Latest News

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Upstream Peripheral Technologies, Ltd.

GoBack in Finland. Thank you EPS Vascular Oy and Janne Väisänen for making the #GoBack Catheter first treatment of choice in tough CTOs cases.

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EPS Vascular Oy

Another great performer at Oulu university hospital, #Finland. Congrats Dr Antti Marttila for completing the GoBack training program!
#GoBack#crossing and #reentry#catheter.

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Upstream Peripheral Technologies, Ltd.

The versatility of the GoBack catheter is always amazing to read about, and how it is used by physicians in ways we did not anticipate. Dr. Theodosios Bisdas, thank you so much for sharing your case with us.
Medelixi LTDConstantinos Charalambous

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Theodosios Bisdas

Use of the #GoBack reentry catheter (Upstream Peripheral Technologies, Ltd.Medelixi LTD) for in situ fenestration of thoracic endograft (Valiant Captivia, Medtronic) during TEVAR. Simple procedure, amazing outcome. I think that a new era of in situ fenestration during TEVAR just began!

Together with the dream team of Cyprus Neophytos Zambas MD PhD 🇨🇾🇬🇷 and Nikolas Charalambous, MD, PhD

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Upstream Peripheral Technologies, Ltd.

Dr. Andrea Azzaretti published a case report on using the #GoBack crossing catheter to treat an occlusion of the right common iliac artery caused by a folded graft.

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Upstream Peripheral Technologies, Ltd.

Learn from the Masters: Dr. Michael Lichtenberg shares his #GoBack catheter’ experience in chronic stenosis of venous stents
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Michael Lichtenberg

Chronic restenosis of venous stents are the most challenging situations in the venous field. Instent material could be rock hard. Even that we have no dedicated venous techniques available to cross and debulk these lesions, we could use very efficient devices with arterial indication. The case example below shows our current Arnsberg strategy to recanalize these chronic restenotic venous stents:
1. Poking with the GOBACK catheter needle deeply into the hard occlusion cap.
2. Advance wire with support catheter
3. Debulking
4. Balloon angioplasty
5. Realign with Blueflow Venous stent

There is of course room for technical improvement and innovation in this field

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Upstream Peripheral Technologies, Ltd.

A recent paper discusses the advantages of #GoBack crossing catheters in today's cath labs. "The way we ultimately evaluate efficiency will no doubt include factors such as time and contrast dose, but will also include costs, risks, and long-term outcome data of the chosen technique" says Dr. Robert Beasley and Jesse Martin in a recent papaer pubksuhed at the @Cardiovascular Revascularization Medicine (CRM) (Cardiovascular Research Technologies).

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Upstream Peripheral Technologies, Ltd.

Kudos to Doctor Heikki Rusi and the IR team at the Siun sote - Pohjois-Karjalan sosiaali- ja terveyspalvelujen kuntayhtymä hospital, #Finald for their persistent efforts to save patients from amputations using the #GoBack #crossing and #reentry #catheter.
Excellent work by Janne Väisänen and EPS Vascular Oy

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Upstream Peripheral Technologies, Ltd.

100-patient study confirms efficiency of #GoBack#catheter to cross toughest peripheral vascular lesions.

A significant milestone for our company. A comprehensive study confirms the efficiency of the GoBack catheter in helping physicians avoid unnecessary leg amputations by using an #endovascular approach rather than #amputation.

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Upstream Peripheral Technologies, Ltd.

Impresive endovasular work of Dr. Enrique Alejandre Lafont Great example for #GoBack catheter deployment in a challenging case.

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Enrique Alejandre Lafont

Endovascular Bypass creation SFA

70 yo man with mesenteric ischemia and Rutherford 5 both legs.
After successful endovascular treatment of the mesenteric arteries + Bowel resection we first treated 6 weeks later the right leg (wounds completely healed meanwhile) and now another 6 weeks later the left leg.
Pic 1 shows the CT with heavy calcified EIA stenosis, total SFA occlusion with extreme calcified occlusion of the distal SFA and P1.
Unfit for surgery we decided to bridge with an endovascular approach.
Cross over not possible due to kissing stents of the CIA into the aorta.

Pic 1: ct of the CTO
Pic 2: access in the left APF and in the mid portion of the occluded femoral artery near the vessel (US guided). Perivascular wirering with a 0.018 Advantage Track and a Trailblazer Cather until near the CFA.
Retrograde puncture of the CFA with a 4F GoBack catheter and exchange for a 7F Destination.

Pic 3:
Retrograde PTA of the EIA stenosis and CFA with 8mm and implantation of a 7.5/60 Supera
Access trough the Supera and wireing of the 7F sheath. Retraction of the sheath to the access site

Pic 4:
perivascular access to the patent P2.
Access to the popliteal artery with the GoBack catheter
PTA with 3mm. Implantation of a 7/25 Viabahn and a 7/15 Viabahn and PTA with 6mm distal and 7mm proximal. Supera 6/60 (whole size) and 6.5/150 reinforcement in the calcified area and in the distal CFA and proximal SFA

The result shows a complete recanalized EIA, CFA, SFA and Popliteal artery.

