{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T04:55:11Z","timestamp":1761972911915,"version":"build-2065373602"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,3,14]],"date-time":"2013-03-14T00:00:00Z","timestamp":1363219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the efficacy and safety of the Outback device in patients with a chronic total occlusion (CTO) of the superficial femoral artery and evaluate its impact on fluoroscopy and procedural times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>From October 2006 to March 2007, 52 patients affected by TASC II\u2010D superficial femoral artery CTO were treated with subintimal recanalization. Clinical indications for endovascular recanalization were: claudication, tissue loss, and at rest leg pain with critical limb ischemia. In 26 patients the manual reentry technique was used and in 26 the OUTBACK<jats:sup>\u00ae<\/jats:sup>LTD Re\u2010Entry Catheter was used. Total procedure time, fluoroscopy time and precision in targeting the expected reentry site have been compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Technical success was achieved in all cases (100%). In group 2, the planned in\u2010target re\u2010entry was achieved in 11\/26 cases (42.3%). The procedure was performed with a traditional antegrade approach in 23\/26 (88.4%) cases and in three cases (11.6%) a combined antegrade\/retrograde approach was necessary. In group 1, the in\u2010target re\u2010entry was achieved in 26\/26 cases (100%). In group 2, the mean procedural time was 55.4 \u00b1 14.2 min with a mean fluoroscopy time 39.6 \u00b1 13.9 min compared to 36.0 \u00b1 9.4 min and 29.8 \u00b1 8.9 min, respectively, of group 1 (<jats:italic>P<\/jats:italic> &lt; 0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our experience, the use of this device is very useful for the revascularization of chronic femoral occlusions, even calcific, in which an accurate re\u2010entry cannot be achieved with the conventional subintimal technique. In these cases, the Outback device grants high technical success rates and a significant reduction of procedural and fluoroscopy times. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.24742","type":"journal-article","created":{"date-parts":[[2012,11,14]],"date-time":"2012-11-14T16:24:58Z","timestamp":1352910298000},"page":"485-492","source":"Crossref","is-referenced-by-count":35,"title":["Randomized control study of the outback LTD reentry catheter versus manual reentry for the treatment of chronic total occlusions in the superficial femoral artery"],"prefix":"10.1002","volume":"82","author":[{"given":"Roberto","family":"Gandini","sequence":"first","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastiano","family":"Fabiano","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Spano","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tommaso","family":"Volpi","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Morosetti","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Chiaravalloti","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Nano","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Simonetti","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging University Hospital Tor Vergata Molecular Imaging Interventional Radiology and Radiation Therapy Viale Oxford 81 \u2010 00133 Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2003.20"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1583\/09-2784.1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.02.051"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1583\/08-2496.1"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2006.09.024"},{"key":"e_1_2_6_7_1","first-page":"385","article-title":"Subintimal angioplasty in lower limb ischaemia","volume":"46","author":"Bolia A","year":"2005","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02578675"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22130"},{"key":"e_1_2_6_10_1","first-page":"193","article-title":"Remote superficial femoral artery endarterectomy","volume":"49","author":"Derksen WJ","year":"2008","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_2_6_11_1","first-page":"39","article-title":"Complications following peripheral angioplasty","volume":"84","author":"Axisa B","year":"2002","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000096764.74047.21"},{"key":"e_1_2_6_13_1","first-page":"11274","article-title":"Novel intravascular ultrasound\u2010guided method to create transintimal arterial communications: initial experience in peripheral occlusive disease and aortic dissection","author":"Saket RR","year":"2004","journal-title":"J Endovasc Ther"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21503"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2006.06.004"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20051"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1583\/10-3248.1"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1583\/10-3248C.1"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.10.127"},{"journal-title":"Catheter Cardiovasc Interv","article-title":"Subintimal angioplasty with a true reentry device for treatment of chronic total occlusion of the arteries of the lower extremity","author":"Aslam MS","key":"e_1_2_6_20_1"},{"key":"e_1_2_6_21_1","first-page":"392","article-title":"Re\u2010entry devices in the treatment of peripheral chronic occlusions","volume":"38","author":"Smith M","year":"2011","journal-title":"Tex Heart Inst J"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.24742","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.24742","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T20:43:16Z","timestamp":1696538596000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.24742"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,14]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1002\/ccd.24742"],"URL":"https:\/\/doi.org\/10.1002\/ccd.24742","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2013,3,14]]}}}