Utility of BeBack crossing catheter in fistula creation during percutaneous deep vein arterialization

Daniel Yuxuan Ong; Enming Yong; Uei Pua

doi:10.1016/j.jvscit.2023.101201

Utility of BeBack crossing catheter in fistula creation during percutaneous deep vein arterialization

J Vasc Surg Cases Innov Tech. 2023 Apr 29;9(3):101201. doi: 10.1016/j.jvscit.2023.101201. eCollection 2023 Sep.

Authors

Daniel Yuxuan Ong¹, Enming Yong², Uei Pua¹

Affiliations

¹ Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
² Department of General Surgery, Tan Tock Seng Hospital, Singapore.

Abstract

For patients with "no-option" chronic limb-threatening ischemia, a final attempt can be made for limb salvage in the form of percutaneous deep vein arterialization (pDVA). In the present study, we describe five cases of pDVA using a BeBack crossing catheter (Bentley InnoMed GmbH; previously, the GoBack crossing catheter; Upstream Peripheral Technologies). From November 2021 to July 2022, five patients underwent pDVA using the BeBack crossing catheter. The demographic data, procedural details, and patient outcomes were recorded. Successful vascular crossing was achieved in all five cases using the BeBack device. No surgical complications were encountered. The limb salvage rate was 60%, and the wound closure rate was 40%. No mortalities occurred during the follow-up period. The findings from the present study demonstrate that the use of the BeBack crossing catheter for pDVA is safe and feasible.

Keywords: BeBack crossing catheter; CLTI; Chronic limb-threatening ischemia; Endovascular; PAD; Percutaneous deep vein arterialization; Peripheral arterial disease; pDVA.