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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 1/2018

01-01-2018 | Technical Note

Use of a Re-entry Device in Left Subclavian Occlusion: Case Series

Authors: Wiliam Rhodri Thomas, Christopher Chick, Nimit Goyal

Published in: CardioVascular and Interventional Radiology | Issue 1/2018

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Abstract

Purpose

To describe the use of a re-entry catheter in the endovascular treatment of left subclavian stenosis.

Materials and Methods

We present three patients where initial attempts at re-vascularisation using standard techniques were unsuccessful. An OUTBACK catheter was employed to facilitate re-entry in these patients.

Results

True lumen re-entry was achieved in all patients, leading to successful treatment of all stenoses. There was a lack of filling of the left vertebral artery post-angioplasty in one patient; this was not clinically significant.

Conclusion

The case series presented is encouraging for the use of a re-entry catheter in the treatment of subclavian occlusion. In our limited experience this has proved to be a safe technique for use in patients who fail re-vascularisation by standard methods; a larger study is required to confirm this.
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Metadata
Title
Use of a Re-entry Device in Left Subclavian Occlusion: Case Series
Authors
Wiliam Rhodri Thomas
Christopher Chick
Nimit Goyal
Publication date
01-01-2018
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 1/2018
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-017-1788-9

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