In this episode of BackTable Podcast, host Dr. Ally Behati invites interventional cardiologist Dr. Thomas Davis, Director of the Cardiac Catheterization Lab at St. John Hospital and Medical Center, to discuss re-entry devices, with a focus on the Pioneer Plus Catheter.

Dr. Davis shares his experience in using the Pioneer Plus, an intravascular ultrasound (IVUS) guided re-entry catheter in treating critical limb ischemia (CLI), especially in cases where it is difficult to stay intraluminal. He explains a novel ‘reorientation technique’, which allows proceduralists to remain in the true lumen while treating a chronic total occlusion. Dr. Davis also describes his workflow and decision points about when to reach for the catheter. To finish the episode, he covers post-procedure patient management, imaging follow up, and opportunities to learn more about treatment of peripheral vascular disease.

---

CHECK OUT OUR SPONSOR

Philips Pioneer Plus

https://www.usa.philips.com/healthcare/product/HCIGTDPPLUS/pioneer-plus-ivus-guided-re-entry-catheter

---

SHOW NOTES

00:00 Introduction to the Back Table Podcast

02:09 Dr. Davis’ Practice in CLI Treatment

04:18 The Decision to Use the Pioneer Plus Catheter

07:31 The Reorientation Technique for Staying in the True Lumen

11:49 Using Intravascular Ultrasound to Guide Your Wire

17:33 Learning and Troubleshooting with IVUS

21:48 Preparing for Subintimal Work

28:26 Post-Procedural Management and Imaging

30:12 Advice for Proceduralists in the CLI Space

---

RESOURCES

Pioneer Plus Re-Entry Catheter:

https://www.usa.philips.com/healthcare/product/HCIGTDPPLUS/pioneer-plus-ivus-guided-re-entry-catheter

Outback Re-Entry Catheter:

https://cordis.com/na/products/cross/endovascular/outback-elite-re-entry-catheter

Enteer Re-Entry Catheter

https://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/chronic-total-occlusion-devices/enteer.html

The Amputation Prevention Symposium (AMP) Meeting:

https://www.hmpglobalevents.com/amptheclimeeting