Modified bare-back micro-retrograde tibial arterial access to facilitate peripheral endovascular therapy. J Vasc Surg Cases Innov Tech 2023 Sep;9(3):101204
Date
06/19/2023Pubmed ID
37333864Pubmed Central ID
PMC10273279DOI
10.1016/j.jvscit.2023.101204Scopus ID
2-s2.0-85162100967 (requires institutional sign-in at Scopus site)Abstract
Patients with critical limb threatening ischemia often present with complex segmental peripheral arterial chronic total occlusions, which might not be amenable to traditional antegrade revascularization techniques. For these patients, alternative retrograde revascularization techniques could be necessary. In the present report, we describe a novel modified retrograde cannulation technique using a bare back technique that eliminates the need for conventional tibial access sheath placement and, instead, facilitates distal arterial blood sampling, blood pressure monitoring, retrograde administration of contrast agents and vasoactive substances, and a rapid-exchange strategy. This cannulation strategy can serve as part of the armamentarium in the treatment of patients with complex peripheral arterial occlusions.
