{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:48:35Z","timestamp":1761562115008},"reference-count":12,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T00:00:00Z","timestamp":1464912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>To evaluate endovascular retrograde recanalization of critical limb ischaemia (<jats:styled-content style=\"fixed-case\">CLI<\/jats:styled-content>) patients with chronic total occlusions (<jats:styled-content style=\"fixed-case\">CTOs<\/jats:styled-content>) in an Asian population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a single centre\u2010based retrospective review of <jats:styled-content style=\"fixed-case\">CLI<\/jats:styled-content> patients with <jats:styled-content style=\"fixed-case\">CTOs<\/jats:styled-content> who had undergone endovascular retrograde recanalization using the subintimal arterial flossing with antegrade\u2013retrograde intervention technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 40 <jats:styled-content style=\"fixed-case\">CLI<\/jats:styled-content> patients with <jats:styled-content style=\"fixed-case\">CTOs<\/jats:styled-content> underwent endovascular intervention. The median age was 71 years; 67.5% were males and Chinese accounted for 65% of the patients, of which 55% were in Rutherford category 6, 37.5% in category 5 and 7.5% in category 4. Antegrade\u2013retrograde access was performed via the femoral artery in 39 cases and the brachial artery in one case for the proximal puncture, and the following arteries for the distal puncture: superficial femoral, <jats:italic>n<\/jats:italic> = 4 (10%); popliteal, <jats:italic>n<\/jats:italic> = 4 (10%); anterior tibial, <jats:italic>n<\/jats:italic> = 12 (30%); dorsalis pedis, <jats:italic>n<\/jats:italic> = 9 (22.5%); peroneal, <jats:italic>n<\/jats:italic> = 4 (10%) and posterior tibial, <jats:italic>n<\/jats:italic> = 7 (17.5%). Technical success was high at 92.5% (<jats:italic>n<\/jats:italic> = 37). After intervention, 25% (<jats:italic>n<\/jats:italic> = 10) had below\u2010knee triple vessel runoff, 52.5% (<jats:italic>n<\/jats:italic> = 21) had double vessel runoff and 15.0% (<jats:italic>n<\/jats:italic> = 6) had single vessel runoff. Stenting for target vessel dissections was required in 12 patients. There were two cases of significant bleeding; one common femoral artery pseudoaneurysm was treated with ultrasound\u2010guided thrombin injection and another case of distal puncture site bleeding only required compression. Limb salvage at 1 year was 92.5% (<jats:italic>n<\/jats:italic> = 37).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The subintimal arterial flossing with antegrade\u2013retrograde intervention technique is safe with high technical success rates and acceptable outcomes in Asian <jats:styled-content style=\"fixed-case\">CLI<\/jats:styled-content> patients with <jats:styled-content style=\"fixed-case\">CTOs<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13649","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T09:49:35Z","timestamp":1464947375000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Endovascular retrograde recanalization in Asian critical limb ischaemia patients"],"prefix":"10.1111","volume":"87","author":[{"given":"Jia Sheng","family":"Tay","sequence":"first","affiliation":[{"name":"Department of General Surgery Changi General Hospital  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siok Siong","family":"Ching","sequence":"additional","affiliation":[{"name":"Department of General Surgery Changi General Hospital  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yih Kai","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of General Surgery Changi General Hospital  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven Wei Cheong","family":"Kum","sequence":"additional","affiliation":[{"name":"Department of General Surgery Changi General Hospital  Singapore Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199202063260605"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.12.037"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67704-5"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000141336.53745.4A"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2174\/1568006043335989"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02578675"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-006-0099-3"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.10.127"},{"key":"e_1_2_6_10_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. 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