Abstract
The transfemoral access route remains the first choice for the treatment of patients with peripheral occlusive disease. Distal pedal access techniques allow treatment of complex crural and distal popliteal arterial occlusive disease in cases of transfemoral recanalization failure, with relatively low complication rates. The outcome strongly depends on the experience of interventional centers and individual interventionalists.
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References
Rogers RK, Dattilo PB, Garcia JA, Tsai T, Casserly IP. Retrograde approach to recanalization of complex tibial disease. Catheter Cardiovasc Interv. 2011;77:915–25.
Iyer SS, Dorros G, Zaitoun R, Lewin RF. Retrograde recanalization of an occluded posterior tibial artery by using a posterior tibial cutdown: two case reports. Catheter Cardiovasc Diagn. 1990;20:251–3.
Hendricks NJ, Sabri SS. Subintimal arterial flossing with antegrade–retrograde intervention (SAFARI) and retograde access for critical limb ischemia. Tech Vasc Interv Radiol. 2014;17:203–10.
Tsetis DK. Arterial access. In: Morgan RA, Walser E, editors. Handbook of angioplasty and stenting procedures (Internet). London: Springer; 2010. p. 27–39. (cited August 21, 2015). http://link.springer.com/chapter/10.1007/978-1-84800-399-6_4.
Wiechmann BN. Tibiopedal access for lower extremity arterial intervention: when to use and how to perform. Tech Vasc Interv Radiol. 2014;17:197–202.
van Overhagen H, Spiliopoulos S, Tsetis D. Below-the-knee interventions. Cardiovasc Intervent Radiol. 2013;36:302–11.
Bell JK, Chalmers N. Sites of arterial access and the role of closure devices in percutaneous arterial intervention. In: Herausgeber CM, editor. Vasc Interv Radiol Curr Evid Endovasc Surg (Internet). Berlin/Heidelberg: Springer; 2011. (cited August 26, 2015). http://linkspringer.helios-zentralbibliothek.de/chapter/10.1007/174_2011_514.
Bazan HA, Le L, Donovan M, Sidhom T, Smith TA, Sternbergh WC. Retrograde pedal access for patients with critical limb ischemia. J Vasc Surg. 2014;60:375–81.
Spinosa DJ, Harthun NL, Bissonette EA, Cage D, Leung DA, Angle JF, et al. Subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia. J Vasc Interv Radiol JVIR. 2005;16:37–44.
Hua WR, Yi MQ, Min TL, Feng SN, Xuan LZ, Xing J. Popliteal versus tibial retrograde access for subintimal arterial flossing with antegrade–retrograde intervention (SAFARI) technique. Eur J Vasc Endovasc Surg. 2013;46:249–54.
Kamper L, Haage P. Percutaneous access for endovascular therapy of PAOD. Femoral, popliteal and pedal. Radiologe 2016;56:223–32.
Ruzsa Z, Nemes B, Bánsághi Z, Tóth K, Kuti F, Kudrnova S, et al. Transpedal access after failed anterograde recanalization of complex below-the-knee and femoropoliteal occlusions in critical limb ischemia. Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2014;83:997–1007.
Montero-Baker M, Schmidt A, Bräunlich S, Ulrich M, Thieme M, Biamino G, et al. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther Off J Int Soc Endovasc Spectrum. 2008;15:594–604.
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Kamper, L., Haage, P. (2018). Transpedal Access. In: Lanzer, P. (eds) Textbook of Catheter-Based Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-55994-0_25
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DOI: https://doi.org/10.1007/978-3-319-55994-0_25
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