The Slipstream and Tip-Detection Technique: A Simplified AnteOwl-IVUS-Guided Re-Entry Strategy for Complex

Masataka Yoshinaga1, Akane Miyazaki1, Takashi Muramatsu2

  • 1Department of Cardiology, Fujita Health University Bantane Hospital, Aichi, Japan.

Insights

This study presents a novel technique using intravascular ultrasound (IVUS) for complex chronic total occlusions (CTOs) in leg arteries. The AnteOwl WR IVUS-guided slipstream and tip-detection method offers a bailout strategy for challenging cases.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Long lower-extremity chronic total occlusions (CTOs) pose significant challenges for endovascular intervention.
  • Controlled true-lumen crossing is often difficult, especially when subintimal pathways are encountered or initial guidewire access fails.

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