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Retrograde Proximal Anterior Tibial Artery Access for Treating Femoropopliteal Segment Occlusion: A Novel Approach
Journal article   Peer reviewed

Retrograde Proximal Anterior Tibial Artery Access for Treating Femoropopliteal Segment Occlusion: A Novel Approach

Breno Boueri Affonso, Fernanda Uchiyama Golghetto Domingos, Joaquim Maurício da Motta Leal Filho, Macello José Sampaio Maciel, Rafael Noronha Cavalcante, Edgar Bortolini and Francisco Cesar Carnevale
Annals of vascular surgery, Vol.33, pp.237-244
05/01/2016
DOI: 10.1016/j.avsg.2015.11.021
PMID: 26902943

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Abstract

Some challenges have been detected when there are long and complex lesions of femoropopliteal arterial occlusive disease, even with descriptions of the retrograde pedal approaches. The aim of this article is to describe the retrograde proximal anterior tibial artery access for treatment of femoropopliteal segment occlusion when antegrade recanalization failed (retrograde recanalization and rearranging the system into an antegrade position). Technical and clinical success was achieved in 100% of 4 cases, with an improvement of at least 2 Rutherford classes. Minor complication, small hematoma in an anterior compartment of the limb, occurred in 1 patient. No sign of compartmental syndrome was observed.
Aged Aged, 80 and over Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - therapy Computed Tomography Angiography Constriction, Pathologic Endovascular Procedures - adverse effects Endovascular Procedures - methods Female Femoral Artery - diagnostic imaging Femoral Artery - surgery Hematoma - etiology Humans Male Middle Aged Popliteal Artery - diagnostic imaging Popliteal Artery - surgery Punctures Tibial Arteries - diagnostic imaging Treatment Outcome

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