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Antegrade vs retrograde approach

Antegrade and retrograde technical success was 95.9% and 91.2% (p = 0.03), respectively. Procedural success for antegrade and retrograde was 94.4% and 84.6%, respectively (p < 0.001). The pure retrograde success rate was 80% and pure antegrade success rate was 75% The onset time of thrombus formation between the catheter and the wall of a vein was significantly longer with the retrograde catheters than with the antegrade catheters with median time (interquartile range [range]) 6 days (5-6.75 [4-8]) with 95% confidence interval (CI), 5.58-6.42 vs 3 days (3-4 [2-5]) with 95% CI (2.76-3.24), respectively, with a P value <.001. The time needed by the recently detected thrombus to reach the catheter tip determined by ultrasound with or without catheter.

Retrograde Versus Antegrade Approach for Coronary Chronic

an antegrade approach confers with cannulation of the ves- sel proximal to site of the lesion, whereas in a retrograde ap- proach, the access vessel is distal to the target lesion RESULTS: An initial antegrade strategy was more common for EIA CTOs (p<0.005), and an initial retrograde strategy was more often used in CIA (p<0.005) and combined CIA/EIA (p<0.005) CTOs. Crossover to an alternate approach was required in 27.6% of initial antegrade attempts and 9.6% of initial retrograde attempts. EIA CTOs were the most likely lesions to be treated successfully with the initial attempt (either strategy). In all, 123 (65.4%) lesions were successfully crossed with a final. Retrograde is an antonym of anterograde. Anterograde is a related term of retrograde. As adjectives the difference between anterograde and retrograde is that anterograde is (medicine) effective immediately after a traumatic event such as an external shock while retrograde is directed backwards, retreating; reverting especially inferior state, declining; inverse, reverse; movement opposite to.

Retrograde is an antonym of antegrade. As adjectives the difference between retrograde and antegrade is that retrograde is directed backwards, retreating; reverting especially inferior state, declining; inverse, reverse; movement opposite to normal or intended motion, often circular motion while antegrade is moving or directed forward. As a noun retrograde Retrograde approach was more successful than antegrade approach to reach all calices. We recommend performing retrograde fl exible nephroscopy following PNL especially in complex cases as it has the potential to increase SFR, decrease the need for second look surgery and unnecessary postoperative imaging The antegrade approach was used in 152 patients, and retrograde in 169 patients. The duration of occlusion was significantly longer and the J-CTO score higher in the retrograde group. Technical success was achieved in 148 patients of the antegrade group (97.4%), and 163 patients in the retrograde group (96.4%) (p = 0.75). A major procedural complication occurred in 3 patients of the antegrade group (2.0%) and in 6 patients of the retrograde group (3.6%) (p = 0.51). In-hospital major adverse. The retrograde approach to chronic total occlusion (CTO) crossing differs from the antegrade approach because the occlusion is approached from the distal vessel. The retrograde approach can be divided into ten steps. First, a decision is made to proceed with retrograde crossing as primary strategy or after failure of antegrade crossing

Stem cell transplantation for heart failureanterograde vs retrograde

It compared the outcomes of a retrograde versus antegrade approach in a contemporary multicentre CTO registry. METHODS: Between 1 January 2016 and 31 December 2016, consecutive patients who underwent CTO PCI performed by eight high-volume CTO operators were included in a registry. RESULTS: During this period, 485 patients with 497 CTOs were treated with technical and procedural success rates of 93.8% and 89.9%, respectively. Antegrade and retrograde technical success was 95.9% and. Antegrade and retrograde technical success was 95.9% and 91.2% (p = 0.03), respectively. Procedural success for antegrade and retrograde was 94.4% and 84.6%, respectively (p < 0.001). The pure retrograde success rate was 80% and pure antegrade success rate was 75%. Technical success in different Japanese Chronic Total Occlusion (JCTO) score groups was 100% (JCTO 0), 96.2% (JCTO 1), 95.3% (JCTO 2), and 92.5% (JCTO ≥ 3), with no statistical difference in success rates between different JCTO.

