The Outback Catheter: A New Device for True Lumen Re-entry After Dissection During Recanalization of Arterial Occlusions

Hausegger, K. A.; Georgieva, Borjana; Portugaller, Horst; Tauss, Josef; Stärk, Gerhard

doi:10.1007/s00270-003-0025-x

Cited by 64 publications

(52 citation statements)

References 6 publications

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“…1,3,4 Hausegger et al 3 used the first-generation model of the Outback system in 10 patients with intermittent claudication as a bailout procedure to cross iliofemoral lesions; they reported a success rate of 80%. Using the same model, Wiesinger et al 4 reported a success rate of only 50%.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,4 IVUS navigation, which is available with the Pioneer catheter, is more expensive and demands an ultrasound console as well as additional skills, whereas the Outback catheter allows direct fluoroscopic navigation. Early studies using the Outback Catheter system reported an inadequate technical success rate, especially in calcified occlusions, 4 so the design was re-engineered to incorporate a stiffer needle and a lateral exit port.…”

Section: ¤ ¤mentioning

confidence: 99%

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Bailout Revascularization of Chronic Femoral Artery Occlusions With the New Outback Catheter Following Failed Conventional Endovascular Intervention

Husmann¹,

Federer²,

Keo³

et al. 2009

Journal of Endovascular Therapy

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PURPOSE: To report the application of a true lumen re-entry device in the bailout treatment of chronic total occlusions (CTO) of the superficial femoral artery (SFA) after failed angioplasty. METH-ODS: Nineteen patients (12 men; mean age 81 years, range 61-97) with 20 SFA CTOs and Rutherford category 2 to 5 ischemia were prospectively evaluated. All CTOs had unsuccessful recanalization using conventional techniques and were subsequently treated with the Outback LTD catheter. Follow-up at 3, 6, and 12 months included ankle/toe pressure measurement and pulse volume recordings. Endpoints were revascularization rate, target lesion revascularization, and limb salvage. RESULTS: Revascularization was achieved in 95% of the cases. There were 2 (10%) periprocedural complications unrelated to the re-entry device, which were resolved by endovascular or surgical treatment. The target lesion revascularization rate was 10%, with the 2 events occurring at 3 and 6 months, respectively, in patients with Rutherford category 4-5 ischemia. There was one below-the-knee amputation in the patient with failed revascularization. CONCLUSION: The acute failure of endovascular treatment of SFA CTOs is most often due to an inability to re-enter the true lumen after the occlusion is crossed in a subintimal plane. Bailout revascularization with the Outback LTD catheter is highly successful and shows a low device-related complication rate. This needle-and fluoroscopic-based re-entry device increases the endovascular success rate and is therefore expanding the minimally invasive treatment options for surgically unfit patients.

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Section: Discussionmentioning

confidence: 99%

Section: ¤ ¤mentioning

confidence: 99%

Bailout Revascularization of Chronic Femoral Artery Occlusions With the New Outback Catheter Following Failed Conventional Endovascular Intervention

Husmann¹,

Federer²,

Keo³

et al. 2009

Journal of Endovascular Therapy

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“…To overcome the challenge of re-entry into the true lumen, re-entry devices have been developed. Technical success and procedural complications of these devices have rarely been reported, and long-term patency remains unknown (21,22). Furthermore, these re-entry devices are expensive; for example, the Pioneer catheter requires an intravascular US machine (4).…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography-guided retrograde tibial artery puncture for recanalization of complex infrainguinal arterial occlusions

Gür

Oğuzkurt²,

Gürel³

et al. 2012

Diagn Interv Radiol

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“…The ''T''une fluoroscopic marker, combined with a 90 orthogonal view, confirms the desired alignment to fine tune positioning at the target re-entry site. Finally, the 22-gauge, nitinol re-entry cannula is plunged into the distal vessel to re-enter into the true lumen [7].…”

Section: Discussionmentioning

confidence: 99%

Retrograde access via the popliteal artery to facilitate the re‐entry technique for recalcitrant superficial femoral artery Chronic total occlusions

Pappy¹,

Hennebry²,

Abu‐Fadel³

2011

Cathet Cardio Intervent

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Subintimal recanalization is beneficial in selected patients with peripheral chronic total occlusions (CTO). However, in complex cases, re-entry into the true arterial lumen may prove to be unsuccessful with a conventional guidewire or a re-entry catheter when using standard femoral artery access. Our case series describes these technical dilemmas along with strategies that can be utilized to overcome these challenges.

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The Outback Catheter: A New Device for True Lumen Re-entry After Dissection During Recanalization of Arterial Occlusions

Abstract: The Outback catheter was safe and effective when used in complicated recanalization procedures in the superficial femoral and popliteal artery and the tibial trunk.

Cited by 64 publications

References 6 publications

Bailout Revascularization of Chronic Femoral Artery Occlusions With the New Outback Catheter Following Failed Conventional Endovascular Intervention

Bailout Revascularization of Chronic Femoral Artery Occlusions With the New Outback Catheter Following Failed Conventional Endovascular Intervention

Ultrasonography-guided retrograde tibial artery puncture for recanalization of complex infrainguinal arterial occlusions

Retrograde access via the popliteal artery to facilitate the re‐entry technique for recalcitrant superficial femoral artery Chronic total occlusions

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