Treating Peripheral Chronic Total Occlusions: Putting a New Device in Perspective

A new reentry device (Outback Elite) system has been available in Japan since June 2016. This new device enables easier treatment of chronic total occlusion (CTO) in the lower extremities. We report a case of a woman in her 70s who underwent revascularization using this new device twice to treat both of her femoropopliteal CTO lesions. She was referred to our hospital complaining of intermittent claudication in both legs. She had a long history of diabetes mellitus complicated with severe chronic kidney disease. Her estimated glomerular filtration rate was <20. She refused surgical revascularization; therefore, we performed our treatment without iodine contrast medium. First, magnetic resonance imaging was performed to confirm that the CTO lesions had caused severe claudication before intervention. Subsequently, the Outback Elite device and carbon dioxide (CO2) angiography made it possible to revascularize both of her legs without iodine contrast medium. At 6 months after the procedures, we did not observe exacerbation of claudication in her legs.

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Influence of nocturnal bruxism on the stomatognathic system. Part I: a new device for measuring mandibular movements during sleep

Journal of Oral Rehabilitation ◽

10.1046/j.1365-2842.2001.00757.x ◽

2001 ◽

Vol 28 (10) ◽

pp. 943-949 ◽

Cited By ~ 20

Author(s):

Y. Amemori ◽

S. Yamashita ◽

M. Ai ◽

H. Shinoda ◽

M. Sato ◽

...

Keyword(s):

New Device ◽

Stomatognathic System ◽

System Part ◽

Mandibular Movements

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Histological verification of non-specific aorta-arteritis (Takayasu's arteritis) using percutaneous transluminal atherectomy

VASA ◽

10.1024/0301-1526.33.4.247 ◽

2004 ◽

Vol 33 (4) ◽

pp. 247-251 ◽

Cited By ~ 6

Author(s):

Zeller ◽

Koch ◽

Frank ◽

Bürgelin ◽

Schwarzwälder ◽

...

Keyword(s):

Clinical Diagnosis ◽

Axillary Artery ◽

Takayasu’S Arteritis ◽

Giant Cells ◽

Interventional Therapy ◽

Takayasu's Arteritis ◽

New Device ◽

First Case ◽

Anti Inflammatory ◽

Percutaneous Transluminal

Diagnosis of non-specific aorto-arteritis (NSAA, Takaysu's arteritis) is typically based on clinical and investigational parameters. We report here about two patients with clinically suspected diagnosis of a Takayasu's arteritis already under anti-inflammatory therapy in whom percutaneous transluminal atherectomy of subclavian and axillary artery stenoses was performed to relief the patients from symptoms – intermittent dyspraxia of the arms – and to verify the clinical diagnosis by histology. In the first case aorto-arteritis could be histologically confirmed through the analysis of plaque material including media structures excised from the subclavian and axillary arteries using a new device for atherectomy. The biopsy showed diffuse inflammation and granulomatous lesions with giant cells typically for Takayasu's disease. In the second patient, biopsy showed no acute or chronic inflammatory signs but only atherosclerotic lesions. Percutaneous transluminal atherectomy is therefore not only an interventional but also a diagnostic tool and should be used in every case of interventional therapy of suspected aorto-arteritis to make the clinical diagnosis and as a major consequence the initiation of an aggressive anti-inflammatory medical therapy more reliable.

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