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Case Reports in Cardiology
Volume 2012, Article ID 516027, 5 pages
http://dx.doi.org/10.1155/2012/516027
Case Report

Endovascular Sharp Recanalization for Calcified Femoropopliteal Artery Occlusion

Section of Cardiology, Department of Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, 289 Jiang Kuo Road, Xindian City, Taipei 23142, Taiwan

Received 2 April 2012; Accepted 18 July 2012

Academic Editors: M. T. Castagna and M. Shirotani

Copyright © 2012 Hsuan-Li Huang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endovascular intervention of peripheral chronic total occlusion (CTO) is technically challenging and time consuming. Various techniques and devices are used to facilitate lesion crossing and improve the success rate of the procedure. However, these new devices are quite expensive and not readily available. We report 2 cases of peripheral CTO wherein the occlusions were successfully crossed by using stiff end of Terumo glidewire. This sharp recanalization may be a useful technique for the recanalization of calcified peripheral CTOs when conventional techniques fail and new devices are not readily available, but it is accompanied by the risk of distal atheroembolism.