PMID- 37849280
OWN - NLM
STAT- Publisher
LR  - 20231018
IS  - 1545-1550 (Electronic)
IS  - 1526-6028 (Linking)
DP  - 2023 Oct 17
TI  - Performance of BeBack Crossing Catheter in Chronic Total Occlusion in Patients 
      With Chronic Limb-Threatening Ischemia: A Single-Center Experience.
PG  - 15266028231204264
LID - 10.1177/15266028231204264 [doi]
AB  - PURPOSE: To describe a single-center experience in the treatment of chronic 
      limb-threatening ischemia (CLTI) with the application of BeBack catheter (Bentley 
      InnoMed, Germany) in patients with arterial chronic total occlusion (CTO). 
      MATERIALS AND METHODS: A retrospective review of patients who underwent limb 
      revascularizations using the BeBack catheter between 2015 and 2022. All patients 
      had an initial failed attempt using a traditional guidewire and catheter 
      technique. Technical success was considered whenever a successful re-entry or 
      lesion crossing using the study device was achieved. Procedural success was 
      defined as recanalization of the occluded artery with residual stenosis of less 
      than 30%, and improvement in ankle-brachial index (ABI) after 24 hours. A 
      Rutherford score was assigned to each limb and affected anatomical segments and 
      lesion length were documented. Procedural access sites and complications were 
      noted. RESULTS: The study included 72 patients who underwent 78 procedures using 
      the BeBack crossing catheter. Procedural success was achieved in 91% of cases, 
      with a technical success rate of 92.3%. The most frequently involved occluded 
      segments were the femoral and popliteal arteries. The average ABI improved from 
      0.59 to 0.95 after the procedure. The most used access site was the contralateral 
      femoral, and the BeBack catheter was employed on 85 occasions. Only 1 patient 
      suffered a severe immediate adverse effect, and during the 30-day follow-up 
      period, 2 patients needed reintervention. Unfortunately, 3 patients died during 
      the follow-up period. CONCLUSION: The BeBack catheter offers a viable option for 
      the treatment of patients with chronic total occlusion, with high procedural 
      success and a low complication rate. CLINICAL IMPACT: The BeBack catheter 
      presents a notable advancement for clinicians managing chronic limb-threatening 
      ischemia (CLTI) and arterial chronic total occlusion (CTO), showcasing over 90% 
      procedural and technical success rates in this study. Its adept ability to 
      navigate and recanalize occluded segments provides a robust alternative, 
      especially when traditional techniques falter. This innovation may chane clinical 
      strategies in vascular interventions, offering an efficient and reliable option, 
      thereby potentially enhancing patient outcomes in limb revascularizations.
FAU - Cohen, Israel
AU  - Cohen I
AUID- ORCID: 0000-0001-7447-6894
AD  - Department of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Israel.
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
FAU - Raskin, Daniel
AU  - Raskin D
AUID- ORCID: 0000-0003-3584-3748
AD  - Department of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Israel.
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
FAU - Barash, Yiftach
AU  - Barash Y
AUID- ORCID: 0000-0002-7242-1328
AD  - Department of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Israel.
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
FAU - Silverberg, Daniel
AU  - Silverberg D
AUID- ORCID: 0000-0002-7760-7105
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
AD  - Department of Vascular Surgery, Sheba Medical Center, Tel HaShomer, Israel.
FAU - Halak, Moshe
AU  - Halak M
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
AD  - Department of Vascular Surgery, Sheba Medical Center, Tel HaShomer, Israel.
FAU - Khaitovich, Boris
AU  - Khaitovich B
AD  - Department of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Israel.
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
LA  - eng
PT  - Journal Article
DEP - 20231017
PL  - United States
TA  - J Endovasc Ther
JT  - Journal of endovascular therapy : an official journal of the International 
      Society of Endovascular Specialists
JID - 100896915
SB  - IM
OTO - NOTNLM
OT  - BeBack catheter
OT  - chronic total occlusion
OT  - critical limb-threatening ischemia
OT  - lower limb arteries
OT  - peripheral arterial disease
OT  - re-entry
OT  - recanalization
OT  - subintimal
COIS- Declaration of Conflicting InterestsThe author(s) declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2023/10/18 06:44
MHDA- 2023/10/18 06:44
CRDT- 2023/10/18 03:39
PHST- 2023/10/18 06:44 [medline]
PHST- 2023/10/18 06:44 [pubmed]
PHST- 2023/10/18 03:39 [entrez]
AID - 10.1177/15266028231204264 [doi]
PST - aheadofprint
SO  - J Endovasc Ther. 2023 Oct 17:15266028231204264. doi: 10.1177/15266028231204264.