Modified bare-back micro-retrograde tibial arterial access to facilitate peripheral endovascular therapy

Faiz Gani, Momodou L. Jammeh, Mohamed A. Zayed

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with critical limb threatening ischemia often present with complex segmental peripheral arterial chronic total occlusions, which might not be amenable to traditional antegrade revascularization techniques. For these patients, alternative retrograde revascularization techniques could be necessary. In the present report, we describe a novel modified retrograde cannulation technique using a bare back technique that eliminates the need for conventional tibial access sheath placement and, instead, facilitates distal arterial blood sampling, blood pressure monitoring, retrograde administration of contrast agents and vasoactive substances, and a rapid-exchange strategy. This cannulation strategy can serve as part of the armamentarium in the treatment of patients with complex peripheral arterial occlusions.

Original languageEnglish
Article number101204
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume9
Issue number3
DOIs
StatePublished - Sep 2023

Keywords

  • Adductor hiatus
  • Chronic total occlusion
  • Endovascular recanalization
  • Endovascular surgery
  • Superficial femoral artery

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