Fig. 5
From: Targeted tibio-peroneal re-entry during subintimal revascularization using the Outback® catheter
a and b: initial runoff prior to revascularization of the tibio-peroneal trunc and the posterior tibial artery; c: retrograde approach after puncture of the distal posterior tibial artery with failed spontaneous and balloon-assisted re-entry; d and e: positioning of the Outback® catheter from antegrade and placement of the angioplasty balloon from retrograde at the level of the tibio-peroneal trunc; hereafter, direct puncture of the balloon and feeding of the 0.014″ CTO wire into the bursted balloon; then retraction of the balloon and continuous feeding of the wire; f: balloon angioplasty of the tibio-peroneal trunc and the proximal posterior tibial artery after successful re-entry; g and h: final result after successful revascularization