Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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The $Outback^{(R)}$ $LTD^{TM}$ Catheter: The Novel Re-Entry Technique in Recanalization of Chronic Inflow Occlusion of the Superficial Femoral Arteries in 3 Cases

$Outback^{(R)}$ $LTD^{TM}$ Catheter를 이용한 표재성 대퇴동맥의 만성동맥폐색증의 성공적인 재개통술: 3예 보고

  • Kong, Joon-Hyuk (Department of Thoracic and Cardiovascular Surgery, Kangpuk Samsung Hospital, Sungkyunkwan University College of Medicine) ;
  • Hur, Jin (Department of Thoracic and Cardiovascular Surgery, Andong General Hospital) ;
  • Kim, Duk-Sil (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, College of Medicine, CHA University) ;
  • Kim, Sung-Wan (Department of Thoracic and Cardiovascular Surgery, CHA Gumi Medical Center, College of Medicine, CHA University)
  • 공준혁 (성균관대학교 의과대학 강북삼성병원 흉부외과학교실) ;
  • 허진 (안동병원 흉부외과) ;
  • 김덕실 (차의과대학교 구미차병원 흉부외과학교실) ;
  • 김성완 (차의과대학교 구미차병원 흉부외과학교실)
  • Received : 2010.04.28
  • Accepted : 2010.06.25
  • Published : 2010.12.05
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Abstract

The acute technical failure of endovascular treatment of chronic total occlusions is most often due to the inability to re-enter the true lumen after occlusion is crossed in a subintimal plane. True lumen re-entry catheters are very effective at gaining wire passage back to the true lumen and facilitating successful endovascular treatment of chronic total occlusions that would otherwise require open bypass. These case reports describe our initial experiences with a new catheter system (the $Outback^{(R)}$ $LTD^{TM}$ catheter) that is designed to allow fluoroscopically controlled re-entry of the true arterial lumen after subintimal guidewire passage during recanalization procedures of arterial occlusions.

만성동맥폐색증 환자의 혈관내 시술 시 발생되는 기술적 실패의 가장 많은 이유 중의 하나는 폐색부위를 내막하 진행 후 진강내 재진입의 실패에 기인한다. 진강내 재진입 카테터는 유도철사의 진강내 재진입을 용이하게 하여, 대부분 수술로 전환될 만성폐색질환에서 성공적인 혈관내 시술을 가능하게 한다. 본원에서는 표재성 대퇴동맥의 만성동맥폐색증의 혈관내 시술 시 기존의 장비로 진강내 재진입이 실패한 3예에서 $Outback^{(R)}$ $LTD^{TM}$ catheter를 이용하여 성공적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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