Rendezvous technique for recanalization of long-segmental chronic total occlusion above the knee following unsuccessful standard angioplasty

Cao, Jun; Lü, Haitao; Wei, Liming; Zhao, Juping; Zhang, Donghui

doi:10.1177/1708538115589049

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…The combination of these tools has significantly improved the technical success in crossing lower extremity arterial occlusions. [113][114][115][116][117][118][119] Thombectomy/Thrombolysis Tools Long segment occlusions, especially those involving the superficial femoral artery, are comprised of atherosclerotic plaque and thrombus. In addition, acute or subacute presentations of lower extremity occlusive disease may have acute thrombosis superimposed upon chronic occlusive disease.…”

Section: Chronic Total Occlusion Devicesmentioning

confidence: 99%

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Advances in Revascularization for Peripheral Artery Disease: Revascularization in PAD

Beckman

Schneider

Conte

2021

Circulation Research

127

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Effective revascularization of the patient with peripheral artery disease is about more than the procedure. The approach to the patient with symptom-limiting intermittent claudication or limb-threatening ischemia begins with understanding the population at risk and variation in clinical presentation. The urgency of revascularization varies significantly by presentation; from patients with intermittent claudication who should undergo structured exercise rehabilitation before revascularization (if needed) to those with acute limb ischemia, a medical emergency, who require revascularization within hours. Recent years have seen the rapid development of new tools including wires, catheters, drug-eluting technology, specialized balloons, and biomimetic stents. Open surgical bypass remains an important option for those with advanced disease. The strategy and techniques employed vary by clinical presentation, lesion location, and lesion severity. There is limited level 1 evidence to guide practice, but factors that determine technical success and anatomic durability are largely understood and incorporated into decision-making. Following revascularization, medical therapy to reduce adverse limb outcomes and a surveillance plan should be put in place. There are many hurdles to overcome to improve the efficacy of lower extremity revascularization, such as restenosis, calcification, microvascular disease, silent embolization, and tools for perfusion assessment. This review highlights the current state of revascularization in peripheral artery disease with an eye toward technologies at the cusp, which may significantly impact current practice.

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Section: Chronic Total Occlusion Devicesmentioning

confidence: 99%

“…The combination of these tools has significantly improved the technical success in crossing lower extremity arterial occlusions. 113–119…”

Section: Specialized Techniques and Devicesmentioning

confidence: 99%

Advances in Revascularization for Peripheral Artery Disease: Revascularization in PAD

Beckman

Schneider

Conte

2021

Circulation Research

127

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“…After a successful puncture, a 0.014 inch guidewire (Cruise; ASAHI INTECC, Japan) was inserted through the needle followed by a micro catheter without a sheath 1 ) . The successful bi-directional recanalization approach was mainly achieved by using a rendezvous technique 4 ) .…”

Section: Methodsmentioning

confidence: 99%

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

Kawasaki

Fukunaga

Nakata

et al. 2017

JAT

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Aim: A successful antegrade wire crossing for femoro-popliteal chronic total occlusion (FP-CTO) is still a technical challenge. We attempted to demonstrate the safety and feasibility of the OUTBACK® Elite reentry catheter and the bi-directional approach for failed FP-CTO cases with the antegrade approach.Methods: Endovascular therapy for FP-CTO was performed in 219 lesions from May 2013 to December 2016 at Morinomiya Hospital. We retrospectively analyzed the data of 43 consecutive lesions which underwent endovascular therapy using the bi-directional approach with distal access and the mono-directional approach with the OUTBACK® Elite reentry catheter for FP-CTO lesions. The antegrade success using a combination of traditional and Intravascular Ultrasound (IVUS) -guided techniques was achieved in 170 lesions out of a total of 219 lesions. From May 2013 to June 2016 (phase 1), the bi-directional approach with distal access was applied to 22 lesions after failed antegrade approaches. From July 2016 to December 2016 (phase 2), the mono-directional approach with the OUTBACK® Elite reentry catheter was applied to 21 lesions.Results: Clinical and lesion characteristics in phase 1 were not significantly different from those in phase 2. The overall initial technical success rate was 100% in both phases. The total wire number and amount of contrast media were significantly less, and the total procedure time and the total fluoroscopic time were significantly shorter in phase 2 than in phase 1 (p < 0.01).Conclusions: Endovascular therapy for FP-CTO using the OUTBACK® Elite reentry catheter is feasible and safe after a failed antegrade approach.

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“…Integrated application of antegrade and retrograde recanalization for femoral-popliteal artery chronic total occlusions: outcomes compared with antegrade recanalization saw, and contralateral wire techniques, and the subintimal tracking and re-entry (STAR) technique, while the commonly employed retrograde techniques include the controlled antegrade and retrograde tracking and dissection (CART) technique, the rendezvous technique, and the bidirectional balloon dilation technique. The application of these techniques has been reported in various studies, but most reports have focused on only one kind of technique (3)(4)(5)(6). There is a lack of study about comprehensive analysis of integrated application of antegrade and retrograde techniques for achieving recanalization of femoral-popliteal CTOs, no results compared integrated recanalization with antegrade recanalization either in term of clinical outcomes, vascular restenosis rate, and limb salvage rate.…”

Section: Introductionmentioning

confidence: 99%

Integrated application of antegrade and retrograde recanalization for femoral-popliteal artery chronic total occlusions: outcomes compared with antegrade recanalization

Wei

Zhang

et al. 2018

Quant. Imaging Med. Surg.

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Rendezvous technique for recanalization of long-segmental chronic total occlusion above the knee following unsuccessful standard angioplasty

Abstract: The rendezvous technique is a feasible and effective treatment for chronic total occlusions above the knee when standard angioplasty fails.

Cited by 7 publications

References 11 publications

Advances in Revascularization for Peripheral Artery Disease: Revascularization in PAD

Advances in Revascularization for Peripheral Artery Disease: Revascularization in PAD

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

Integrated application of antegrade and retrograde recanalization for femoral-popliteal artery chronic total occlusions: outcomes compared with antegrade recanalization

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