For the antegrade approach, a total of 225 findings/40,337 cm (0.01) was visualized vs 76 findings/7034 cm (0.01) with the retrograde approach. There was no significant difference in the overall yield based on the centimeters of small bowel visualized using the 2 approaches. Table 2. Enteroscopy Findings and Treatmen If the distal cap was too hard for a Miracle 3, the guidewire was exchanged to a stiffer guidewire such as Miracle 6 or 12, or Conquest‐Pro® or Conquest‐Pro® 12 (ASAHI Intecc). While keeping the retrograde approach, the antegrade approach was also commenced. After successful penetration of the tip of the retrograde guidewires into the CTO lesions, one or the combinations of the following six different strategies were used It can be inserted via the antegrade or retrograde approach. Retrograde approach is technically less demanding especially if the patient is overweight. But there are concerns with regard to the..

•There is no retrograde vs antegrade approach, there is only the choice of the best strategy for the specific lesion and patient. Strategic options for CTOs in Europe Bilateral Maximal Guide backup Antegrade Fielder XT -> Ultimate or -> Progress 200T/Conf.Pro 9 Penetration, then step down Distal good target Parallel with stiff wire Reentrysystem BridgePoint Antegrade no Stump IVUS for guided. Despite evidence of improved cardiac protection, it is unclear if a combined antegrade/retrograde approach to myocardial preservation offers significant clinical benefits. One hundred twenty patients undergoing elective 1st-time coronary bypass surgery for 3-or-more-vessel disease received aortic root, antegrade cold blood cardioplegia (Group I, n=52) or combined antegrade/retrograde. OBJECTIVES: The goal of this study was to compare the antegrade-approach and bilateral-approach strategies for chronic total occlusion (CTO). BACKGROUND: The retrograde approach has been reported for difficult CTO lesions. METHODS: This study assessed 96 consecutive patients with 119 CTO lesions. The lesions were treated with either an antegrade approach (A group) or a combined bilateral antegrade and retrograde approach (B group). The specific intervention techniques, in-hospital.

Computed tomographic arteriography (CTA): CTA has assumed an increasing role in guiding peripheral vascular intervention, particularly in regard to choosing appropriate devices and optimal interventional approach (e.g., ipsilateral antegrade vs. contralateral retrograde). This additional guidance, however, comes at the cost of substantially more iodinated contrast and radiation exposure than. Antegrade is used when the vascular sheath is oriented in the same direction as blood flow. Retrograde indicates that the sheath is pointed in the opposite direction of the blood flow within the vessel. Most common arterial access sites in the lower limb are depicted in Figure 1 and will be discussed here The antegrade group had an improved acute hemodynamic outcome, including 20% additional increase of aortic valve area and 20% greater reduction of transaortic valve gradient compared to the retrograde approach. Preclosure with the Perclose device was used for the 14 Fr venous access sites, resulting in immediate hemostasis, minimizing the need for transfusion, and diminishing the period of bed rest. The improved acute efficacy and relative ease of venous access for the antegrade approach.

Twenty-three lesions were treated via the antegrade approach (Ante), and 25 lesions were treated via the retrograde approach (Retro). RESULTS: Right coronary artery (RCA) CTOs were treated more frequently via the Retro technique. Although the CTO length was much longer in the Retro group (45 +/- 26 mm vs. 18 +/- 9 mm, p < 0.0001), at the end of the procedure Thrombolysis In Myocardial. To minimize procedure time, contrast use, and radiation exposure, an antegrade (downhill) approach offers significant advantages versus a retrograde (up and over) approach. Additionally, an antegrade approach gives the operator increased catheter and wire control because of the direct downhill approach. A retrograde approach reduces mechanical advantage and control over catheters and guidewires. In patients with no stenosis in the iliac, common femoral and proximal superficial femoral.

