Intraluminal Recanalization of Long Infrainguinal Chronic Total Occlusions Using the Crosser System

被引:50
作者
Gandini, Roberto [1 ]
Volpi, Tommaso [1 ]
Pipitone, Vincenzo [1 ]
Simonetti, Giovanni [1 ]
机构
[1] Univ Roma Tor Vergata, Dept Diagnost & Mol Imaging Intervent Radiol Nucl, Rome, Italy
关键词
critical limb ischemia; chronic total occlusion; percutaneous interventions; infrainguinal occlusion; intraluminal recanalization; vibrational energy; SUBINTIMAL ANGIOPLASTY; ARTERIAL OCCLUSIONS;
D O I
10.1583/08-2520.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose: To assess the safety and efficacy of a device for vibrational angioplasty in the percutaneous intraluminal recanalization of long infrainguinal chronic total occlusions (CTO). Technique: The Crosser CTO Recanalization System is a mechanical recanalization device that uses high-frequency vibrational energy to disrupt and channel through fibrocalcific plaque without harming the vessel wall, thus assisting in the recanalization of an occluded artery. In 12 diabetic patients (7 men; median age 71 years, range 58-80) with critical limb ischemia owing to long (median length 26 cm, range 21-32) infrainguinal CTOs resistant to conventional guidewire techniques, the Crosser CTO Recanalization System was successful in intraluminally crossing the occlusion in 9 (75%) patients in <5 minutes (mean 4:03 minutes). The safety endpoint (distal lumen guidewire position with no vessel perforation or dissection) was achieved in all Successful cases. Conclusion: In our preliminary experience, the Crosser CTO Recanalization Catheter decreased crossing time, was safe, and achieved a high rate of intraluminal recanalization of long infrainguinal CTOs.
引用
收藏
页码:23 / 27
页数:5
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