Easy technique for retro-antegrade superficial femoral artery catheterization

Ysa, August; Arruabarrena, Amaia; Bustabad, Maite R.; Peña, Marta

doi:10.1016/j.jvs.2008.06.003

Cited by 10 publications

(9 citation statements)

References 8 publications

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“…Various strategies have been described to facilitate antegrade puncture of the CFA: ultrasound-assisted punctures, modified angiographic needles or vessel dilator, the frog-leg position, the use of specially curved dilators/catheters, and the use of a movable-core guidewire. [1][2][3][4][5][6][7][8][9] Catheter/wire exchanges and modifications of the patient position may dislodge the guidewire or cause a groin hematoma. 4 Moreover, if the distance between the artery entry point and the PFA is not sufficient it might hamper manipulation of the wire or the curved catheters/dilators.…”

Section: Discussionmentioning

confidence: 99%

On-Site–Modified Sheath to Overcome the Undesirable Catheterization of the Profunda Femoris Artery During Antegrade Femoral Access

et al. 2020

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Purpose: To present a simple method to avoid favored passage of a guidewire into the profunda femoris artery (PFA) after antegrade puncture of the common femoral artery. Technique: A 6-F conventional introducer sheath with a radiopaque distal marker is placed on the nurse’s table with its side port orientated to the 12 o’clock position. A small (2–2.5 mm) oval fenestration is created on the superior aspect of the sheath about 3 cm from its tip with a size 11 surgical blade. The modified introducer is passed over the angled 0.035-inch guidewire into the PFA and gently retrieved until the tip marker is ~3 cm from the femoral bifurcation. The dilator is removed, and the guidewire is withdrawn to the level of the fenestration, manipulated through it, and advanced further into the superficial femoral artery under fluoroscopic guidance. Conclusion: When repeated passage of the guidewire down the PFA persists despite conventional manipulation of the wire or needle, an on-site modification of the sheath is an easy alternative approach for the catheterization of the superficial femoral artery.

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Section: Discussionmentioning

confidence: 99%

On-Site–Modified Sheath to Overcome the Undesirable Catheterization of the Profunda Femoris Artery During Antegrade Femoral Access

et al. 2020

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“…There are reports in the literature where antegrade approach was tried in difficult cases by using different techniques. Antegrade punctures have been tried with support of balloons, [5][6] have been tried with pre-curved needles, [7][8] tried with wires, 9 or more complex tools. [10][11] Diagnostic catheters with different tip shapes which can make antegrade entry into SFA like Sidewinder, 12 SOS, 13 Cobra, 14 angled 15 and triangulard 16 catheters have all been tried with varied success.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up

Krishnappa¹,

Rachaiah²,

Hegde³

et al. 2018

JCDR

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Background: Significant stenosis in both supra-inguinal and infra-inguinal arteries can be seen in a single given patient. When both are diseased, crossover technique from opposite femoral arteries or upper limb approach is the preferred technique. However, lot of anatomical factors can affect reaching the area from opposite femoral artery or upper limb. The purpose of this study is to determine the safety, efficacy, mid-term clinical and radiological outcome of the endovascular treatment using retrograde and antegrade femoral artery approach in those patients who have significant stenosis of both supra and infra inguinal arteries, from a single ipsilateral common femoral artery puncture. Materials and Methods: Between 2015 and 2017, we performed angioplasty to lower limb arteries for 73 patients at our centre. Among them 17 patients had significant stenosis of ipsilateral supra and infra-inguinal arteries. 12 patients underwent ipsilateral retrograde femoral artery puncture to access iliac arteries under fluoroscopy guidance, followed by converting the same puncture into antegrade approach to tackle superficial femoral artery or popliteal artery. Rest of the 5 patients, had alternative approaches (left upper limb or contralateral femoral artery) because of the involvement of ipsilateral femoral artery at the puncture site. Results: Acute success rate was 100%. There were no significant peri-procedure complications. At the latest clinical follow-up (mean of 21.25 months), a restenosis rate of 16.67% in infra-inguinal arteries and none in supra-inguinal arteries. Conclusion: Percutaneous retrograde femoral artery puncture and converting the same puncture into antegrade approach, to high-grade combined ipsilateral supra-inguinal and infra-inguinal artery stenosis is a viable, reasonably safer, one of the options to contralateral cross over or upper limb approach, with good midterm clinical results and patency rates.

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“…Alternative methods for the antegrade approach to the ipsilateral SFA with the aid of balloons have been described, 2 , 3 as well as with pre-curved needles, 4 , 5 wires, 6 or more complex sets. 7 , 8 However, the double puncture technique, big sheaths, and some cumbersome manoeuvres are usually required.…”

Section: Discussionmentioning

confidence: 99%

Reverse Retrograde Approach: An Alternative Method for Ipsilateral Access to the Superficial Femoral Artery

Miralles

Candela

Blanes

et al. 2016

EJVES Short Reports

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Access for endovascular treatment of the superficial femoral artery (SFA) is usually gained through an antegrade approach from the ipsilateral common femoral artery (CFA), or by crossing over from the contralateral CFA. In this technical note, an alternative method, based on retrograde access of the ipsilateral iliac artery (IA), and conversion into an antegrade approach to the SFA, is described. Successful reverse ipsilateral catheterisation was obtained in 15/16 patients. Calcification of the CFA and IA required a crossover approach in one case. There were no complications related to the technique, except for moderate bleeding in relation to the deployment of a closure device.

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Easy technique for retro-antegrade superficial femoral artery catheterization

Cited by 10 publications

References 8 publications

On-Site–Modified Sheath to Overcome the Undesirable Catheterization of the Profunda Femoris Artery During Antegrade Femoral Access

On-Site–Modified Sheath to Overcome the Undesirable Catheterization of the Profunda Femoris Artery During Antegrade Femoral Access

Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up

Reverse Retrograde Approach: An Alternative Method for Ipsilateral Access to the Superficial Femoral Artery

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