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Related Concept Videos

Arteries of Lower Limbs01:20

Arteries of Lower Limbs

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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
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Related Experiment Video

Updated: Feb 23, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Reverse Retrograde Approach: An Alternative Method for Ipsilateral Access to the Superficial Femoral Artery.

M Miralles1, E Candela1, E Blanes1

  • 1Hospital Universitari I Politècnic La Fe, Department of Vascular Surgery, Bulevar Sur s/n, 46026 Valencia, Spain.

EJVES Short Reports
|September 1, 2017
PubMed
Summary

This study introduces a novel retrograde approach for superficial femoral artery (SFA) endovascular interventions. This technique offers a safe alternative for accessing the SFA when standard methods are challenging.

Keywords:
EndovascularRetrograde approachSuperficial femoral artery

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Techniques

Background:

  • Standard endovascular treatment of the superficial femoral artery (SFA) relies on antegrade access via the ipsilateral common femoral artery (CFA) or contralateral CFA crossover.
  • These conventional approaches can be challenging in cases of complex anatomy or severe calcification.

Purpose of the Study:

  • To describe and evaluate an alternative endovascular access technique for SFA treatment.
  • To present a novel method utilizing retrograde access of the ipsilateral iliac artery (IA) with conversion to an antegrade SFA approach.

Main Methods:

  • A technical note detailing a retrograde ipsilateral iliac artery access technique.
  • Successful implementation in a series of patients undergoing SFA endovascular procedures.
  • Assessment of procedural success and complications.

Main Results:

  • The described reverse ipsilateral catheterization technique was successful in 15 out of 16 patients.
  • A crossover approach was necessary in one patient due to calcification of the common femoral artery and iliac artery.
  • No major complications were reported, with only moderate bleeding associated with closure device deployment.

Conclusions:

  • Retrograde access of the ipsilateral iliac artery followed by conversion to an antegrade SFA approach is a feasible alternative.
  • This technique demonstrates a high success rate and a favorable safety profile for SFA interventions.
  • It provides a valuable option for challenging SFA access scenarios.