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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
REVIEWS VASCULAR SECTION
The Journal of Cardiovascular Surgery 2007 February;48(1):45-8
Ascher E., Hingorani A.
Division of Vascular Surgery Maimonides Medical Center, Brooklyn, NY, USA
While the technique of subintimal dissection was described almost 2 decades ago, initial adoption of the technique was quite slow. Recently, a growing number of centers have embraced the technique as a valuable adjunct to standard endovascular and open revascularizations. During our experience with over 100 duplex guidance subintimal angioplasties (SIA) and over 100 flouroscopically guided SIA, we have encountered that persistence can be greatest ally. Fortunately, this is a trait that is common among vascular surgeons. Herein, we will describe the technique with focus on its limitations and advantages.