Hausegger Klaus A, Georgieva Borjana, Portugaller Horst, Tauss Josef, Stark Gerhard
Department of Radiology, University Hospital Graz, Auenbruggerplatz 9, 8036 Graz, Austria.
Cardiovasc Intervent Radiol. 2004 Jan-Feb;27(1):26-30. doi: 10.1007/s00270-003-0025-x.
To report the initial experience with a new catheter system (The Outback catheter) designed to allow fluoroscopically controlled re-entry of the true arterial lumen after subintimal guidewire passage during recanalization procedures of arterial occlusions.
The catheter was used in 10 patients with intermittent claudication caused by chronic segmental occlusions of the superficial femoral or popliteal arteries. In all patients, conventional guidewire recanalization had failed.
In 8 patients, successful true lumen re-entry was achieved with the Outback catheter. Percutaneous transluminal angioplasty was successfully performed in these patients without complications. Two technical failures occurred in heavily calcified arteries.
The Outback catheter was safe and effective when used in complicated recanalization procedures in the superficial femoral and popliteal artery and the tibial trunk.
报告一种新型导管系统(澳拜客导管)的初步使用经验,该系统旨在使动脉闭塞再通手术中,在导丝穿过内膜下后,通过荧光透视控制重新进入真动脉腔。
该导管应用于10例因股浅动脉或腘动脉慢性节段性闭塞导致间歇性跛行的患者。所有患者常规导丝再通均失败。
8例患者使用澳拜客导管成功实现真腔再入。这些患者成功进行了经皮腔内血管成形术,无并发症发生。在严重钙化的动脉中发生了2次技术失败。
澳拜客导管用于股浅动脉、腘动脉和胫骨干复杂再通手术时安全有效。