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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Tips and Tricks for Simple and Complex Below-the-Ankle Punctures.

August Ysa1, Marta Lobato1, Lorenzo Patrone2

  • 1Department of Vascular Surgery, Hospital de Cruces, Barakaldo, Spain.

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|March 5, 2024
PubMed
Summary
This summary is machine-generated.

For chronic limb-threatening ischemia (CLTI) cases, complex retrograde pedal access techniques can improve endovascular procedure success when standard methods fail. Mastering distal below-the-ankle (BTA) punctures offers a viable alternative for challenging vessel occlusions.

Keywords:
balloon angioplastybelow-the-anklebelow-the-kneechronic total occlusioncritical limb ischemialimb salvagepedal arteryplantar arteryrecanalizationretrograde approach

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Chronic limb-threatening ischemia (CLTI) poses significant challenges in endovascular recanalization.
  • Standard endovascular crossing techniques and retrograde access below the knee or ankle may fail due to extensive vessel occlusion.

Purpose of the Study:

  • To review and present tips and tricks for complex retrograde pedal access techniques.
  • To enhance procedural success rates in challenging CLTI cases.

Main Methods:

  • Review of existing literature and case reports on retrograde pedal access.
  • Description of techniques for mid- and forefoot retrograde punctures.

Main Results:

  • Scanty reports exist on retrograde puncture of mid- and forefoot vessels.
  • Detailed techniques can guide operators in specific challenging scenarios.

Conclusions:

  • Mastering distal retrograde pedal access, including mid- and forefoot punctures, is advantageous when standard CLTI recanalization fails.
  • These advanced techniques can improve procedural success rates in complex CLTI cases.