{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:17:01Z","timestamp":1777943821658,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:00:00Z","timestamp":1648080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The complexity of the peripheral recanalization comes from the difficulty to cross the lesion or get into the subintimal space and its re-entry afterward, with a high risk of complications like artery dissection and\/or rupture, which are life-threatening complications. To our knowledge, we report the first case of the use of a homemade steerable sheath for the successful revascularization of a heavy chronic total occlusion in a patient with unsuitable upper vascular access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique<\/jats:title>\n                    <jats:p>By contralateral vascular access and the use of a 6Fr 55-cm Cook Flexor sheath and a pre-looped 0.014\u201d choice guidewire, a steerable homemade sheath was used to achieve the support, pushability, and steer needed to access the subintimal space at the origin of a heavy occluded common iliac artery, thus giving us the ability to cross the lesion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The homemade steerable sheath is feasible, quick, cheap, and easy to use, sparing the use of re-entry systems and catheters for the attempts of subintimal navigation. In addition, this technique gives the advantage to steer the catheters and wires as needed, avoiding non-desired re-entry points with secondary collaterals lumen compromise or extensive dissections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381221079998","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T20:30:16Z","timestamp":1648153816000},"page":"664-667","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Technical note: An alternative use of a steerable homemade for the treatment of chronic total occlusion of an iliac artery"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2399-8646","authenticated-orcid":false,"given":"Bernardo","family":"Orellana D\u00e1vila","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Fondazione PTV Policlinico Tor Vergata, Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Danese","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery Unit, San Giovanni - Addolorata Hospital, Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Spataro","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery Unit, San Giovanni - Addolorata Hospital, Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Coscarella","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery Unit, San Giovanni - Addolorata Hospital, Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rocco","family":"Giudice","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery Unit, San Giovanni - Addolorata Hospital, Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciro","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery Unit, San Giovanni - Addolorata Hospital, Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,24]]},"reference":[{"key":"bibr1-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.03.271"},{"key":"bibr2-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/s0741-5214(97)70053-3"},{"key":"bibr3-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/s1078-5884(97)80061-5"},{"key":"bibr4-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx095"},{"key":"bibr5-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1007\/BF02578675"},{"key":"bibr6-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.12.002"},{"key":"bibr7-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819845679"},{"key":"bibr8-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-008-9331-7"},{"key":"bibr9-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.08.073"},{"key":"bibr10-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.05.011"},{"key":"bibr11-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.09.017"},{"key":"bibr12-17085381221079998","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2017.03.200"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381221079998","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381221079998","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381221079998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:36:37Z","timestamp":1777707397000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381221079998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,24]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1177\/17085381221079998"],"URL":"https:\/\/doi.org\/10.1177\/17085381221079998","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,24]]}}}