Easy Technique to Overcome the Undesirable Catheterization of the Profunda Femoral Artery During Antegrade Femoral Access

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

doi:10.1016/j.avsg.2010.01.006

Cited by 3 publications

(3 citation statements)

References 7 publications

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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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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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“…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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“…However, this approach is more technically challenging compared to other approaches because the distal flow is limited due to puncture site compression. Further, it is associated with a higher occurrence of small haematomas and bleeding 20,21 ; thus, in order to perform this approach, an experienced vascular interventionist/ surgeon is needed. The approach begins with an antegrade puncture below the inguinal ligament.…”

Section: Basic Peripheral Intervention Access and Approachmentioning

confidence: 99%

Choosing the appropriate catheter and wire in peripheral intervention

Laksono¹,

Pasciolly²,

Munirwan³

et al. 2022

AsiaIntervention

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Endovascular treatment is becoming more common in managing patients with peripheral arterial disease. A carefully planned procedure is crucial for the outcome of the procedure. Several steps are necessary when performing endovascular procedures, including preplanning with vascular imaging using computed tomography angiography (CTA) or magnetic resonance angiography (MRA), choosing the right access and technique, and using the right devices (guidewires, sheaths, catheters). The length, diameter, stiffness, coating, and tip shape of the guidewire should be adjusted according to the initial information and preparation. A sheath is not always necessary but can be beneficial when several catheter changes are planned. There are three types of angiographic catheter (flush, exchange, and selective), each of which should be considered and used wisely according to its function. The guidewire, sheath, and catheter choices will follow from the initial information gathered, the access and technique chosen, and the availability of the devices.

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Easy Technique to Overcome the Undesirable Catheterization of the Profunda Femoral Artery During Antegrade Femoral Access

Cited by 3 publications

References 7 publications

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

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

Choosing the appropriate catheter and wire in peripheral intervention

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