Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
In: CVIR Endovasc, 2021
academicJournal
Zugriff:
BACKGROUND: Recanalization of graft limb occlusion can prove challenging and the use of the GoBack crossing and reentry device may be a suitable option, especially when there is no other way to restore flow with an usual endovascular approach. The GoBack catheter is a novel device designed to enhance pushability, and to enable direction-change inside hard plaques and crossing of tough lesions, even when they involve graft fabric. CASE PRESENTATION: It’s reported a case of a 76-year-old male who presented with claudication, previous placement of an aorto-bi iliac graft by open surgery for a ruptured abdominal aneurysm 10 years ago that, over time, developed severe kinking on the left limb and a fabric occlusion on the right limb. After several unsuccessful attempts to cross the occlusion of the right common iliac artery, the GoBack™ was deployed to create a lumen through graft’s folds. After angioplasty and stenting a satisfactory result was achieved, restoring flowCT-scan at 1 month and duplex ultrasound (DUS) at 3 months confirmed the patency of ilio-femoral axis. CONCLUSIONS: The advent of this new CTO crossing device has the potential to facilitate recanalization of some of the most challenging occlusions. Facilitating more consistent distal entry and allowing for a decrease in crossing time. Therefore, the GoBack catheter should be considered as a potential complementary tool to treat vascular occlusions via endovascular approaches, especially when classical endovascular techniques fail.
Titel: |
Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
|
---|---|
Autor/in / Beteiligte Person: | Azzaretti, Andrea ; Trevisan, Daniele ; Fachinetti, Camilla ; Borghi, Claudia ; Vannelli, Alberto |
Link: | |
Zeitschrift: | CVIR Endovasc, 2021 |
Veröffentlichung: | Springer International Publishing, 2021 |
Medientyp: | academicJournal |
DOI: | 10.1186/s42155-021-00244-4 |
Schlagwort: |
|
Sonstiges: |
|