Case report<br>Successful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter

Radosław Szymański; Szymon Wiernek; Barbara Wiernek; Magda Konkolewska; Paweł E. Buszman; Radosław S. Kiesz

doi:10.5114/pwki.2011.21196

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Case report
Successful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter

Radosław Szymański

,

Szymon Wiernek

,

Barbara Wiernek

,

Magda Konkolewska

,

Paweł E. Buszman

,

Radosław S. Kiesz

Post Kardiol Interw 2011; 7, 1 (23): 91-94

DOI: https://doi.org/10.5114/pwki.2011.21196

Online publish date: 2011/04/08

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AMA

Szymański R, Wiernek S, Wiernek B, Konkolewska M, Buszman P, Kiesz R. Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2011;7(1):91-94. doi:10.5114/pwki.2011.21196.

APA

Szymański, R., Wiernek, S., Wiernek, B., Konkolewska, M., Buszman, P.,  & Kiesz, R. (2011). Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 7(1), 91-94. https://doi.org/10.5114/pwki.2011.21196

Chicago

Szymański, Radosław, Szymon Wiernek, Barbara Wiernek, Magda Konkolewska, Paweł E. Buszman,  and Radosław S. Kiesz. 2011. "Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 7 (1): 91-94. doi:10.5114/pwki.2011.21196.

Harvard

Szymański, R., Wiernek, S., Wiernek, B., Konkolewska, M., Buszman, P.,  and Kiesz, R. (2011). Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 7(1), pp.91-94. https://doi.org/10.5114/pwki.2011.21196

MLA

Szymański, Radosław et al. "Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 7, no. 1, 2011, pp. 91-94. doi:10.5114/pwki.2011.21196.

Vancouver

Szymański R, Wiernek S, Wiernek B, Konkolewska M, Buszman P, Kiesz R. Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2011;7(1):91-94. doi:10.5114/pwki.2011.21196.

The subintimal angioplasty is one of the most frequent techniques used for total chronic occlusion (CTO) treatment. Nevertheless, this approach is limited by the lack of controlled re-entry into the true lumen of the target vessel. We present a case of a 85-year-old man with symptomatic CTO of the left superficial femoral artery (SFA). After initially unsuccessful subintimal recanalization with Confianza wire, Pioneer Plus Catheter with Intravascular Ultrasound Volcano system guidance were used for a true lumen re-entry. Finally lesion was treated with angioplasty and stents. Procedure was successful without complications, no residual stenosis was noted. The patient was discharged home four hours after procedure. The one day and three weeks follow up showed no vascular complications and the patient had no residual symptoms. The ankle-brachial index of the left extremity has improved from baseline 0.22 to 0.98.

keywords:

Case reportSuccessful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter

Radosław Szymański , Szymon Wiernek , Barbara Wiernek , Magda Konkolewska , Paweł E. Buszman , Radosław S. Kiesz

re-entry catheter, subintimal angioplasty, total chronic occlusion (CTO), superficial femoral artery (SFA)

Case report
Successful recanalization of total chronic occlusion of the superficial femoral artery by antegrade subintimal angioplasty with stenting using the Pioneer Plus Re-Entry Catheter

Radosław Szymański

,

Szymon Wiernek

,

Barbara Wiernek

,

Magda Konkolewska

,

Paweł E. Buszman

,

Radosław S. Kiesz