Infrainguinal revascularization using the Crosser vibrational system
Tobias Zander1, Martin Rabellino, Sebastián Baldi
1Department of Endovascular Therapy, Hospiten Group, Santa Cruz de Tenerife, Spain. tobiaszander@gmx.de
Insights
Revascularization of challenging infrainguinal vessels is improved with the novel CROSSER catheter system. This device successfully treated complex arterial occlusions, reducing complications and offering new treatment options for peripheral vascular disease.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Therapy
Background:
- Infrainguinal revascularization presents significant challenges due to complications like dissections and perforations.
- Failed revascularization attempts correlate with increased amputation rates and mortality in patients with peripheral vascular disease.
Observation:
- A novel percutaneous device, the CROSSER catheter system, was utilized in two patients with peripheral vascular disease.
- Case 1 involved restoring anterior tibial artery patency in a diabetic foot.
- Case 2 focused on revascularizing a chronic traumatic occlusion of the superficial femoral artery.
Findings:
- The CROSSER catheter system successfully recanalized complex lesions in both patients.
- Procedures were completed in a short time with no procedure-related complications.
- The device demonstrated the ability to overcome technical difficulties in infrainguinal revascularization.
Implications:
- The CROSSER catheter system may reduce the need for reentry devices and retrograde distal accesses.
- This technology offers promising new therapeutic possibilities for complex below-the-knee arterial lesions.
- Improved outcomes in infrainguinal revascularization can potentially decrease amputation rates and associated mortality.
Abstract:
Revascularization of infrainguinal vessels is still a challenge. Complications such as flow-limiting dissections or perforation are responsible for a limited success rate. Failed revascularization attempt leads to amputation in a significant number of patients and increases mortality. We report the use of a novel percutaneous device using the CROSSER catheter system in two patients with peripheral vascular disease. In case # 1 anterior tibial artery patency was restored in a diabetic foot and in case # 2 a chronic traumatic occlusion of the superficial femoral artery was revascularized. In both cases the lesion was recanalized in a short time without any procedure-related complications. The CROSSER catheter system can overcome technical problems and make reentry devices and retrograde distal accesses less relevant. It opens new horizons for the treatment of complex below-the-knee lesions.
