scholarly journals Fate of Coronary Chronic Total Occlusion Recanalization via Subintimal Tracking With Bioresorbable Vascular Scaffolds: A Temporary Cage for a Permanent New Lumen?

2015 ◽  
Vol 8 (9) ◽  
pp. 1114-1115
Author(s):  
Alessio La Manna ◽  
Yohei Ohno ◽  
Guilherme F. Attizzani ◽  
Alberto Chisari ◽  
Giuseppe Giacchi ◽  
...  
Keyword(s):  
Chronic Total Occlusion ◽  
Total Occlusion ◽  
Vascular Scaffolds ◽  
Bioresorbable Vascular Scaffolds

Feasibility of everolimus-eluting bioresorbable vascular scaffolds in patients with chronic total occlusion

2015 ◽  
Vol 179 ◽  
pp. 90-94 ◽  
Author(s):  
Jens Wiebe ◽  
Christoph Liebetrau ◽  
Oliver Dörr ◽  
Astrid Most ◽  
Kay Weipert ◽  
...  
Keyword(s):  
Chronic Total Occlusion ◽  
Total Occlusion ◽  
Vascular Scaffolds ◽  
Bioresorbable Vascular Scaffolds

scholarly journals The Role of Bioresorbable Scaffolds in Meeting the Challenges of Bifurcations

2013 ◽  
Vol 8 (2) ◽  
pp. 87
Author(s):  
Axel Schmermund ◽  
Holger Eggebrecht ◽  
◽  
Keyword(s):  
Balloon Dilatation ◽  
Side Branch ◽  
Coronary Anatomy ◽  
Total Occlusion ◽  
Modern Drug ◽  
Vascular Scaffolds ◽  
Drug Eluting ◽  
Bioresorbable Vascular Scaffolds ◽  
Restitutio Ad Integrum

Side branches are frequently related to periprocedural complications. Considering any side branches >1 millimetres (mm), side branch occlusion or reduced flow may occur in approximately 10 % of interventional procedures. First data indicate that bioresorbable vascular scaffolds (BVS) behave similar compared with modern drug-eluting stents (DES) with regard to compromising or occluding sizeable side branches. Although technically more demanding compared with modern DES, it appears to be feasible to dilate side branches after crossing BVS cells. Preliminary data suggest at least balloon diameters up to 2.5 mm can be used, but safety remains unclear. Instead of kissing balloon dilatation, rather sequential balloon dilatation should be employed. Anecdotic evidence suggests BVS can be used even in relatively complex coronary anatomy, e.g. bifurcations distal to chronic total occlusion. Certainly more data are needed. As of today, BVS offer promise not only for the treatment of simple coronary lesions but also bifurcations. Given successful side branch protection, they might allow for restoring the native coronary anatomy in the sense ofrestitutio ad integrum.

scholarly journals One-Year Follow-Up Optical Coherence Tomography After Implantation of Bioresorbable Vascular Scaffolds for a Chronic Coronary Total Occlusion

2014 ◽  
Vol 7 (10) ◽  
pp. e157-e159 ◽  
Author(s):  
Toru Naganuma ◽  
Azeem Latib ◽  
Vasileios F. Panoulas ◽  
Katsumasa Sato ◽  
Tadashi Miyazaki ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Total Occlusion ◽  
Vascular Scaffolds ◽  
Bioresorbable Vascular Scaffolds ◽  
One Year

Primary Stenting for Chronic Total Occlusion of the Infrarenal Aorta

2000 ◽  
Vol 7 (4) ◽  
pp. 340-344 ◽  
Author(s):  
Christos D. Karkos ◽  
Stephen P. D'Souza ◽  
Robert Hughes
Keyword(s):  
Chronic Total Occlusion ◽  
Infrarenal Aorta ◽  
Total Occlusion ◽  
Primary Stenting

scholarly journals Successful case of direct puncture of a prosthetic bypass graft in endovascular treatment for long superficial artery chronic total occlusion: a case report

2020 ◽  
Author(s):  
Makoto Sugihara ◽  
Yoko Ueda ◽  
Yuiko Yano ◽  
Shin-Ichiro Miura
Keyword(s):  
Femoral Artery ◽  
Chronic Total Occlusion ◽  
Bypass Graft ◽  
Common Femoral Artery ◽  
Critical Limb Ischaemia ◽  
Complete Revascularization ◽  
Anastomotic Site ◽  
Graft Occlusion ◽  
Total Occlusion ◽  
Direct Puncture

Abstract Background The access site for endovascular therapy (EVT) is often limited because of multi-vascular diseases. Prior lower limb bypass can potentially limit the availability of common femoral artery access when EVT is required. Case summary An 88-year-old woman who presented with non-healing ulceration in the dorsalis pedis of the left foot despite treatment for several months was admitted to our hospital. She had undergone axillo-bilateral femoral bypass surgery for right critical limb ischaemia 3 years previously. Ultrasound and contrast computed tomography demonstrated bypass graft occlusion, left superficial femoral artery (SFA)-popliteal artery long chronic total occlusion from the origin with severe calcification and severe stenosis in the bilateral common femoral artery close to the anastomotic site. EVT for the left SFA occlusion was necessary to save the left foot, but access sites for EVT were limited. We decided to puncture an occluded axillo-femoral prosthetic bypass graft. It is difficult to cross the wire with only an antegrade approach. Therefore, it was necessary to use a bi-directional approach with dorsalis pedis artery puncture and the Rendez-vous technique. Finally, angiogram demonstrated improved blood flow to the wound site, and haemostasis at the puncture site could be achieved by manual compression. The ulceration healed within a month. Discussion Direct puncture of a prosthetic bypass graft and additional techniques resulted in complete revascularization. Thus, direct puncture of a bypass graft could be a useful EVT strategy for patients with complex and extremely long chronic total occlusion.

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