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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
Static contrast technique for creating transpedal arterial access in patients with tibioperoneal occlusions
John Chien-Hwa Chang1, Lau-Shen Lin, Chih-Hung Chiu
1Division of Vascular Surgery, Department of Surgery, Buddhist Dalin Tzu Chi General Hospital, Chiayi County, Taiwan; Department of Surgery, College of Medicine, Tzu Chi University, Hualien County, Taiwan.
Abstract:
Transpedal arterial access is a useful but challenging technique for patients with tibioperoneal occlusions. It is associated with a long learning curve, requires the administration of a large amount of contrast media, and exposes patients and interventionists to additional radiation. Here we present a new technique by which it is easier and faster to create a transpedal arterial access.
