Fig. 2
From: Targeted tibio-peroneal re-entry during subintimal revascularization using the Outback® catheter
a and b: initial runoff prior to revascularization showing high grade stenoses of the proximal and middle segment and a chronic occlusion of the distal segment of the popliteal artery and the tibio-peroneal trunc with a single vessel runoff via the peroneal artery; careful subintimal recanalization using an 0.014″ CTO wire and a low-profile support catheter failed; c: positioning of the Outback® catheter at the level of the proximal peroneal artery with the 0.014″ wire still within the subintimal space parallel to the true vessel lumen and the device still a few millimeter too high for targeted puncture; the catheter was then advanced parallel to the perfused lumen of the peroneal artery; d: balloon angioplasty of the tibio-peroneal trunc and the proximal peroneal artery after successful re-entry; e and f: final result after successful revascularization