Stent crush: A novel endovascular approach for treatment of complex in-stent femoropopliteal chronic total occlusion

Catheter Cardiovasc Interv. 2020 Feb;95(2):E66-E70. doi: 10.1002/ccd.28401. Epub 2019 Jul 16.

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.

Keywords: critical limb ischemia, endovascular intervention; interventional devices/innovation; peripheral arterial disease; stenting technique.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Constriction, Pathologic
  • Critical Illness
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation*
  • Femoral Artery* / diagnostic imaging
  • Femoral Artery* / physiopathology
  • Humans
  • Intermittent Claudication / diagnostic imaging
  • Intermittent Claudication / physiopathology
  • Intermittent Claudication / therapy*
  • Ischemia / diagnostic imaging
  • Ischemia / physiopathology
  • Ischemia / therapy*
  • Male
  • Middle Aged
  • Peripheral Arterial Disease / diagnostic imaging
  • Peripheral Arterial Disease / physiopathology
  • Peripheral Arterial Disease / therapy*
  • Popliteal Artery* / diagnostic imaging
  • Popliteal Artery* / physiopathology
  • Prosthesis Design
  • Retreatment
  • Stents*
  • Treatment Outcome
  • Vascular Patency