Crossing a subclavian artery chronic total occlusion may be challenging. We report the treatment of such an occlusion in a patient with a patent left internal mammary graft to the left anterior descending artery, who presented with progressive angina. Several attempts to cross the occlusion, both antegrade and retrograde, with various guidewires failed. The lesion was successfully crossed antegradely using the Frontrunner catheter and was successfully stented with resolution of the patient's angina.
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We present the case of an 81-year-old female with flush occlusion of the superficial femoral artery (SFA) and percutaneous transluminal angioplasty. Initially, the antegrade approach failed due to flush occlusion without stump. Hard, round surfaced, calcific, and eccentric plaque of the ostium of SFA was also present, which involved distal common femoral artery (CFA).
View Article and Find Full Text PDFSafety and efficacy of the frontrunner XP catheter for recanalization of chronic total occlusion of the femoropopliteal arteries.
J Invasive Cardiol
July 2013
Associate Professor, Department of Cardiology, KMC, Manipal 576104, Karnataka, India.
Objective: The purpose of this study was to examine the safety and efficacy of the Frontrunner XP CTO (chronic total occlusion) catheter (Cordis Corporation) for recanalization of CTO of femoropopliteal arteries.
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Strategies for successful percutaneous revascularization of chronic total occlusion of the femoropopliteal arteries when the antegrade passage of a guide wire fails.
Korean J Radiol
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Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.
Objective: To evaluate the efficacy of various strategies for revascularization of chronic total occlusion of femoropopliteal arteries when the guide wire does not pass in an anterograde direction.
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Use of the frontrunner catheter to cross a chronic total occlusion of the left subclavian artery.
Hellenic J Cardiol
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VA North Texas Healthcare System and University of Texas, Southwestern Medical Center, Dallas, Texas 75216, USA.
Crossing a subclavian artery chronic total occlusion may be challenging. We report the treatment of such an occlusion in a patient with a patent left internal mammary graft to the left anterior descending artery, who presented with progressive angina. Several attempts to cross the occlusion, both antegrade and retrograde, with various guidewires failed.
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