Transpedal approach for iliac artery stenting: A pilot study
Jips J Zachariah1, Justin A Ratcliffe1, Michael Ruisi1
1Mount Sinai Beth Israel Hospital, New York, NY.
Summary
The transpedal approach offers a safe and feasible alternative for iliac artery stenting, avoiding common femoral artery complications. This minimally invasive technique shows promising results for endovascular interventions.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Interventions
Background:
- The common femoral artery is the standard access site for iliac artery interventions.
- This traditional approach carries a 2% complication rate, including serious retroperitoneal bleeding.
- Femoral access is linked to longer recovery and delayed ambulation, particularly in ambulatory settings.
Purpose of the Study:
- To evaluate the safety and feasibility of the transpedal approach for iliac artery intervention.
- To present transpedal access as an alternative arterial access site.
Main Methods:
- Prospective follow-up of 12 patients undergoing iliac artery stenting via transpedal access.
- Ultrasound-guided visualization and access of a pedal artery.
- Iliac artery stenting performed per protocol with post-procedure monitoring and follow-up at one week and one month.
Main Results:
- Successful stent placement in all 12 patients (100%) using transpedal access.
- No conversions to femoral access were necessary.
- Zero complications were reported immediately post-procedure or during the follow-up period.
- One-month duplex ultrasound confirmed patent stents and patent pedal access sites in all patients.
Conclusions:
- Transpedal arterial access is a safe and feasible option for iliac artery stenting.
- This approach may offer benefits by avoiding femoral artery access.
- Larger comparative studies are warranted to directly compare transpedal and femoral approaches.
