J Korean Soc Radiol.  2016 Jan;74(1):37-42. 10.3348/jksr.2016.74.1.37.

Target Balloon-Assisted Antegrade and Retrograde Approach for Recanalization of Thrombosed Fem-Pop Bypass Graft Using the Outback Catheter

Affiliations
  • 1Department of Radiology, Korea University College of Medicine, Ansan Hospital, Ansan, Korea. chungmic@korea.ac.kr

Abstract

The subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) technique is reportedly effective in severe peripheral vascular disease that cannot be treated with standard endovascular techniques including subintimal angioplasty. In this report, we used a target balloon with the Outback catheter to recanalize a thrombosed bypass graft that could not be treated successfully with SAFARI.


MeSH Terms

Angioplasty
Angioplasty, Balloon
Blood Vessel Prosthesis
Catheters*
Endovascular Procedures
Graft Occlusion, Vascular
Peripheral Vascular Diseases
Transplants*

Reference

1. Bolia A, Miles KA, Brennan J, Bell PR. Percutaneous transluminal angioplasty of occlusions of the femoral and popliteal arteries by subintimal dissection. Cardiovasc Intervent Radiol. 1990; 13:357–363.
2. Jacobs DL, Motaganahalli RL, Cox DE, Wittgen CM, Peterson GJ. True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: initial report. J Vasc Surg. 2006; 43:1291–1296.
3. Green JS, Newland C, Fishwick G. Positive outcome following unsuccessful subintimal angioplasty. Eur J Vasc Endovasc Surg. 1998; 16:266–270.
4. Harthun NL, Cage DL, Spinosa DJ. Subintimal recanalization is safe and effective in treating chronic critical limb ischemia in selected patients. Am Surg. 2004; 70:479–482. discussion 482-483
5. Spinosa DJ, Harthun NL, Bissonette EA, Cage D, Leung DA, Angle JF, et al. Subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia. J Vasc Interv Radiol. 2005; 16:37–44.
6. Bozlar U, Shih MC, Harthun NL, Hagspiel KD. Outback catheter-assisted simultaneous antegrade and retrograde access for subintimal recanalization of peripheral arterial occlusion. Clin Imaging. 2008; 32:236–240.
7. Setacci C, Chisci E, de Donato G, Setacci F, Iacoponi F, Galzerano G. Subintimal angioplasty with the aid of a re-entry device for TASC C and D lesions of the SFA. Eur J Vasc Endovasc Surg. 2009; 38:76–87.
8. Wiesinger B, Steinkamp H, König C, Tepe G, Duda SH. Technical report and preliminary clinical data of a novel catheter for luminal re-entry after subintimal dissection. Invest Radiol. 2005; 40:725–728.
9. Bausback Y, Botsios S, Flux J, Werner M, Schuster J, Aithal J, et al. Outback catheter for femoropopliteal occlusions: immediate and long-term results. J Endovasc Ther. 2011; 18:13–21.
10. Kirk J, Wilson R, Kovacs F, Tennant W, Braithwaite B, Habib S. Successful extra-anatomical recanalization of occluded superficial femoral arteries using the Outback device--a report of 2 cases. Vasc Endovascular Surg. 2012; 46:62–65.
Full Text Links
  • JKSR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr