Journal article
Combined Radial-Pedal Access Strategy and Radial-Pedal Rendezvous in the Revascularization of Complex Total Occlusions of the Superficial Femoral Artery (the "No Femoral Access" Strategy)
Journal of endovascular therapy, Vol.23(2), pp.321-329
04/01/2016
DOI: 10.1177/1526602816629609
PMID: 26848132
Abstract
Purpose: To describe the combined use of radial-pedal access for recanalization of complex superficial femoral artery (SFA) occlusions unsuitable for transfemoral recanalization. Technique: Patients are selected for this strategy if they have a long (10 cm) SFA occlusion with unfavorable aortoiliac anatomy, an absent ostial stump, or severely diseased and calcified distal reconstitution. Left radial artery and distal anterior or posterior tibial artery are accessed with 6-F and 4-F sheaths, respectively. The SFA lesion is crossed retrogradely with a 0.035-inch wire system. If retrograde crossing is not immediately successful, transradial subintimal tracking and radial-pedal subintimal rendezvous are used to allow retrograde reentry. Fifteen patients (mean age 62 +/- 5 years; 11 men) have been treated in this fashion, and frequently stented, through the tibiopedal access. Seven patients required radial-pedal rendezvous to facilitate retrograde reentry. Two patients underwent transradial iliac stenting during the same session, and 1 patient underwent transradial kissing angioplasty of the profunda. No major complication occurred in any patient. After the procedure, the pulse across the accessed tibial artery was palpable in all patients. Conclusion: In patients with long and complex SFA occlusion unsuitable for transfemoral recanalization, a radial-pedal strategy can overcome revascularization obstacles.
Details
- Title: Subtitle
- Combined Radial-Pedal Access Strategy and Radial-Pedal Rendezvous in the Revascularization of Complex Total Occlusions of the Superficial Femoral Artery (the "No Femoral Access" Strategy)
- Creators
- Elias B. Hanna - Louisiana State UniversityDavey L. Prout - Louisiana State University
- Resource Type
- Journal article
- Publication Details
- Journal of endovascular therapy, Vol.23(2), pp.321-329
- Publisher
- Sage
- DOI
- 10.1177/1526602816629609
- PMID
- 26848132
- ISSN
- 1526-6028
- eISSN
- 1545-1550
- Number of pages
- 9
- Language
- English
- Date published
- 04/01/2016
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984359807702771
Metrics
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