 publications

References 6 publications

An Update on Endovascular Therapy of the Lower Extremities

An Update on Endovascular Therapy of the Lower Extremities

Subintimal Recanalization of the Femoropopliteal Segment to Promote Healing of an Ulcerated Below-Knee Amputation Stump

Metallic Stents in the Renal and Peripheral Arteries

Contact Info

Product

Resources

About