Use of the Outback re-entry device for occluded abdominal aortic aneurysms with bilateral common iliac artery aneurysms

Extensive juxtarenal aortoiliac occlusion (JRO) is difficult to treat and has severe outcomes. However, recent treatments have involved endovascular approaches. We encountered a rare case of successful occlusion penetration using the Outback Elite Re-entry Catheter (Cordis, Miami, FL, USA). A 75-yea...

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Published in:Annals of vascular surgery. Brief reports and innovations 2023-12, Vol.3 (4), p.100225, Article 100225
Main Authors: Kuwada, Noriaki, Kanaoka, Yuji, Yunoki, Yasuhiro, Tabuchi, Atsushi, Watanabe, Yoshiko, Tamura, Taishi, Furusawa, Kohei, Yamasawa, Takahiko, Tanemoto, Kazuo
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container_title Annals of vascular surgery. Brief reports and innovations
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creator Kuwada, Noriaki
Kanaoka, Yuji
Yunoki, Yasuhiro
Tabuchi, Atsushi
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Tamura, Taishi
Furusawa, Kohei
Yamasawa, Takahiko
Tanemoto, Kazuo
description Extensive juxtarenal aortoiliac occlusion (JRO) is difficult to treat and has severe outcomes. However, recent treatments have involved endovascular approaches. We encountered a rare case of successful occlusion penetration using the Outback Elite Re-entry Catheter (Cordis, Miami, FL, USA). A 75-year-old man was referred to our department for treatment of an enlarged aneurysm. The patient presented with intermittent claudication and underwent computed tomography, which revealed thoracic aortic, abdominal aortic (AAA), bilateral common iliac artery (CIAA), and right external iliac artery (EIAA) aneurysms of 51.8 mm, 47.4 mm, 71.5/31.9 mm (right/left), and 26.3 mm in diameter, respectively. The AAA, bilateral CIAA, and right EIAA were extensively occluded and treated with a re-entry device (Outback® Elite Re-entry Catheter). The patient's symptoms improved significantly, and he was discharged with no serious complications. The Outback Elite Re-entry Catheter may be a promising endovascular treatment option for patients with extensive JRO.
doi_str_mv 10.1016/j.avsurg.2023.100225
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subjects Aortoiliac aneurysm
Aortoiliac occlusive disease
Occlusion
Re-entry catheter
Subintimal recanalization
title Use of the Outback re-entry device for occluded abdominal aortic aneurysms with bilateral common iliac artery aneurysms
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