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Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report

BACKGROUND: Recanalization of graft limb occlusion can prove challenging and the use of the GoBack crossing and reentry device may be a suitable option, especially when there is no other way to restore flow with an usual endovascular approach. The GoBack catheter is a novel device designed to enhanc...

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Autores principales: Azzaretti, Andrea, Trevisan, Daniele, Fachinetti, Camilla, Borghi, Claudia, Vannelli, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263817/
https://www.ncbi.nlm.nih.gov/pubmed/34232413
http://dx.doi.org/10.1186/s42155-021-00244-4
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author Azzaretti, Andrea
Trevisan, Daniele
Fachinetti, Camilla
Borghi, Claudia
Vannelli, Alberto
author_facet Azzaretti, Andrea
Trevisan, Daniele
Fachinetti, Camilla
Borghi, Claudia
Vannelli, Alberto
author_sort Azzaretti, Andrea
collection PubMed
description BACKGROUND: Recanalization of graft limb occlusion can prove challenging and the use of the GoBack crossing and reentry device may be a suitable option, especially when there is no other way to restore flow with an usual endovascular approach. The GoBack catheter is a novel device designed to enhance pushability, and to enable direction-change inside hard plaques and crossing of tough lesions, even when they involve graft fabric. CASE PRESENTATION: It’s reported a case of a 76-year-old male who presented with claudication, previous placement of an aorto-bi iliac graft by open surgery for a ruptured abdominal aneurysm 10 years ago that, over time, developed severe kinking on the left limb and a fabric occlusion on the right limb. After several unsuccessful attempts to cross the occlusion of the right common iliac artery, the GoBack™ was deployed to create a lumen through graft’s folds. After angioplasty and stenting a satisfactory result was achieved, restoring flowCT-scan at 1 month and duplex ultrasound (DUS) at 3 months confirmed the patency of ilio-femoral axis. CONCLUSIONS: The advent of this new CTO crossing device has the potential to facilitate recanalization of some of the most challenging occlusions. Facilitating more consistent distal entry and allowing for a decrease in crossing time. Therefore, the GoBack catheter should be considered as a potential complementary tool to treat vascular occlusions via endovascular approaches, especially when classical endovascular techniques fail.
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spelling pubmed-82638172021-07-20 Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report Azzaretti, Andrea Trevisan, Daniele Fachinetti, Camilla Borghi, Claudia Vannelli, Alberto CVIR Endovasc New Technologies BACKGROUND: Recanalization of graft limb occlusion can prove challenging and the use of the GoBack crossing and reentry device may be a suitable option, especially when there is no other way to restore flow with an usual endovascular approach. The GoBack catheter is a novel device designed to enhance pushability, and to enable direction-change inside hard plaques and crossing of tough lesions, even when they involve graft fabric. CASE PRESENTATION: It’s reported a case of a 76-year-old male who presented with claudication, previous placement of an aorto-bi iliac graft by open surgery for a ruptured abdominal aneurysm 10 years ago that, over time, developed severe kinking on the left limb and a fabric occlusion on the right limb. After several unsuccessful attempts to cross the occlusion of the right common iliac artery, the GoBack™ was deployed to create a lumen through graft’s folds. After angioplasty and stenting a satisfactory result was achieved, restoring flowCT-scan at 1 month and duplex ultrasound (DUS) at 3 months confirmed the patency of ilio-femoral axis. CONCLUSIONS: The advent of this new CTO crossing device has the potential to facilitate recanalization of some of the most challenging occlusions. Facilitating more consistent distal entry and allowing for a decrease in crossing time. Therefore, the GoBack catheter should be considered as a potential complementary tool to treat vascular occlusions via endovascular approaches, especially when classical endovascular techniques fail. Springer International Publishing 2021-07-07 /pmc/articles/PMC8263817/ /pubmed/34232413 http://dx.doi.org/10.1186/s42155-021-00244-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle New Technologies
Azzaretti, Andrea
Trevisan, Daniele
Fachinetti, Camilla
Borghi, Claudia
Vannelli, Alberto
Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
title Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
title_full Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
title_fullStr Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
title_full_unstemmed Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
title_short Trans-prosthetic recanalization of a collapsed iliac limb using the GoBack catheter: a case report
title_sort trans-prosthetic recanalization of a collapsed iliac limb using the goback catheter: a case report
topic New Technologies
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263817/
https://www.ncbi.nlm.nih.gov/pubmed/34232413
http://dx.doi.org/10.1186/s42155-021-00244-4
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