Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions
A new reentry device (Outback Elite) system has been available in Japan since June 2016. This new device enables easier treatment of chronic total occlusion (CTO) in the lower extremities. We report a case of a woman in her 70s who underwent revascularization using this new device twice to treat bot...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/8632747 |
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| author | Yuhei Nojima Shinsuke Nanto Hidenori Adachi Madoka Ihara Tetsuya Kurimoto |
| author_facet | Yuhei Nojima Shinsuke Nanto Hidenori Adachi Madoka Ihara Tetsuya Kurimoto |
| author_sort | Yuhei Nojima |
| collection | DOAJ |
| description | A new reentry device (Outback Elite) system has been available in Japan since June 2016. This new device enables easier treatment of chronic total occlusion (CTO) in the lower extremities. We report a case of a woman in her 70s who underwent revascularization using this new device twice to treat both of her femoropopliteal CTO lesions. She was referred to our hospital complaining of intermittent claudication in both legs. She had a long history of diabetes mellitus complicated with severe chronic kidney disease. Her estimated glomerular filtration rate was <20. She refused surgical revascularization; therefore, we performed our treatment without iodine contrast medium. First, magnetic resonance imaging was performed to confirm that the CTO lesions had caused severe claudication before intervention. Subsequently, the Outback Elite device and carbon dioxide (CO2) angiography made it possible to revascularize both of her legs without iodine contrast medium. At 6 months after the procedures, we did not observe exacerbation of claudication in her legs. |
| format | Article |
| id | doaj-art-64a0ea64a3464053a74af13b4e231661 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-64a0ea64a3464053a74af13b4e2316612025-02-03T01:21:07ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/86327478632747Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total OcclusionsYuhei Nojima0Shinsuke Nanto1Hidenori Adachi2Madoka Ihara3Tetsuya Kurimoto4Department of Cardiology, Nishinomiya Municipal Central Hospital, Nishinomiya, JapanDepartment of Cardiology, Nishinomiya Municipal Central Hospital, Nishinomiya, JapanDepartment of Cardiology, Nishinomiya Municipal Central Hospital, Nishinomiya, JapanDepartment of Cardiology, Nishinomiya Municipal Central Hospital, Nishinomiya, JapanDepartment of Cardiology, Nishinomiya Municipal Central Hospital, Nishinomiya, JapanA new reentry device (Outback Elite) system has been available in Japan since June 2016. This new device enables easier treatment of chronic total occlusion (CTO) in the lower extremities. We report a case of a woman in her 70s who underwent revascularization using this new device twice to treat both of her femoropopliteal CTO lesions. She was referred to our hospital complaining of intermittent claudication in both legs. She had a long history of diabetes mellitus complicated with severe chronic kidney disease. Her estimated glomerular filtration rate was <20. She refused surgical revascularization; therefore, we performed our treatment without iodine contrast medium. First, magnetic resonance imaging was performed to confirm that the CTO lesions had caused severe claudication before intervention. Subsequently, the Outback Elite device and carbon dioxide (CO2) angiography made it possible to revascularize both of her legs without iodine contrast medium. At 6 months after the procedures, we did not observe exacerbation of claudication in her legs.http://dx.doi.org/10.1155/2017/8632747 |
| spellingShingle | Yuhei Nojima Shinsuke Nanto Hidenori Adachi Madoka Ihara Tetsuya Kurimoto Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions Case Reports in Cardiology |
| title | Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions |
| title_full | Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions |
| title_fullStr | Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions |
| title_full_unstemmed | Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions |
| title_short | Combination of Carbon Dioxide Angiography and Outback® Elite for Revascularization of a Patient with Renal Insufficiency with Bilateral Femoropopliteal Chronic Total Occlusions |
| title_sort | combination of carbon dioxide angiography and outback r elite for revascularization of a patient with renal insufficiency with bilateral femoropopliteal chronic total occlusions |
| url | http://dx.doi.org/10.1155/2017/8632747 |
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