Zander Tobias, Rabellino Martin, Baldi Sebastián, Blasco Oscar, Maynar Manuel
Department of Endovascular Therapy, Hospiten Group, Santa Cruz de Tenerife, Spain.
Minim Invasive Ther Allied Technol. 2010 Aug;19(4):231-6. doi: 10.3109/13645701003644137.
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.
膝下血管的血运重建仍然是一项挑战。诸如限流性夹层或穿孔等并发症导致成功率有限。血管重建尝试失败会导致大量患者截肢并增加死亡率。我们报告了在两名外周血管疾病患者中使用一种新型经皮装置（CROSSER导管系统）的情况。在病例1中，糖尿病足患者的胫前动脉通畅得以恢复，病例2中，股浅动脉慢性创伤性闭塞实现了血运重建。在这两个病例中，病变均在短时间内再通，且未出现任何与手术相关的并发症。CROSSER导管系统能够克服技术难题，降低再入装置和逆行远端通路的相关性。它为治疗复杂的膝下病变开辟了新视野。
