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Novel retrograde puncture technique for infrapopliteal artery revascularization: transplantar retrograde access

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Abstract

Patients with critical limbs ischemia received endovascular revascularization for his posterior tibial artery (PTA) to plantar artery long occlusion without proximal stump. Antegrade recanalization seemed impossible, so retrograde access should be considered. However, the conventional retrograde puncture was also not available. Therefore, novel retrograde transplantar access was conducted. The plantar artery was successfully punctured with a 20-G needle. In addition, a guidewire was retrogradely inserted with a sheathless technique. Finally, it was retrogradely crossed the occluded lesion. The final angiogram showed sufficient results. Transplantar retrograde access was feasible technique for infrapopliteal EVT, when the conventional antegrade and retrograde approaches were not available.

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Authors and Affiliations

  1. Miyazaki Medical Association Hospital, Cardiovascular Center, Funato 738-1, Shinbeppu-tyo, Miyazaki, Japan

    Tatsuya Nakama, Nozomi Watanabe, Kenji Ogata, Tatsuro Takei & Yoshisato Shibata

  2. Department of Cardiology, Kasukabe Chuo General Hospital, Saitama, Japan

    Hiroshi Ando

Authors
  1. Tatsuya Nakama
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  2. Hiroshi Ando
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  3. Nozomi Watanabe
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  4. Kenji Ogata
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  5. Tatsuro Takei
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  6. Yoshisato Shibata
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Corresponding author

Correspondence to Tatsuya Nakama.

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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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Informed consent was obtained from the patient who was reported in this case report.

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Nakama, T., Ando, H., Watanabe, N. et al. Novel retrograde puncture technique for infrapopliteal artery revascularization: transplantar retrograde access. Cardiovasc Interv and Ther 32, 287–293 (2017). https://doi.org/10.1007/s12928-016-0422-0

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  • DOI: https://doi.org/10.1007/s12928-016-0422-0

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