Timothy W I Clark1, Micah M Watts2, Tak W Kwan3. 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.clark@uphs.upenn.edu. 2. Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, University of Pennsylvania Medical Center, 39th and Market Streets, Philadelphia, PA, 19104, USA. 3. Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Medical Center, New York, NY, USA.
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.
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.
Entities:
Keywords:
Arterial access; Chronic total occlusions; Endovascular; Recanalization; Transpedal
Authors: Mike Gorenchtein; Naveed Rajper; Philip Green; Pankaj Khullar; Daniel Amoruso; Christian Franz Bulacan; Tak Kwan; Joseph Puma; Justin Ratcliffe Journal: CVIR Endovasc Date: 2021-01-06