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CVIR Endovascular
Fig. 2 | CVIR Endovascular

Fig. 2

From: Transpedal approach for femoral-popliteal chronic total occlusions using the outback® elite re-entry device

Fig. 2

Case # 2 (a) Angiogram through the pedal access sheath in the ATA (white arrow) shows a distal CTO of the ATA (black arrow). b Antegrade angiogram showing a popliteal CTO. Note the dissection plane created by wire escalation techniques adjacent to the true lumen of the popliteal artery (thick white arrow). The ATA is completely occluded from proximal to distal (black arrow). Collaterals fill the TP trunk into the PTA and peroneal artery (thin white arrows). c The Outback re-entry device entering the true lumen of the distal popliteal artery (white arrow). d Balloon angioplasty followed by stenting of the popliteal artery. e Post-intervention angiogram showing restoration of flow post-stenting. f Final angiogram of the infrapopliteal vessels demonstrating direct line flow to all pedal arteries, including the ATA access site (white arrow)

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