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Percutaneous Femoropopliteal Recanalization Using a Completely Transpedal/Transtibial Approach

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Abstract

Purpose

To report preliminary experience with femoropopliteal revascularization using a completely transpedal/transtibial approach.

Materials and Methods

Three patients with Rutherford 3–4 disease underwent revascularization of TASC C/D lesions using a pedal/tibial artery as the only site of arterial access.

Results

One patient with a chronic superficial femoral artery occlusion had continuity achieved to the common femoral artery using a dedicated reentry device and stenting; in a second patient, an occluded popliteal artery stent was successfully revised with an endograft; and in a third patient with morbid obesity, a chronic SFA occlusion was successfully stented. All patients experienced complete resolution of presenting symptoms; no puncture site complications were seen.

Conclusions

Use of a pedal/tibial approach as the sole site of arterial access may become an important access technique for femoropopliteal revascularization when patients have limited femoral access options.

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Authors and Affiliations

  1. Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, University of Pennsylvania Medical Center, 39th and Market Streets, Philadelphia, PA, 19104, USA

    Timothy W.I. Clark & Micah M. Watts

  2. Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Medical Center, New York, NY, USA

    Tak W. Kwan

Authors
  1. Timothy W.I. Clark
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  2. Micah M. Watts
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  3. Tak W. Kwan
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Corresponding author

Correspondence to Timothy W.I. Clark.

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Conflict of Interest

Timothy W. I. Clark has received royalties and consulting fees (Teleflex, Merit Medical); Founder (Forge Medical). Micah M. Watts and Tak W. Kwan declare nothing to disclose.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional and/or National Research Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Clark, T.W., Watts, M.M. & Kwan, T.W. Percutaneous Femoropopliteal Recanalization Using a Completely Transpedal/Transtibial Approach. Cardiovasc Intervent Radiol 39, 1750–1758 (2016). https://doi.org/10.1007/s00270-016-1427-x

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  • DOI: https://doi.org/10.1007/s00270-016-1427-x

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