In 6 weeks we will do a second session to optimize the P2 and P3 Segment and crural arteries (Diamondback) and when he fully recoveres a TEA of the groin will finally remove the stents and treat the PFA stenosis.

Intervention was done under local anaesthesia of the groin and femoral artery. 5000IU heparin.
Popliteal block with the GoBack catheter (Lidocain 1%, 10ml.)

#Vascular #endovascular #interdisciplinary #interventional #radiology #clti

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Upstream Peripheral Technologies, Ltd.

Congrats to Italian doctors  Dr. Andrea Azzaretti Dr. Enrico Paci and Dr. Salvatore Alborino for becoming GoBack-experts.  Thank you Roberto RivaMarta Fasolini and the whole team at KARDIA Srl for their hard work in supporting #GoBack catheter procedures and clinical education. Together, we will accomplish our mission of “no patient to be left untreated”.

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KARDIA Srl

Ospedale Generale di Zona Valduce in Como.
Dr. Andrea Azzaretti has completed the GoBack Training Program (more than 10 successful cases performed). Congrats to Dr. Azzaretti who received the Certificate from Avi Posen - VP Upstream.
#GoBack#CTOcrossing#Upstream

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Upstream Peripheral Technologies, Ltd.

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KARDIA Srl

IRCCS INRCA - Istituto Nazionale Riposo e Cura Anziani in Ancona.
Dr. Enrico Paci has completed the GoBack Training Program (more than 10 successful cases performed).
Congrats to Dr. Paci who received the Certificate from Avi Posen - VP Upstream.
#GoBack#CTOcrossing#Upstream

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Upstream Peripheral Technologies, Ltd.

Thanks to the great team and management of KARDIA SrlRoberto Riva, and Marta Fasolini, the #GoBack Catheter is gaining traction in Italy

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KARDIA Srl

Ospedale di Macerata.
Dr. 
Salvatore Alborino has completed the GoBack Training Program (more than 10 successful cases performed). Congrats to Dr. Alborino who received the Certificate from Avi Posen - VP Upstream
#GoBack#CTOcrossing#Upstream

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Upstream Peripheral Technologies, Ltd.

A quick reminder about two GoBack events this week.
 
Tomorrow, Wednesday at 9:00 AM central Europe time, we have a Webinar with Professor Andrej Schmidt. More than 100 peiple registered, there are still available seats.

 
Thursday November 4 at 5:00 PM Central Europe time  (12:00 PM EST) a live streaming event, organized by InCathLab with Jérôme Brunet, Yann Gouëffic, Gilles Goyault from France, and Michael Litchtenberg and Thomas Zeller from Germany. Please register here:

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Upstream Peripheral Technologies, Ltd.

Please join us!
Prof Andrej Schmidt (Leipzig University, Germany) as he discusses his clinical experience with #GoBack catheter in peripheral complex CTOs.

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Upstream Peripheral Technologies, Ltd.

New case report from Palm Vascular Center Miami in the OESJ, Outpatient Endovascular Journal (OEIS Society).
How new technologies align with the OBL.
New devices such as the #GoBack catheter can provide an incredible incentive for all physician’s in an #OBL, not only for patient care but also for the economic concerns within an OBL setting.

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Upstream Peripheral Technologies, Ltd.

The #GoBack catheter demonstrates its superior features on live case during #viva21. Andrej Schmidt is trying to cross a chaleenging plaque and direct through a stent. That wasn't easy...

The link to the full video is in the first comment in this thread

Moderator: Peter A. Schneider, MD;
Co-Moderator: @Dierk Scheinert, MD;
Faculty: Brian G. DeRubertis, MD,Laura Findeiss, MD; Lawrence Garcia, MD; Peter A. Soukas, MD; Bret N. Wiechmann, MD;

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Upstream Peripheral Technologies, Ltd.

Meet #GoBack catheter in Paris. Visit VASCULAR THERAPY, our Distributor's booth #35 this week at the Paris Vascular Insights, 2021 Meeting (October 21-23). With Georges Amor

TECMEDIC COMERCIO PRODUTOS LTDA TECMEDIC COMERCIO PRODUTOS

Tecmedic presente no CICE 2021 - Inscrições gratuitas através do link: https://lnkd.in/dNqhtkaH

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Upstream Peripheral Technologies, Ltd.

Complex Case Studies. This is How I Would Have Done it. Professor @Thomas Zeller discusses the #GoBack catheter at AMP 2021

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Upstream Peripheral Technologies, Ltd.

