Impact of Aggressive Endovascular Recanalization Techniques on Success Rate in Chronic Total Arterial Occlusions (CTOs)
In: Vascular and Endovascular Surgery, Jg. 44 (2010-05-18), S. 460-467
Online
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Zugriff:
Purpose: To report experience with aggressive recanalization approaches in chronic total arterial occlusion (CTO). Methods: Chronic total arterial occlusion recanalization was attempted on 112 limbs in 99 consecutive patients between January 1999 and December 2006. Results: There were 63 iliac arteries, 45 femoropopliteal arteries, and 4 occluded stents. Mean occlusion length was 8.7 ± 4.7 cm. Conventional recanalization was attempted first and was successful in 71 limbs (70%). Probing with the guidewire’s stiff end was attempted in 33 of the 41 procedures where conventional techniques failed and was successful in 18 (54%), improving the overall procedural success rate to 80%. For the remaining 15 limbs, home-made directional sharp needle recanalization was attempted in 11 and was successful in 9 (82%), further improving the overall recanalization success to 88%. Procedural complications were self-limited or managed nonoperatively. Conclusions: Aggressive recanalization techniques in CTO following failure of traditional means are safe and can substantially improve procedural success rates.
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Impact of Aggressive Endovascular Recanalization Techniques on Success Rate in Chronic Total Arterial Occlusions (CTOs)
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Autor/in / Beteiligte Person: | Sharp, William J. ; Hoballah, Jamal J. ; Kresowik, Timothy F. ; Sharafuddin, Melhem J. ; Nicholson, Rachael |
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Zeitschrift: | Vascular and Endovascular Surgery, Jg. 44 (2010-05-18), S. 460-467 |
Veröffentlichung: | SAGE Publications, 2010 |
Medientyp: | unknown |
ISSN: | 1938-9116 (print) ; 1538-5744 (print) |
DOI: | 10.1177/1538574410370375 |
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