Austin Health

Title
A Fine Needle Recanalisation (FNR) Technique for Iliac Artery Occlusions in Endovascular Surgery.
Publication Date
2018-08-03
Author(s)
Cox, Daniel Ra
Chiang, Nathaniel
Ramdwar, Noel
Chuen, Jason
Asadi, Hamed
Brooks, Duncan Mark
Subject
FNR
Recanalisation
angioplasty
chronic total occlusion
common iliac artery
endovascular
external iliac artery
iliac artery
revascularisation therapy
stent
Type of document
Journal Article
OrcId
0000-0002-0955-5446
DOI
10.1016/j.avsg.2018.05.041
Abstract
Endovascular intervention for chronic total occlusions (CTO) in aorto-iliac occlusive disease (AIOD) poses technical challenges. In this manuscript, our experience of fine needle recanalisation (FNR) for treatment of iliac artery CTO is described. A prospective database recorded treatment of 11 limbs in 11 patients since 2011 using this technique. The majority of these CTO were of the common iliac artery (n=9). Technical success rate was 91% (n=10). One failed case was due to tortuous iliac anatomy. There was no restenosis of the treated segments at 8 weeks and no major complications, perforations, major limb loss, or peri-procedural mortality. This technique is a safe and viable adjunct for difficult CTO in AIOD with suitable anatomy. It benefits from being a simple, low-profile, low cost coaxial system and should be part of the armamentarium with other advanced endovascular techniques.
Link
Citation
Annals of vascular surgery 2018; online first: 3 August
Jornal Title
Annals of vascular surgery

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