Abstract

Outback LTD re-entry device (LuMend, Redwood City, Calif; acquired by Cordis Corp, Miami Lakes, Fla)1 is a lumen catheter designed to facilitate placement and positioning of guidewires and catheters during peripheral vascular intervention.2,3 The primary difficulty in the treatment of chronic occlusions of peripheral arterial disease is the inability to re-enter the true lumen after subintimal crossing of the occlusion.4-6 Thus Outback LTD re-entry device plays an important role in treating difficult lesions by re-directing wire from subintimal space to true lumen of distal vessel. Here we report a case with critical right superficial femoral artery stenosis in which an acute angle of the artery makes successful wiring difficult. We use Outback LTD re-entry device to assist with successful wiring to the critical stenotic lesion directly via true lumen to true lumen.

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