TY - JOUR
T1 - Transcutaneous ultrasound-guided endovascular crossing of infrainguinal chronic total occlusions
AU - Banerjee, Subhash
AU - Das, Tony S.
AU - Brilakis, Emmanouil S.
N1 - Funding Information:
Subhash Banerjee and Emmanouil S. Brilakis receive support from the Clark R. Gregg Fund of the Harris Methodist Foundation (Fort Worth, TX). The authors also acknowledge the technical support of Gudhbadeen Abdurrahim (procedure) and Avantika Banerjee (manuscript and images).
PY - 2010/4
Y1 - 2010/4
N2 - Currently available techniques for the endovascular treatment of infrainguinal arterial chronic total occlusions (CTOs) require long procedure duration, large contrast volumes, complex subintimal dissection technique, and have low-intermediate success rates. Inability to remain intraluminal and/or reenter the true lumen after subintimal dissection remains the main reasons for procedural failure. We report for the first time a novel, simple, and reproducible technique that can significantly improve both the success and safety of endovascular intraluminal crossing of totally occluded peripheral arterial segments: the transcutaneous ultrasound-guided (TUG)-CTO technique. We used transcutaneous ultrasound guidance to cross long segments of superficial femoral artery CTO using a blunt-microdissection technique.
AB - Currently available techniques for the endovascular treatment of infrainguinal arterial chronic total occlusions (CTOs) require long procedure duration, large contrast volumes, complex subintimal dissection technique, and have low-intermediate success rates. Inability to remain intraluminal and/or reenter the true lumen after subintimal dissection remains the main reasons for procedural failure. We report for the first time a novel, simple, and reproducible technique that can significantly improve both the success and safety of endovascular intraluminal crossing of totally occluded peripheral arterial segments: the transcutaneous ultrasound-guided (TUG)-CTO technique. We used transcutaneous ultrasound guidance to cross long segments of superficial femoral artery CTO using a blunt-microdissection technique.
KW - Chronic total occlusion
KW - Peripheral vascular disease
KW - Transcutaneous ultrasound
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U2 - 10.1016/j.carrev.2009.03.006
DO - 10.1016/j.carrev.2009.03.006
M3 - Article
C2 - 20347804
AN - SCOPUS:77950146076
VL - 11
SP - 116
EP - 119
JO - Cardiovascular Revascularization Medicine
JF - Cardiovascular Revascularization Medicine
SN - 1553-8389
IS - 2
ER -