Transpedal Approach in Failed Antegrade Attempt of Lower Limb Peripheral Arterial Disease —A Review with Different Treatment Strategies

Int J Angiol DOI: 10.1055/s-0040-1709504Transpedal access is an evolving technique primarily used in patients after failed femoral antegrade approach to revascularize complex tibiopedal lesions. In patients who are at high risk for surgery the transpedal access may be the only option in failed antegrade femoral access to avoid amputation of the limbs. In recent years transpedal access is used routinely to revascularize supra-popliteal lesions due to more success and less complications over femoral artery approach. Retrograde approach parse will not give success in all cases and importantly success depends on techniques used. There are different techniques that need to be used depending on lesion characteristics, comorbidities, and hardware available to improve success with less complications. This review provides different strategies for successful treatment of iliac and femoral artery lesions by transpedal approach after failed antegrade femoral attempt. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: International Journal of Angiology - April 22, 2020 Category: Cardiology Authors: Nath, Ranjit Kumar Subramaniyan, Siva Pandit, Neeraj Vatsa, Deepankar Tags: Review Article Source Type: research