Subintimal approach

Principles of subintimal dissection

INDEX

General principles

How to get the subintimal space
- Case 1
- Case 2
- Case 3

Subintimal space dissection
- Case 4

Bifurcation treatment
- Case 5

Looking for a "good distal target vessel"
- Case 6
- Case 7
- Case 8
- Case 9

Re-entry into the true distal lumen
- Case 10
- Case 11

Learning objective

How to enter into the subintimal space; how to dissect it; how to re-enter into the true distal lumen

Learning point

Tips and tricks to master the subintimal approach

Devices used

Support balloon : Armada 14 XT 1.5*20mm, 0.014" OTW - Abbott
Diagnostic catheter :  TEMPO® AQUA®, 4F Berenstein - Cordis
Sheath introducer : AVANTI®, 4Fr, 12 cm length - Cordis
Wires : 
- Hi-Torque Pilot® 50-100-150-200, 0.014" - Abbott
- Hi-Torque Command, 0.014" - Abbott
- V18TM, ,0.014" - Boston Scientific
Hydrophilic wire : Radiofocus Guide wire M, Stiff type, J Angled, (1.5 mm), 0.035" - Terumo