Sharp recanalization of chronic total venous occlusions using the TipsStar Steerable Cannula

Chronic total venous occlusions are challenging to recanalize due to anatomic complexity and limited directional control. This report describes the use of the TipsStar Steerable Cannula (BD) to facilitate sharp recanalization of chronic deep venous occlusions in five patients (3 males; 2 females; mean age, 47.2 ± 8.2 years) with symptomatic chronic total venous occlusions (mean length, 26.6 ± 13.9-mm). Indications included restoration of hemodialysis access (n = 2), relief of debilitating extremity symptoms (n = 2), and need for peripherally inserted central catheter for long-term antibiotics (n = 1). Technical success was 100%, requiring no more than three passes in all cases. There were no adverse events. The TipsStar Steerable Cannula represents a promising tool to facilitate sharp recanalization of chronic total venous occlusions.