Comparison Between Retrograde and Antegrade Peripheral

The most common indication for small-bowel endoscopy was obscure gastrointestinal bleeding (n = 83). The diagnostic yield was significantly higher for antegrade than retrograde enteroscopy (63.7% vs 39.7%; P <.001) This article focuses on the current, optimal antegrade approach for CTO PCI, specifically regarding angiographic and ultrasound imaging and wire selection/manipulation. Innovative retrograde approaches, new technologies, and biologic/pharmacologic plaque digestion will be discussed in accompanying articles in this issue. The techniques discussed in this article are an amalgam of expert opinion. The retrograde approach has revolutionized percutaneous coronary intervention (PCI) to coronary chronic total occlusions (CTO) by significantly improving success rate up to 95%. 1), 4) Historically the technical success rate has been limited to 65% to 70% with the antegrade approach. 5), 6) Early retrograde approaches focused on direct retrograde wire crossing and the kissing wire technique.

The antegrade group had an improved acute hemodynamic outcome, including 20% additional increase of aortic valve area and 20% greater reduction of transaortic valve gradient compared to the retrograde approach. Preclosure with the Perclose device was used for the 14 Fr venous access sites, resulting in immediate hemostasis, minimizing the need for transfusion, and diminishing the period of bed rest. The improved acute efficacy and relative ease of venous access for the antegrade. The antegrade femoral approach is a routinely used technique for the percutaneous treatment of the lower extremities vascular disease. However, this approach can be challenging in case of obese patients or due to special anatomy of the femoral bifurcation. We present a simple and inexpensive alternative by means of the use of a Fogarty catheter to convert a retrograde femoral access to an. Both antegrade and retrograde approaches are well-established techniques and both can be considered as therapeutic options. Improvements in endoscopic equipment, such as lithotripters and fiber optics, in conjunction with constantly improving surgical skills and experience have increased the efficiency and safety of minimal-invasive procedures for proximal ureteral stones management. Nowadays.

How and When to Perform the Retrograde Approach | Thoracic Key

Anterograde vs. Retrograde. Published: 28 Jan, 2019. Views: 611. Anterograde (adjective) Effective immediately after a traumatic event such as an external shock. Anterograde amnesia is a loss of the ability to create new memories after the event that caused the amnesia. Anterograde (adjective) Moving or occurring in the normal forward or downstream direction of. Movement of mitochondria and. an antegrade approach confers with cannulation of the ves-sel proximal to site of the lesion, whereas in a retrograde ap-proach, the access vessel is distal to the target lesion. Therefore, it appears that the terms antegrade and retro- grade not only take into consideration direction of flow but also the relative anatomical position. Interestingly flow of bile is bi-directional in a reversed.

(PDF) Antegrade Versus Retrograde Cholecystectomy: What's

Considering all the hurdles of the lymphography, not to speak of the rate of success for the subsequent percutaneous transabdominal cysterna chyli catheterization, it makes no doubt that it is really worth trying a retrograde approach first. In this regard, we are also interested in knowing if the authors have any recommendation regarding how to localize the thoracic duct Practical Approach to Chronic Total Occlusions Step-by-Step Techniques - The Antegrade and Retrograde Approach Scripps 2019 Ashish Pershad MD FACC FSCAI Banner University Medical Center Phoenix. Which patient with a CTO should we be treating in 2019?-• Stable CAD patients with angina and on optimal medical therapy • Randomized control trial (highest level of evidence) • Risk of PCI is. On the mid-week hemodialysis for one month, antegrade cannulation was performed; then, the next month, the same patients were cannulated using the retrograde approach. Results indicated that retrograde cannulation produced a mean URR of 74.2% 7.2% and Kt/V of 1.57 0.33, and antegrade cannulation produced a mean URR of 73.0% 8.7% and Kt/V of 1.57 0.35. They concluded that patients received.

Antegrade wire escalation was not successful and we switched to a retrograde approach via the septal autocollaterals. (B) Tip injection through the Corsair ® catheter (Asahi Intecc, Nagoya, Japan; white arrow) demonstrated the septal connection to distal left anterior descending artery (black arrows) The choice is somewhat dictated by the approach (antegrade vs retrograde). 1. To perform the BAM technique for a 'device resistant' CTO lesion, advance a 1.2-1.5 mm balloon (at least 20 mm because it has a longer length before getting to the marker which is the widest profile on the balloon) and attempt to wedge the balloon into the lesion

