Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications
Introduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage in critical limb ischemia (CLI) patients. In this manuscript we are presenting a case where retrograde tibiopedal access has been used as a bail-out procedure for the management o...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/7519748 |
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| author | Ahmed Amro Alaa Gabi Adee Elhamdani Naveed Iqbal Mehiar El-Hamdani |
| author_facet | Ahmed Amro Alaa Gabi Adee Elhamdani Naveed Iqbal Mehiar El-Hamdani |
| author_sort | Ahmed Amro |
| collection | DOAJ |
| description | Introduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage in critical limb ischemia (CLI) patients. In this manuscript we are presenting a case where retrograde tibiopedal access has been used as a bail-out procedure for the management of superficial femoral artery (SFA) intervention complications. Procedure/Technique. After development of a perforation while trying to cross the totally occluded mid SFA using the conventional CFA access, we were able to cross the mid SFA lesion after accessing the posterior tibial artery in a retrograde fashion and delivered a self-expanding stent which created a flap that sealed the perforation without the need for covered stent. Conclusion. Retrograde tibiopedal access is a safe and effective approach for delivery of stents from the distal approach and so can be used as a bail-out technique for SFA perforation. |
| format | Article |
| id | doaj-art-0c202218997147bd9b18a091e76ff938 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-0c202218997147bd9b18a091e76ff9382025-08-20T03:54:19ZengWileyCase Reports in Vascular Medicine2090-69862090-69942016-01-01201610.1155/2016/75197487519748Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention ComplicationsAhmed Amro0Alaa Gabi1Adee Elhamdani2Naveed Iqbal3Mehiar El-Hamdani4Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USAJoan C. Edwards School of Medicine, Marshall University, Huntington, WV, USAJoan C. Edwards School of Medicine, Marshall University, Huntington, WV, USAJoan C. Edwards School of Medicine, Marshall University, Huntington, WV, USAJoan C. Edwards School of Medicine, Marshall University, Huntington, WV, USAIntroduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage in critical limb ischemia (CLI) patients. In this manuscript we are presenting a case where retrograde tibiopedal access has been used as a bail-out procedure for the management of superficial femoral artery (SFA) intervention complications. Procedure/Technique. After development of a perforation while trying to cross the totally occluded mid SFA using the conventional CFA access, we were able to cross the mid SFA lesion after accessing the posterior tibial artery in a retrograde fashion and delivered a self-expanding stent which created a flap that sealed the perforation without the need for covered stent. Conclusion. Retrograde tibiopedal access is a safe and effective approach for delivery of stents from the distal approach and so can be used as a bail-out technique for SFA perforation.http://dx.doi.org/10.1155/2016/7519748 |
| spellingShingle | Ahmed Amro Alaa Gabi Adee Elhamdani Naveed Iqbal Mehiar El-Hamdani Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications Case Reports in Vascular Medicine |
| title | Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications |
| title_full | Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications |
| title_fullStr | Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications |
| title_full_unstemmed | Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications |
| title_short | Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications |
| title_sort | retrograde tibiopedal access as a bail out procedure for endovascular intervention complications |
| url | http://dx.doi.org/10.1155/2016/7519748 |
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