A big thank you for a great #GoBack#catheter case with Dr. Robert Beasley and the great staff at Palm Vascular Centers!

Kevin Temerowski

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Upstream Peripheral Technologies, Ltd.

Welcome #hungary! First #GoBack #crossing and #reentry case. good luck to our distirbutor DHS Hungary Kft.

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DHS Hungary Kft

Very first application of Upstream Peripheral Technologies, Ltd. 's #GoBack #Crossing #Catheter in #Hungary, performed by Dr. Balázs Nemes at Semmelweis University Heart and Vascular Center. Great new tool for intraluminal crossing, re-entry, and guide wire support. Congratulations!
#peripheralarterydisease #interventionalradiology #DHSHungary #CTO

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Upstream Peripheral Technologies, Ltd.

Congratulations  for for your first GoBack case. Next case you may also try the GoBack for crossing, with the straight needle.

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Martin Schroeder

today we got our first experience with the goback crossing and reentry device Upstream Peripheral Technologies, Ltd.
In the case of a long SFA lesion, it was initially not possible to achieve a reentry. however, the recanalization was carried out with the help of the goback device.

special thanks to Simone Prengel

Dan RottenbergKevin Temerowski
#vascupedia#irad#intervention
@schroedermd

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Upstream Peripheral Technologies, Ltd.

New #GoBack®publication., with great conclusions:
"The advent of this new CTO crossing device has the potential to facilitate recanalization of some of the most challenging occlusions. Facilitating more consistent distal entry and allowing for a decrease in crossing time".
Published last week on CVIR Endovascular, the official journal of the Cardiovascular and Interventional Radiological Society of Europe, by Dr. Andrea Azzaretti and his team at Valduce Hospital, Como, Italy.

KARDIA SrlRoberto Riva

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Upstream Peripheral Technologies, Ltd.

We are growing.
A warm welcome and lots of good wishes to Kevin Temerowski, on becoming the first employee of our US subsidiary. As Sr. Director Clinical Sales Operations Kevin will lead the growing demand for #GoBack procedures among US physicians. 
We are all happy and excited, welcome aboard!

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Upstream Peripheral Technologies, Ltd.

#GoBack Live case in Mount Sinai Hospital avalibale on YouTube

https://youtu.be/WWdbJsWZyrQ

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Upstream Peripheral Technologies, Ltd.

It was amazing to watch Dr. Prakash Krishnan and Dr. Vishal Kapur perform their first #GoBack Catheter case broadcast live at Mount Sinai Health System in New York. A wonderful opportunity to see what the learning curve looks like.

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Upstream Peripheral Technologies, Ltd.

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Avi Posen

Congradulations to Dr. Clay Sizemore. and the team of Cardiovascular Consultants of South Georgia for being the first to use the #GoBack Catheter in the State of Georgia. 
I attended an excellent first case, followed by a visit to the #Thomasville Rose Garden near Cherokee Lake Park, a home to nearly 1,500 rose bushes. Thomasville describe itself as the "City of Roses" and holds an annual Rose Festival.

PHOTO: MIKE BASS

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Upstream Peripheral Technologies, Ltd.

We see more and more #endovascualr cases where #GoBack catheter is used for reentry and #Philips ‘ #IVUS is applied for verification. See the case done by Leonardo Lucas, MD from Rio de Janeiro.
supported by Tecmedic Comercio De Produtos Medicos

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Leonardo Lucas

MODERN ENDOVASCULAR THERAPY
One more case - Image Guided Therapy
Endovascular treatment of critical limb ischemia performed with zero contrast, using a combination of CO2 by Angiodroid and IVUS by Philips technologies. Contralateral and transpedal acess. We used the GoBack support and reentry catheter, and performed an endoendarterectomy with Jetstream XC by Boston Scientific angioplasty with a Stellarex pharmacological balloon by Philips (kissing balloon) in infrapatellar arteries, angioplasty intrastent with Stellarex pharmacological balloon in above the knee poplitea segment and Eluvia drug stent implantation by Boston Scientific in proximal superficial femoral artery. Images show the excellent final result.
#Clinicaleonardolucas #imageguidedtherapy #ivus #CO2 #zerocontrast #modernendovasculartherapy

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Upstream Peripheral Technologies, Ltd.

First #GoBack Catheter case in Mount Sinai Health System New York. The case was broadcasted live on the Live Peripheral Interventions series of Mount Sinai. Thank you Dr. Prakash Krishnan and Vishal Kapur for leading the procedure and adding GoBack to your treatment toolbox.

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Upstream Peripheral Technologies, Ltd.

Shared with pride.
How the GoBack® catheter dramatically changed the life of a Syrian refuge female, 50 years old, who was injured during the civil war. Fortunately, she was treated by Dr. Michael Piorkowski at the CCB Frankfurt und Main-Taunus Frankfurt, Germany, using the GoBack Catheter and Gore Viabahn® stent. Check out the details in the slide show below.

