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Stent crush: A novel endovascular approach for treatment of complex in‐stent femoropopliteal chronic total occlusion
Author(s) -
Tabaza Luai,
Janzer Sean,
George Jon C.
Publication year - 2020
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.28401
Subject(s) - medicine , stent , percutaneous , radiology , lumen (anatomy) , angioplasty , surgery , occlusion , balloon
Abstract Femoropopliteal in‐stent chronic total occlusions (CTOs) remain one of the most challenging subsets of peripheral arterial disease to treat percutaneously. Advances in available CTO crossing technology and operator experience have increased percutaneous intervention success rates. We report a case of critical limb ischemia in a patient with chronically occluded femoropopliteal nonoverlapping stents treated with a novel percutaneous approach of subintimal retrograde angioplasty using high compression resistant nitinol stents to crush the occluded previous stents to create a neo‐lumen.