Acute and Midterm Outcomes of Antegrade vs Retrograde

I personally use the retrograde approach in 30-40% of my cases, when I struggle more than five to 10 minutes in re-entering into the distal true lumen or when I perforate the vessel during the recanalisation attempt from the antegrade access. The recanalisation success rate using this approach is extremely high. Furthermore, it allows you to preserve the distal landing zone of the occluded. retrograde approach will be seamless. Obviously if the initial strategy is a retrograde approach a guiding catheter in the donor artery is mandated. Having bilateral 8-F guiding catheters offers the full range of interventional options in both the target and donor vessels, and is the setup choice of many operators, especially in the USA

Anterograde vs Retrograde - What's the difference? WikiDif

  1. However, antegrade arterial access can be challenging in the presence of hostile, scarred groins, obesity, or a high common femoral artery bifurcation. A simple method of converting a retrograde femoral access to an antegrade catheterization using an inexpensive and universally available monofilament suture is presented
  2. antegrade approach, and we have gradually shifted to the retrograde technique, which we feel causes less traction of the NVB, because the prostate remains attached at the apex and base. Ultimately, the decision regarding whether to perform an antegrade NS or a retrograde NS was based on the surgeon's preference at the time of the procedure. 2.
  3. failed antegrade crossing [14]. In our case, the retro-grade approach enabled wiring of the distal true lumen and resolution of the subintimal hematoma after stent deployment. Use of the retrograde approach neces-sitates availability of adequately sized collateral ves-sels as well as expertise in the retrograde equipment and techniques. The.
  4. The retrograde approach was subsequently attempted after stenting the mid LAD lesion (Figure 3) with a 3.5 × 24 mm Promus Premier (Boston Scientific, Natick, MA) stent, yielding excellent results (Figure 4).The procedure was performed at a single stage because we had used 180 cc of contrast in a patient with normal renal function and patient air kerma radiation dose was <2 Gy
  5. Choice of recanalization approach (antegrade vs. retrograde) in the tandem group made no difference, except for a trend toward less distal emboli using the retrograde approach (4.0 vs. 13.0%, p.

Starting with antegrade wire escalation is the favored approach for <20 mm long lesions, whereas antegrade dissection and re-entry is the favored approach for ≥20 mm long lesions. A primary retrograde approach is favored for aorto-ostial occlusions, lesions with an ambiguous proximal cap, diffuse distal disease, and bifurcation at the distal cap when appropriate collateral vessels are. retrograde approach was used in 41 patients (21.2%); Table 1. Baseline Patient Characteristics, Classified According to Whether Retrograde Approach Was Used or Not Variable Overall (n¼193) Retrograde Group (n¼41) Antegrade Group (n¼152) P‐Value Clinical characteristics Age (years) 63.7 8.4 63.7 8.4 63.6 8.2 0.958 Men (%) 98.5 95 99 0.08 Retrograde and Antegrade. Thread starter Keres81; Start date Jun 6, 2018; K. Keres81 Networker. Messages 27 Best answers 0. Jun 6, 2018 #1 Could someone who is familiar with Cardiology please validate for me that I have the correct understanding on how this works? It's a question I have for one of my tests and I'd just like to know if my understanding on it has any flaws in it. Procedure: A. Answer: It depends on the patient and the approach (retrograde vs. antegrade, or both). We have previously described this. 1-4 In our approach to CTOs, we utilize dual access. Radial access does offer the benefit of reduced access site bleeding, but essentially limits you to a 7 French (Fr) system. Therefore, in CTO cases, we will base access on our intended approach and need for guide support. Retrograde (double) approach. CASE 1. Anterior tibial retrograde puncture • 21 gauge needle puncture • 0.014 wire CASE 1. CASE 1. CASE 1. Posterior tibial artery approach Case 2 - DSA imaging - 21 gauge needle - 0.014 wire (PT2 Boston Scientific) Distal posterior tibial puncture . Final Result. Retrograde puncture Case 3. Tibia astragalus antegrade wire Lat plantar artery Med plantar.