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Michael Piorkowski

A special case from the center for peripheral interventional angiology at the CCB Frankfurt und Main-Taunus

#GoBack #PQbypass #UpstreamPeripheralTechnologies #Viabahn

W. L. Gore & Associates

The use of the devices mentioned above may not be in accordance with the manufacturer's IFU.

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Upstream Peripheral Technologies, Ltd.

#GoBack® #Catheter was used for recanalization of #venous stent. First time in Brazil.
A young adult with 3 previous venous
iliac intervention was referred to Clínica Endovascular São Paulo (São Paulo, Brazil), where Dr. Igor Rafael Sincos, MD, PhD, and his team decided to recanalize the previous venous stents using GoBack. “GoBack was crucial
to go through the fibrosis”’ stated Dr. #healthcare#phd Sincos.

We are blessed with great Brazilian partner François Nigro
and the clinical team of Tecmedic Comercio De Produtos Medicos.

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Upstream Peripheral Technologies, Ltd.

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Upstream Peripheral Technologies, Ltd.

Dr. Anish J Thomas (@anishthomasmd on Twitter), (interventional Cardiology, Mercy Hospital South, St. Louis, MO) uses the GoBack for reentry
here is what he wrote:
"CLI. Ca SFA occ with 1 V r/o via small diseased peroneal. Used # GoBack support/reentry catheter with 0.018, subintimal at distal cap. Pull wire back and re enter with same catheter and wire. Convenient . No COI. "

Thank you Anish, for beeing among our first US-based #GoBAck users, with the help of Stephen Logsdon and the team of EA MEDICAL, LLC

https://twitter.com/anishthomasmd/status/1349158656898723840?s=20
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Upstream Peripheral Technologies, Ltd.

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Upstream Peripheral Technologies, Ltd.

Soon avalible in Brazil
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We are pleased to announce that the Brazilian Health Regulatory Agency (Anvisa) has granted approval of the GoBack© catheter for crossing and reentry in angioplasty peripheral procedures. It is a significant advancement in the preservation and enhancement of limb CTOs for patients in Brazil. Upstream is collaborating with Tecmedic Comercio De Produtos Medicos to distribute the GoBack in Brazil. Good luck François Nigro and the team.

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Upstream Peripheral Technologies, Ltd.

Thank you Dr. Angel Ferrario for sharing your #goback catheter positive experience. we keep expanding our French footprint thanks to VASCULAR THERAPY, our French distributor.

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Angel Ferrario

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).

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Upstream Peripheral Technologies, Ltd.

Elzas-Lotharingen was the first French region to implement the #GoBack #catheter for crossing and reentry of peripheral CTO. Thank you Dr. Jean Philippe Simon, Clinique Louis Pasteur Nancy and Dr Gilles GoyaultClinique RHÉNA Strasburg for leading the trend with the Great support of David AMORGeorges Amor our French distributor VASCULAR THERAPY

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Upstream Peripheral Technologies, Ltd.

We couldn’t imagine how useful the #GoBack #Catheter will be for recanalization of the aorta. Challenging case at the University of Oulu, with Dr. Antti Marttila and the team of EPS Vascular Oy Vascular Oy

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EPS Vascular Oy

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!

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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

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M3 Medical

First case in Ireland with #GoBack Catheter from Upstream Peripheral Technologies, Ltd. An extremely calcified SFA crossed.
Thanks to Eamon KavanaghMekki Medani and all the staff in the Vascular Hybrid Suite University Hospital Limerick#peripheral#GoBack#CTO#Reentry#crossing

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Upstream Peripheral Technologies, Ltd.

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

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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

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Upstream Peripheral Technologies, Ltd.

First case of #arterialization in Verona, Italy with #GoBack #Catheter was done by Dr. Giovanni Puppini from
Azienda Ospedaliera Universitaria Integrata Verona on a 71 years old patient with previous unsuccessful endovascular recanalization attempts. A successful venous arterialization was performed with a 4 Fr. GoBack catheter.
Thank you Dr. Puppini and the great team of our local distributor KARDIA Srl.

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Upstream Peripheral Technologies, Ltd.

Proud of our Dutch distributor, Angiocare and its team.

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Angiocare

First usage in the Netherlands of the GoBack™ Catheter from Upstream Peripheral Technologies, Ltd. by the Isala (ziekenhuis).

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.

With special thanks to Maurice PierieJacques OskamLennart Steenbeek and the whole team of the OR.

#Angiocare#GoBack™ #re-entry #Isala#UpstreamPeripheralTechnologies#Getinge

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Upstream Peripheral Technologies, Ltd.

Thank you Dr. Michael Lichtenberg for showcasing how the 2.9 French #GoBack Catheter is used for multiple purposes at the same case.

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Michael Lichtenberg

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.