A successful retrograde re-entry at aorta using the Outback LTD catheter for a bilateral common iliac artery
Tae-Hoon Kim1, Ji-Hun Ahn, Do-Hoi Kim
1Division of Cardiology, Chungdam Wooridul Hospital, Seoul, South Korea.
Insights
The Outback LTD Re-Entry Catheter successfully treated aortic chronic total occlusion (CTO) in a patient with bilateral iliac artery occlusion. This demonstrates a potential new application for the device, expanding its use beyond peripheral interventions.
Area of Science:
- Vascular surgery
- Interventional cardiology
- Medical device technology
Background:
- The Outback LTD re-entry catheter system is established for peripheral chronic total occlusion (CTO).
- Its application in aortic CTO was limited due to bleeding risk concerns.
- Bilateral common iliac artery occlusion presents a complex revascularization challenge.
Observation:
- A case report details the use of the Outback LTD Re-Entry Catheter in the aorta.
- The patient presented with bilateral common iliac artery occlusion.
Findings:
- Successful re-entry into the true lumen was achieved using the Outback LTD Re-Entry Catheter in the aorta.
- The procedure addressed the patient's bilateral common iliac artery occlusion.
Implications:
- This case suggests the Outback LTD Re-Entry Catheter may be a viable option for aortic CTO.
- It potentially expands the utility of this device in complex vascular interventions.
- Further investigation into aortic applications and safety is warranted.
Abstract:
The Outback LTD re-entry catheter system has become a valuable tool for peripheral intervention and it has been widely used for variable peripheral chronic total occlusion (CTO). However, its use in the setting of the aorta was restricted because of concerns of bleeding risks resulting from re-entry puncture or ballooning. This report presents a case of successful re-entry using the Outback LTD Re-Entry Catheter (Cordis, Bridgewater, New Jersy) at the aorta in a patient with bilateral common iliac artery occlusion.