retrograde approach due to greater auricular nerve . division. No wound infection, hematoma, or . hypertrophic scar was detected in both antegrade . and retrograde dissection (Table 5). Discussion. treated via the antegrade approach (Ante), and 25 lesions were treated via the retrograde approach (Retro). Results Right coronary artery (RCA) CTOs were treated more frequently via the Retro technique. Although the CTO length was much longer in the Retro group (45 26 mm vs. 18 9 mm,

Abstract and Figures. This study was done to compare antegrade punctures with a retrograde puncture technique for infrainguinal angioplasty. A group of 100 consecutive patients (71 men, 29 women. The retrograde approach to chronic total occlusion (CTO) percu-taneous coronary intervention (PCI) was popularised by Japanese operators in 20061. The impressive success rates achieved by retro- grade CTO PCI, demonstrated in many live case conferences, have led to its worldwide adoption. CTO lesions occur in 10%-20% of cases2-4; furthermore, retrograde CTO PCI accounts for 25%-50% of CTO PCI. How does Antegrade Pyelography look like? Normal Antegrade Pyelogram Obstructed Antegrade Pyelogram 8. What is Retrograde Pyelography? Retrograde pyelography uses special contrast agent (dye) to produce detailed X-ray pictures of the ureters and kidneys. The difference is that in retrograde pyelography the dye is injected directly into the.

Retrograde vs Antegrade - What's the difference? WikiDif

  1. Comparisons were made according to whether patients had transient vs. persistent conduction abnormalities and according procedural approach (retrograde vs. antegrade). We used univariate analysis to compare the effects of each risk factor on transient and persistent conduction abnormalities. Multinomial logistic regression was used to compare patients who developed persistent conduction.
  2. The retrograde approach was previously described to achieve dilation when the conventional antegrade method fails. Setting: Gastroenterology laboratory in a tertiary referral center. Patient: A 30-year-old man with congenital T-cell immunodeficiency had complete esophageal obstruction after a severe episode of cryptococcal meningitis that required prolonged nasogastric intubation. For the next.
  3. Retrograde approach for implantation of left ventricular pacing lead in anterolateral branch of coronary sinus (CS) using collaterals and externalization via CS ostium through one delivery sheath with the support of commonly used micro-guide catheter. This new technique obviated the need for snare and is being reported for the first time. Introduction. This case describes how a stable wire.
  4. antegrade: ( an'tĕ-grād ), In the direction of normal movement, as in blood flow or peristalsis. [ante- + L. gradior , to walk
  5. Transient and persistent conduction abnormalities following transcatheter aortic valve replacement with the Edwards-Sapien prosthesis: a comparison between antegrade vs. retrograde approaches | springermedizin.de Skip to main conten

Retrograde vs. antegrade fl exible nephroscopy for ..

Retrograde Approach is as Effective and Safe as Antegrade

  1. antegrade/retrograde approach A 75-year-old woman with a history of laryngeal cancer status post-chemorad-iation, tracheostomy, and percutaneous endoscopic gastrostomy presented with dysphagia, weight loss, and inability to tolerate excess respiratory secretions. Esophagogastroduodenoscopy (EGD) 2 months prior was reported incomplete due to large Zenker's diverticulum, and.
  2. Antegrade approaches for TAVR Antegrade approaches for TAVR Feldman, Ted 2014-01-01 00:00:00 Lam et al. describe an antegrade transseptal strategy for facilitating retrograde transcatheter passage of a transcatheter aortic valve replacement (TAVR) device for a valve‐in‐valve procedure. The utilization of a transseptal antegrade wire to facilitate a retrograde procedure is a highly.
  3. ed the contemporary outcomes of the retrograde approach to CTO PCI ai
  4. Article metrics ; Last updated: Thu, 20 May 2021 22:46:03 Z; Transient and persistent conduction abnormalities following transcatheter aortic valve replacement with the Edwards-Sapien prosthesis: a comparison between antegrade vs. retrograde approache
  5. Antegrade and Retrograde Ureteral Stenting. Authors; Authors and affiliations; Peggy J. Fritzsche; Chapter. 2 Citations; 112 Downloads; Part of the Clinical Practice in Urology book series (PRACTICE UROLOG) Abstract. Ureteral stents have been used for many years to provide both short- and long- term drainage of the urinary tract. Early stents were primarily placed in conjunction with ureteral.
  6. Serel TA , Sevin G , Perk H , Kooar A , Soyupek S . Antegrade extraperitoneal approach to radical cystectomy and ileal neobladder. Int J Urol. 2003;10(1), 25-8. [20] Varkarakis IM , Chrisofos M , Antoniou N , Papatsoris A , Deliveliotis C . Evaluation of findings during re-exploration for obstructive ileus after radical cystectomy and ileal.
Anterograde Versus Retrograde Lead Placement | Anesthesia Key(PDF) Antegrade Versus Retrograde Locked Intramedullary

