HOW TO CROSS VERY HUGE CALCIFICATIONS in SFA TOTAL OCCLUSION? The answer is GoBack (not to school but GoBack Crossing catheter) when all else fails; enables keeping in the lumen. Ex.: CTO left SFA calcified all over , Grade 4 PACSS score (Rocha-Singh et al); antegrade femoral approche, 6F sheath, 3000 IU Heparine; ALL devices failed to cross; GoBack in the lumen, prep artery by “step to step” ballons and finally SUPERA stents (of course).
Excellent usage of the #GoBack™ catheter from Upstream Peripheral Technologies Inc. by Oulu university hospital, Finland!
62 year old woman, current smoker. Symptom of claudication. In MRA, a chronic occlusion of the distal aorta, right CIA and entire left iliac line was seen.
Recanalization from the right with a guidewire is successful, but from the left the guidewire repeatedly drifts into the subintimal space due to heavy calcification. With a 4F GoBack device, a successful re-entry with a 0.018” wire was easily achieved using the measuring catheter’s x-ray positive marking on the aortic stump as a target.
Post recanalization a PTA of the stenosed distal aorta and the iliacs was done, followed by 7mm Viabahn stent grafts and nitinol stents on both sides.
Congratulations to Dr. Antti Marttila and the entire team for the great job!
Upstream Peripheral Technologies, Ltd.
Proud of the great team of our Irish distributor M3 Medical for the first #GoBack#catheter case in Ireland. It is encouraging to know that we help treating patient around the globe even in such Covid-19 challenging days
First case in Israel of #GoBack#Catheter was done today by Dr. Boris Khaitovich , Interventional Radiology #interventionalradiology, #Shiba_Medical_Center. Extremely calcified popliteal artery all the way to the tibial junction was successfully crossed with 2.9Fr. GoBack Catheter. Nice to know that we helped saving the leg of 80 years old male patient. Thank you Dr. Khaitovich And the great team of our local Distributor, Abraham Shillo and Shillo Medical
Upstream Peripheral Technologies, Ltd.
First case in Helsinki, Finland with GoBack Catheter was done by Dr. Pekka Aho, Vascular surgeon at Meilahti University Hospital (part of HUS Helsingin yliopistollinen sairaala) A successful re-entry in a very challenging, totally occluded right iliac artery of a 74 year old patient was performed with 4 Fr. GoBack catheter. Thank you Dr. Aho and the great team. Kudos to our Scandinavian distributor EPS Vascular AB
58 Year old man with left sided Critical Limb Ischemia and right sided Claudication. Massive calcification of the Aortic-Iliac Arteries with an occlusion of the proximal left CIA.
Subintimal positioning of the guidewire at the bifurcation. The GoBack™ Catheter was positioned to obtain a re-entry into the true lumen. Contra-lateral inflation of a 8mm-4cm balloon, which was intentionally punctured with the GoBack™ Catheter for advancing a 0.018” guidewire into the true lumen.
At the left CIA a Getinge Advanta V12 7mm-59mm covered stent was placed, at the right CIA a PTA was performed.
Thank you Dr. Michael Lichtenberg for showcasing how the 2.9 French #GoBack Catheter is used for multiple purposes at the same case.
There are many ways to recanalize a long BTK CTO like in this case with a chronic stent occlusion within a distal femoro-tibial bypass anastomosis. Retrograde puncture is a well established option, of course. In this case, we decided to approach the CTO antegrade and use the 2.9 Fr GoBack Crossing catheter as support catheter to penetrate the hard in-stent occlusion. After penetration of the in-stent occlusion the integrated GoBack needle easily found the way from a subintimal space to true lumen of the posterior tibial artery. The GoBack catheter combines maneuverable crossing catheter with reentry capability in a single product.