Zugangswege zur endovaskulären Therapie der peripheren arteriellen Verschlusskrankheit^[*]

Fazit

Die Möglichkeiten eines arteriellen Zugangs sind vielfältig. Mit unkonventionellen Techniken wie den retrograden Zugängen über die distale A. femoralis superficialis (AFS) sowie die Unterschenkel- und Fußarterien ist eine Ausweitung der endovaskulären Therapie auf komplexere Läsionen mit höherer Erfolgsrate als mit dem alleinigen antegraden Zugang möglich. Eine gute Kenntnis der Technik und Erfahrung sind erforderlich, um Komplikationen zu minimieren.

^* Dieser Artikel ist ein adaptierter Zweitabdruck des Beitrags in: Gefäßmedizin Scan 2014; 1: 135 – 151

• Literatur

• 1 Gutzeit A, Schoch E, Reischauer C et al. Comparison of a 21G micropuncture needle and a regular 19G access needle for antegrade arterial access into the superficial femoral artery. Cardiovasc Intervent Radiol 2014; 37: 343-347
• 2 Das R, Ahmed K, Athanasiou T et al. Arterial closure devices versus manual compression for femoral haemostasis in interventional radiological procedures: a systematic review and meta-analysis. Cardiovasc Intervent Radiol 2011; 34: 723-738
• 3 Kweon M, Bhamidipaty V, Holden A et al. Antegrade superficial femoral artery versus common femoral artery punctures for infrainguinal occlusive disease. J Vasc Interv Radiol 2012; 23: 1160-1164
• 4 Funke C, Pfiffner R, Husmann M et al. The use of the „preclosure“ technique for antegrade aspiration thrombectomy with large catheters in acute limb ischemia. Cardiovasc Intervent Radiol 2013; 36: 377-384
• 5 Noory E, Rastan A, Schwarzwälder U et al. Retrograde transpopliteal recanalization of chronic superficial femoral artery occlusion after failed re-entry during antegrade subintimal angioplasty. J Endovasc Ther 2009; 16: 619-623
• 6 Schmidt A, Bausback Y, Piorkowski M et al. Retrograde recanalization technique for use after failed antegrade angioplasty in chronic femoral artery occlusions. J Endovasc Ther 2012; 19: 23-29
• 7 Schmidt A, Scheinert D. Distal superficial femoral artery (SFA) access. In: Dieter RS, Dieter Jr RA, Dieter III RA, , eds. Endovascular Interventions. A case-based approach. Chapter 56. Berlin: Springer; 2014: 633-644
• 8 Adam DJ, Beard JD, Cleveland T et al. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial. Lancet 2005; 366: 1925-1934
• 9 Soder HK, Manninen HI, Jaakkola P et al. Prospective trial of infrapopliteal artery balloon angioplasty for critical limb ischemia: angiographic and clinical results. J Vasc Interv Radiol 2000; 11: 1021-1031
• 10 Mustapha JA, Saab F, Diaz L et al. Utility and feasibility of ultrasound-guided access in patients with critical limb ischemia. Catheter Cardiovasc Intervent 2013; 81: 1204-1211
• 11 Mustapha JA, Saab F, McGoff T et al. Tibio-pedal arterial minimally invasive retrograde revascularization in patients with advanced peripheral vascular disease: the Tami technique, original case series. Catheter Cardiovasc Interv 2014; 83: 987-994
• 12 Palena LM, Manzi M. Extreme below-the-knee interventions: retrograde transmetatarsal or transplantar arch access for foot salvage in challenging cases of critical limb ischemia. J Endovasc Ther 2012; 19: 805-811
• 13 Manzi M, Palena LM. Retrograde percutaneous transmetatarsal artery access: new approach for extreme revascularization in challenging cases of critical limb ischemia. Cardiovasc Intervent Radiol 2013; 36: 554-557
• 14 Palena LM, Brocco E, Manzi M. The clinical utility of below-the-ankle angioplasty using “transmetatarsal artery access” in complex cases of CLI. Catheter Cardiovasc Interv 2014; 83: 123-129
• 15 Manzi M, Palena LM, Brocco E. Is digital arteries recanalization useful to preserve the foot functionality and avoid toes amputation, after pedal recanalization?. Clinical results. J Cardiovasc Surg (Torino) 2012; 53: 61-68
• 16 Schmidt A, Scheinert D. Transpedal access. In: Lanzer P, , ed. Catheter-Based Cardiovascular Interventions. Chapter 25. Berlin: Springer; 2013: 413-422
• 17 Iyer SS, Dorros G, Zaitoun R et al. Retrograde recanalization of an occluded posterior tibial artery by using a posterior cutdown: two case reports. Cathet Cardiovasc Diagn 1990; 20: 251-253
• 18 Montero-Baker M, Schmidt A, Bräunlich S et al. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther 2008; 15: 594-604
• 19 Walker C. Pedal access in critical limb ischemia. J Cardiovasc Surg 2014; 55: 225-227
• 20 Lorenzoni R, Lisi C, Corciu A et al. Tailored use of transradial access for above-the-Knee angioplasty. J Endovasc Ther 2014; 21: 635-640
• 21 Scheinert D, Bräunlich S, Nonnast-Daniel B et al. Transradial approach for renal artery stenting. Catheter Cardiovasc Interv 2001; 54: 442-447
• 22 Krankenberg H, Schlüter M, Schwencke C et al. Endovascular reconstruction of the aortic bifurcation in patients with Leriche syndrome. Clin Res Cardiol 2009; 98: 657-664
• 23 Kian K, Shapiro JA, Salman L et al. High brachial artery bifurcation: clinical considerations and practical implications for an arteriovenous access. Semin Dial 2012; 25: 244-247
• 24 Schäfer U, Ho Y, Frerker C et al. Direct percutaneous access technique for transaxillary transcatheter aortic valve implantation. J Am Coll Cardiol Intv 2012; 5: 477-486