The Retrograde Approach Thoracic Ke

Sigma-Aldrich offers abstracts and full-text articles by [Eric Huyghe, Guillaume Crenn, Béatrice Duly-Bouhanick, Delphine Vezzosi, Antoine Bennet, Fouad Atallah, Michel Mazerolles, Ali Salloum, Matthieu Thoulouzan, Boris Delaunay, Solange Grunenwald, Jacques Amar, Pierre Plante, Bernard Chamontin, Philippe Caron, Michel Soulié] Antegrade ureteroscopy (URS) performed through a percutaneous approach is often a useful treatment option for proximal and mid-ureteral calculi when retrograde URS is not possible. The following chapter will discuss a brief history of percutaneous ureteral stone surgery, modern uses of antegrade URS, indications for antegrade URS, a description.

Video: Antegrade Is More Effective Than Retrograde Enteroscopy

RetrogradeNARUS 2019: Port Placement Principles for Xi and Si RobotsApproach to narrow complex tachycardia: non-invasive guide

Different strategies of retrograde approach in coronary

c-arm fluoroscopy. c-arm from contralateral side perpendicular to patient if on flat top table. c-arm from contralateral side at 45° towards hip if on fracture table. take initial biplanar flouroscopic images of hip to examine femoral neck. 3. Patient positioning. if using flat top table, patient is supine with small bump under ipsilateral hip To determine the efficacy of a cystoscopic approach, as definitive treatment of ureteral fistulae, after failure of antegrade ureteral stent insertion. Of 43 ureter fistulae encountered over 4 years, 10 postoperative and/or postradiotherapy fistulae could not be stented via an antegrade approach alone. A cystoscopic approach was used, with the antegrade approach available as back-up, if necessary Consult this session on a CTO antegrade and retrograde approach, that includes a LIVE demonstration from National Heart Centre - Singapore.Session CTO - antegrade and retrograde approach: Part There are so many theories and approaches associated with DHCA- and they lie beyond the scope of this post. This is a brief presentation on Antegrade and Retrograde cerebral perfusion techniques. FIGURE 13-4 Bilateral antegrade cerebral perfusion obtained by selective cannulation of the innominate and left common carotid artery. Upper right: retrograde cerebral perfusion via the superior vena.

Common femoral artery antegrade and retrograde approaches have similar access site complications. Previous Article Contemporary outcomes of thoracofemoral bypass. Next Article Preoperative beta blockade is associated with increased rates of 30-day major adverse cardiac events in critical limb ischemia patients undergoing infrainguinal revascularization. Abstract. Objective. Ipsilateral. The time needed by the recently detected thrombus to reach the catheter tip determined by ultrasound with or without catheter failure was significantly longer in the retrograde catheters than in the antegrade catheter with median time (interquartile range [range]) 9 days (8-9 [7-10]) with 95% CI, 8.76-9.24 vs 4 days (4-5 [3-6]) with 95% CI, 3.76-4.24, respectively, with a P value. Lesions treated with a final retrograde approach were shorter (75.3±34.9 vs 87.6±31.3 mm, p=0.005) and were more likely to be treated with a reentry device (34.2% vs 9.2%, p<0.001) and with balloon-expandable stents (39.2% vs 17.7%, p=0.005). The final antegrade approach was associated with a lower risk of target lesion complications (OR 0.07, 95% CI 0.01 to 0.81, p=0.034). The two crossing.

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