Int J Angiol 2020; 29(03): 143-148
DOI: 10.1055/s-0040-1709504
Review Article

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

Ranjit Kumar Nath
1  Department of Cardiology, Guru Gobind Singh Indraprastha University, New Delhi, India
,
Siva Subramaniyan
1  Department of Cardiology, Guru Gobind Singh Indraprastha University, New Delhi, India
,
Neeraj Pandit
1  Department of Cardiology, Guru Gobind Singh Indraprastha University, New Delhi, India
,
Deepankar Vatsa
1  Department of Cardiology, Guru Gobind Singh Indraprastha University, New Delhi, India
› Author Affiliations

Abstract

Transpedal 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.



Publication History

Publication Date:
23 April 2020 (online)

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