Abstract
Subintimal wire dissection is a well-established method for traversing difficult vascular occlusions. This technique relies on re-entry of the true lumen distal to the occlusion, which may be difficult in diseased vessels with significant calcification. This case report describes a novel “cheese wire” technique to allow stent positioning without the use of proprietary re-entry devices.
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Bolia A, Miles KA, Brennan J (1990) Percutaneous transluminal angioplasty of occlusions of the femoral and popliteal arteries by subintimal dissection. CardioVasc Interv Radiol 13:357–363
Scott EC, Biuckians A, Light RE, Scibelli CD, Milner TP, Meier GH 3rd, Panneton JM (2007) Subintimal angioplasty for the treatment of claudication and critical limb ischemia: 3-year results. J Vasc Surg 6(5):959–964
Leville V, Kashyap D, Clair J, Bena S, Lyden R, Greenberg P, O’Hara T, Sarac K, Ouriel C (2006) Endovascular management of iliac artery occlusions: extending treatment to transatlantic inter-society consensus class C and D patients. J Vasc Surg 43(1):32–39
Jacobs D, Motaganahalli R, Cox D, Wittgen C, Peterson G (2006) True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: initial report. J Vasc Surg 43(6):1291–1296
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Watkinson, A.F. A Novel “Cheese Wire” Technique for Stent Positioning Following Difficult Iliac Artery Subintimal Dissection and Aortic Re-Entry. Cardiovasc Intervent Radiol 32, 781–784 (2009). https://doi.org/10.1007/s00270-009-9566-y
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DOI: https://doi.org/10.1007/s00270-009-9566-y