The results of subintimal angioplasty in a district general hospital

Abstract

subintimal angioplasty can reasonably be performed outside major teaching institutions. There is a short learning curve associated with the procedure.

Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: Analysis of amputation free and overall survival by treatment received

“…6 A review of the literature concerning similar patients, not those with claudication and relatively discrete disease, indicates that the BASIL data on immediate and early BAP failure are by no means atypical. 10,11 Interventionalists will be keen to understand if there are any factors that can be used to predict immediate and early BAP failure in this patient group. Data on the perceived reasons for immediate technical failure, as characterized by the responsible interventionalist, are available and analyses of these data in relation to clinical and angiographic patterns of disease 5,6 are on-going.…”

A comparison of the standard bolia technique versus subintimal recanalization plus Viabahn stent graft in the management of femoro-popliteal occlusions

“…The short-term safety and feasibility of SA have been well established, with high technical success rates (80%-90%) and a high rate of limb salvage. 2,6,17,18 Unfortunately, the patency rate remains controversial, and, in recent studies, the primary patency rates range between 22% and 74% at 12 months. [2][3][4][5]19,20 In the initial technique described by Bolia, 1 there was no need to use a stent, except in cases of perforation or intimal flaps at the entry site.…”

Percutaneous recanalization of chronically occluded coronary arteries: Procedural techniques, devices, and results

“…A stent is finally deployed to secure the result. A prototype device was used successfully in a few patients, but to date the current mature device has been investigated only in peripheral total occlusions, with a technical success rate ranging from 78% to 92% with an acceptable safety profile [87][88][89]. Similarly, the Lumend Outback catheter utilizes a needle-based reentry system that is positioned toward the true lumen under fluoroscopy rather than intravascular ultrasound.…”