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Remote Endarterectomy (RE) is a less invasive alternative for revascularization of the lower extremity. LeMaitre Vascular
provides tools to assist in the recanalization of the long segment occlusions in the iliac artery, superficial femoral
artery, and proximal popliteal artery. RE requires the use if both surgical and endovascular techniques.
The goal of RE is to use and maintain the native artery for as long as possible, thus postponing the need for bypass. RE
also helps to open and maintain large arterial side branches and collaterals upon removal of atheroma core. Patient benefits
include preservation of the saphenous vein for future use. Decreased incisions allow for faster healing and fewer days spent
in the hospital.
EndoRE Applications
- Long Segment Occlusions: The EndoRE procedure is performed to remove long segment flush occlusions of the SFA and iliac
arteries.
- Stent Removal: Dissection is made around the occluded segment and the atheroma core inclusive of the SFA is removed.
- Failed Fem-Pop bypass: The native SFA is recannalized after the fem-pop bypass graft becomes non-functioning.
EndoRE Devices
The Martin™ Dissector is a spatula-shaped dissector used to separate the plaque core from the wall of the artery. The dissector
is designed to address moderate to severe calcification. The blunt dissecting edges of the spatula provide a more focused
force when encountering calcification.
The Vollmar Ring Dissector provides a fixed-diameter circumferential dissection plane. The rings are most effective when
dissecting soft, formed atheroma core with mild to moderate calcification.
The Mollring Cutter® Transection Device is a tool designed to transect and remove the plaque core at the designated endpoint or site of the
reconstitution of the artery. MollRing Cutters provide the ability to cut the core of the wall of the artery without
tearing. The rounded bottom edge of the cutter ring allows for a smooth advancement from the proximal arteriotomy to the
designated endpoint.
The EndoHelix™ Retrieval Device is a tool designed to remove fractured core segments from the lumen of the artery. The spatula end
allows dissection of the fractured core from the wall of the artery. The helical wire is then advanced and tightened over
the core, trapping the core segment for removal.
The Periscope® Dissector is a tool for use when crossing the endpoint with a guidewire becomes difficult. The spatula end
allows for dissection through the closed endpoint. A nitinol needle is extended from the palm of the spatula into the true
lumen of the artery. A .018" guidewire can be advanced through the needle into the true lumen. Once the guidewire is in
place, the Shubart Periscope is removed, leaving the guidewire for use in PTA of the endpoint.
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