Details

Autor(en) / Beteiligte

• Rogers, R. Kevin
• Dattilo, Philip B.
• Garcia, Joel A.
• Tsai, Thomas
• Casserly, Ivan P.

Titel

Retrograde approach to recanalization of complex tibial disease

Ist Teil von

• Catheterization and cardiovascular interventions, 2011-05, Vol.77 (6), p.915-925

Ort / Verlag

Hoboken: Wiley Subscription Services, Inc., A Wiley Company

Erscheinungsjahr

2011

Quelle

Wiley Online Library All Journals

Beschreibungen/Notizen

• A significant proportion (∼20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13 limbs from 12 patients. Retrograde pedal/tibial access was achieved in all cases (facilitated by surgical cutdown in one case), and procedural success was achieved in 11 of 13 limbs (85%). Based on this experience, a discussion of clinical and technical aspects of the retrograde pedal/tibial approach is provided, and a new classification for tibial artery occlusive disease is proposed. © 2011 Wiley‐Liss, Inc.