CIRSE 2019: OUTBACK™ Elite Re-entry catheter highly effective at saving limbs in extreme CTOs

Lorenzo Patrone (London, UK) shares with BLearning at CIRSE 2019 (7–11 September, Barcelona, Spain) the benefits of using the OUTBACK™ Elite Re-entry Catheter (Cordis, a Cardinal Health Company) in chronic total occlusions—in any arterial segment from the iliacs to the toes.

Patrone speaks about the use of the re-entry device used via the standard antegrade access or via a distal superficial femoral artery/below-the-knee retrograde approach to be able to re-enter in the proximal superficial or common femoral artery in patients with history of previous bypass, where the need and the difficulty in achieving an accurate re-entry are maximum.

He emphasises the importance of operator expertise and recommends for the device to be used earlier, rather than later in the treatment plan [to avoid dissection of the subintimal space], in order to achieve effective outcomes. Regarding costs, his opinion is that the cost of the device itself is nothing in compared to [savings] in “time, contrast, and radiation to the patient”.

“In my experience, to cross the lesion is the most challenging part [of the procedure],” says Patrone, “once you cross the lesion, you can angioplasty, you can stent, and the patient will have a new vessel, new vessel means new blood to the limb, and new blood to the limb means new life to the patient”.

Patrone, Lorenzo

Lorenzo Patrone qualified in 2008 in Genoa University (Italy). His Radiological training was based in S. Martino University Hospital in Genoa. In March-2014 he was then appointed as Interventional Radiology Consultant at S. Martino’s. Dr Lorenzo has had long and productive experiences in different top-level centres while training as Interventional Radiologist: in Italy (Turin, La Spezia and Varese) as well as abroad (Mexico - Monterrey, France - Lille and UK Guy’s and St Thomas’ Hospital, London)

Dr Lorenzo was appointed as Consultant Vascular and Interventional Radiologist at Northwick Park Hospital in January 2015. His special interests include all endovascular interventions, with a special focusing on below-the-knee arterial vessels recanalization, as well as extravascular procedures such as; percutaneous biliary/urological procedures or difficult IV central accesses positioning.

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