Latest recanalization techniques for complex superficial femoral artery occlusions

L. Gonzalez, A. Chen, P. H. Lin, G. Pisimisis, N. R. Barshes, Carlos F. Bechara, P. Kougias

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Complex, long segment lesions of the superficial femoral artery (SFA) are common, occurring in 40% of patients with peripheral vascular disease. In particular, chronic total occlusions (CTOs) continue to pose a challenge in the endovascular management of SFA disease. Several conventional wire and catheter based techniques have been described including subintimal recanalization and retrograde techniques. In addition, advances in endovascular technology have led to the development of a series of new devices aimed specifically at facilitating the crossing of long segment SFA occlusions or establishing re-entry of the true lumen. Here we present an overview of the minimally invasive techniques used to recanalize CTOs of the SFA and the latest specialized devices available for both recanalization and re-entry, as well as a summary of the literature supporting their application.

Original languageEnglish (US)
Pages (from-to)487-494
Number of pages8
JournalJournal of Cardiovascular Surgery
Volume53
Issue number4
StatePublished - Aug 2012

Keywords

  • Coronary occlusion
  • Femoral artery
  • Surgical procedures, minimally invasive

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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