{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T22:47:08Z","timestamp":1777848428772,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"BD Bard, Bentley Medical, Bayer Medical, Terumo Aortic"},{"DOI":"10.13039\/100001484","name":"c. r. bard foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001484","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the use of the GoBack-catheter (Upstream Peripheral Technologies) in complex revascularizations in lower limb arteries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>In this retrospective single-center study, the results of the first 100 consecutive patients including 101 limb-revascularizations, performed between May 2018 and July 2020 with the study device, were analyzed. In all cases, guidewire-crossing failed, and all lesions were chronic total occlusions (CTO), either de novo, reocclusions, or in-stent reocclusions. Successful crossing was defined as passing the CTO using the study device. Patency at discharge and after 30 days was defined as less than 50% restenosis on duplex sonography, without target lesion revascularization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Median lesion length was 24 cm and 38 patients (37.6%) had a calcium grading according to the peripheral arterial calcium scoring system (PACSS) of 4 or 5. In 20.8% of patients, an occluded stent was treated. CTOs involved the femoropopliteal segment in 91.1%, iliac arteries in 5.9%, and tibial arteries in 7.9%. The GoBack-catheter was employed for entering into or crossing through parts or the full length of a CTO or an occluded stent as well as for re-entering into the true lumen after subintimal crossing. The device was used via contralateral and ipsilateral antegrade as well as retrograde access with an overall technical success rate of 92.1%. In 3 patients minor bleeding occurred at the crossing or re-entry site, which were managed conservatively. Thirty-day adverse limb events comprised minor amputations in 4 patients (4.0%), 1 major amputation (1.0%), and reocclusions in 7 limbs (6.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The new GoBack-catheter offers versatile endovascular applicability for complex CTO recanalization in a broad range of peripheral vascular interventions with a high technical success and low complication rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028211065962","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T05:22:47Z","timestamp":1640755367000},"page":"798-807","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["First Experience With The GoBack-Catheter For Successful Crossing of Complex Chronic Total Occlusions in Lower Limb Arteries"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6666-7631","authenticated-orcid":false,"given":"Olaf","family":"Bakker","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Leipzig, Leipzig, Germany"},{"name":"Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Bausback","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Wittig","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6121-7762","authenticated-orcid":false,"given":"Daniela","family":"Branzan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Steiner","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Fischer","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Konert","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"D\u00fcsing","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ursula","family":"Banning-Eichenseer","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dierk","family":"Scheinert","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrej","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Clinic of Angiology, University Hospital Leipzig, Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30255-4."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx095."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815587707."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1583\/13-4380MR.1."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815594249."},{"issue":"1","key":"e_1_3_2_7_2","first-page":"115","article-title":"Initial clinical experience with an IVUS-guided transmembrane puncture device to facilitate recanalization of total femoral artery occlusions","volume":"1","author":"Scheinert D","year":"2005","unstructured":"Scheinert D, Br\u00e4unlich S, Scheinert S, et al. Initial clinical experience with an IVUS-guided transmembrane puncture device to facilitate recanalization of total femoral artery occlusions. Eurointervention. 2005;1(1):115\u2013119.","journal-title":"Eurointervention"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.06.048"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25387."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.06.017."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.02.016."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0021-9509.17.09905-0"},{"issue":"4","key":"e_1_3_2_13_2","first-page":"111","article-title":"A percutaneous crossing algorithm for femoropopliteal and tibial artery chronic total occlusions (PCTO Algorithm)","volume":"31","author":"Banerjee S","year":"2018","unstructured":"Banerjee S, Shishehbor MH, Ansari M, et al. A percutaneous crossing algorithm for femoropopliteal and tibial artery chronic total occlusions (PCTO Algorithm). 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