Intravascular ultrasound optimization of drug‐eluting stents: Still not enough data

One of the mechanisms of technical failure in the treatment of tibial artery occlusive disease includes an inability to re‐enter the true lumen of the tibial vessel distal to the occlusion following tracking of the interventional wire into the subintimal space. We report the first case using a coronary 0.014″ re‐entry system (Stingray? Chronic Total Occlusions Re‐entry System, BridgePoint Medical) in the treatment of a complex tibial artery occlusion where the antegrade approach initially failed due to this mechanism. The re‐entry system allowed completion of antegrade recanalization of the occlusion and represents an important addition to the interventional armamentarium for the treatment of complex tibial artery disease. © 2010 Wiley‐Liss, Inc.