From the Journal

Recanalization of Popliteal and Infrapopliteal Chronic Total Occlusions Using Viance and CrossBoss Crossing Catheters: A Multicenter Experience From the XLPAD Registry

Salil Sethi, MD, MPH1;  Atif Mohammad, MD2;  S. Hinan Ahmed, MD1;  Samir Germanwala, MD3;  
Karan Sarode, MA2;  Carolina Ortiz-Lopez, MD1;  Subhash Banerjee, MD2;  Anand Prasad, MD1

This study examines the acute procedural success of novel devices that facilitate either true lumen or subintimal navigation across popliteal and below-the-knee (BTK) CTOs. Viance and CrossBoss catheters were associated with an overall 70% procedural success with predominantly true lumen crossing in a BTK-CTO cohort; CTO length remains an important determinant of device success. ...

Angiographic Profile and Endovascular Interventions in Takayasu’s Arteritis

Ajit Pal Singh, MD, DM1;  Srinivas Budanur Chikkaswamy, MD, DM1;  Soumya Patra, MD1;  Madhav Hegde, MD2;
K.S. Ravindranath, MD, DM1;  Mahimarangaiha Jayaranganath, MD, DM3;  Cholenahally Nanjappa Manjunath, MD, DM1

Takayasu’s arteritis (TA) is a rare inflammatory, granulomatous vasculitis primarily involving the aorta and its major branches. This study analyzes and describes the clinical features, angiographic profile, and endovascular interventions in 62 TA patients and concludes that percutaneous balloon angioplasty with stent implantation is feasible in this cohort. 


Stent and Non-Stent Based Outcomes of Infrainguinal Peripheral Artery Interventions From the Multicenter XLPAD Registry

Subhash Banerjee, MD1,2;  Gene Pershwitz, MD2;  Karan Sarode, MA1,2;  Atif Mohammad, MD1,2;
Mazen S. Abu-Fadel, MD3;  Mirza S. Baig, MD1,2;  Shirling Tsai, MD1,2;  Bertis B. Little, PhD2;
Osvaldo S. Gigliotti, MD4;  Ediberto Soto-Cora, MD5;  Mazin I. Foteh, MD6;  Gerardo Rodriguez, MD7;
Andrew Klein, MD8;  Tayo Addo, MD1;  Michael Luna, MD1;  Nicolas W. Shammas, MD9;  Anand Prasad, MD10;
Emmanouil S. Brilakis, MD, PhD1,2

We analyzed data from the ongoing multicenter XLPAD registry to report on the use of non-stent (atherectomy ± balloon angioplasty) and stent-based treatment of superficial femoral ar-tery (SFA), popliteal, and below-the-knee (BTK) vessels in contemporary clinical practice. Operators use stents to primarily treat complex SFA lesions with overall similar outcomes, except for fewer amputations compared to a non-stent strategy....

Automated Carbon Dioxide Digital Angiography for Lower-Limb Arterial Disease Evaluation: Safety Assessment and Comparison With Standard Iodinated Contrast Media Angiography

Filippo Scalise, MD1;  Eugenio Novelli, PhD2;  Carla Auguadro, MD1;  Valentina Casali, MD1;
Mariella Manfredi, MD1;  Romano Zannoli, PhD, EngD3

Carbon dioxide digital subtraction angiography is a valuable and safe alternative to traditional iodinated contrast media for evaluating CLI patients. This 40-patient study supports that this modality should be considered as the standard choice for CLI patients undergoing angiographic evaluation who are known to have renal insufficiency or contrast allergy....

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