Abstract

Metallic-Tip-Facilitated Recanalization Angioplasty-An Innovative, Easily Applicable, Effective and Safe Therapeutic Option for Balloon-Uncrossable Lesions

Highlights

  • Despite advances in guide wire and catheter technology, the impossibility to insert a balloon for angioplasty after successful wire passage of the lesion is still an unsolved challenge in some percutaneous peripheral interventions

  • The primary study endpoint was the rate of successful passage of the metallic tip support catheter (XableCath, XableCath Inc., Salt Lake City, Utah) and subsequent angioplasty without causing distal embolization as assessed by reduction of TIMI-flow grade.Secondary endpoints were the abscence of major adverse events (MAE) as defined as (1) vessel perforation, (2) dissections, (3) occurrence of a detectable embolism or vessel closure, (4) groin site complica-tions or (5) cardiovascular death during the follow-up period

  • TIMI flow across the lesion increased from 0.7 ± 0.3 to 2.9 ± 0.7 after Xable Cath-modifying angioplasty (p

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Summary

Objectives

The purpose of this study was to investigate the feasibility, safety and efficacy of a metallic tip recanalization catheter in modifying the occluding atheroma to facilitate subsequent balloon placement

Methods
Results
Discussion
Conclusion
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