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Use of high‐frequency vibrational energy in the treatment of peripheral chronic total occlusions
Author(s) -
AlAmeri Hazim,
Mayeda Guy S.,
Shavelle David M.
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22163
Subject(s) - medicine , peripheral , percutaneous , lesion , radiology , occlusion , high energy , surgery , engineering physics , engineering
Purpose: Peripheral chronic total occlusions (CTO) are challenging lesions to treat. The CROSSER system (FlowCardia, Sunnyvale, CA) uses high‐frequency low‐amplitude vibrations to break through the cap of the CTO and had been shown to be successful in coronary CTOs. This is a case series demonstrating the use of the CROSSER system with peripheral CTOs. Case Reports: Three patients with peripheral CTO of various lengths, locations, and complexities were treated with the CROSSER system. The device allowed placement of a guidewire across the area of occlusion, thus permitting further percutaneous intervention. The CROSSER system was effective with both ostial and distal lesions, tapered and abrupt lesion morphologies, and was used from both an ipsilateral (antegrade access) and contralateral approach. Conclusion: The CROSSER system is an additional device that may be used to treat peripheral CTOs. © 2009 Wiley‐Liss, Inc.