{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T06:39:12Z","timestamp":1792391952165,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Failure of true\u2010lumen re\u2010entry after subintimal wire passage is a well\u2010recognized limitation of endovascular treatment for external iliac artery (EIA) chronic total occlusions (CTO). We report a 73\u2010year\u2010old woman with severe limb ischemia and a prior failed endovascular attempt who underwent hybrid left common femoral artery (CFA) endarterectomy with patch angioplasty, followed by trans\u2010patch retrograde access and dedicated device\u2010assisted re\u2010entry (Outback Elite) after antegrade and retrograde wires repeatedly tracked subintimally without reaching the true lumen. Controlled re\u2010entry preserved hypogastric artery flow and allowed drug\u2010eluting stent reconstruction of the EIA. At 12\u2010month follow\u2010up, ABI improved from 0.36 to 0.50, and TBI improved to 0.37. Duplex ultrasound at 6\u2010month follow\u2010up confirmed patency of the reconstructed segment without evidence of hemodynamically significant restenosis. This technical report illustrates the use of an endarterectomized CFA as a retrograde re\u2010entry platform and reviews contemporary strategies for managing subintimal crossing failure in iliac CTOs.<\/jats:p>","DOI":"10.1002\/ccd.70937","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T05:39:24Z","timestamp":1792388364000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trans\u2010Patch Retrograde Re\u2010Entry During Hybrid Revascularization of an External Iliac Artery Chronic Total Occlusion: A Technical Note and Review of Re\u2010Entry Strategies"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7095-0376","authenticated-orcid":false,"given":"Bibhas","family":"Amatya","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5280-6303","authenticated-orcid":false,"given":"Dipankar","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Inova Fairfax Hospital Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.6515\/ACS.201807_34(4).20180301A"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0741\u20105214(97)70053\u20103"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.02.026"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1586\/14779072.2015.1036741"},{"issue":"4","key":"e_1_2_11_6_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":"Texas Heart Institute Journal"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.03.042"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.01.040"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.03.468"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.07.130"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.01.092"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010020\u201001715\u20107"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.5551\/jat.40048"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.02.051"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22403"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816630533"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1708538115589049"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2019.12.006"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd10020053"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70937","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70937","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70937","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T05:39:25Z","timestamp":1792388365000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70937"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,18]]},"references-count":18,"alternative-id":["10.1002\/ccd.70937"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70937","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,18]]},"assertion":[{"value":"2026-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ccd.70937"}}