Transpedal approach for iliac artery stenting: A pilot study

Zachariah, Jips J.; Ratcliffe, Justin; Ruisi, Michael; Puma, Joseph A.; Bertrand, Olivier; Kwan, Tak

doi:10.1016/j.carrev.2016.09.004

Cited by 7 publications

(13 citation statements)

References 11 publications

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“…Finally, studies that did not include ≥10 punctures via the BTK arteries were excluded, leaving 19 articles for data abstraction. 5,12,14,15,19–33…”

Section: Resultsmentioning

confidence: 99%

“…5,23,24,26 One study 14 described the use of a 2.9-F microsheath. A 4-F sheath was used in 7 studies, 12,19,22,27,29,30,33 of which 2 studies 27,33 allowed later use of a 6-F sheath to facilitate retrograde interventions. The most common guidewires were 0.014-inch and 0.018-inch; several studies allowed for an upsize to 0.035-inch wires, 23,29 dedicated CTO wires, 5,26,30 or crossing devices.…”

Section: Resultsmentioning

confidence: 99%

“…In 294 interventions, lesion crossing and balloon angioplasty ± stenting was performed solely using the retrograde access site. 14,15,20,5,27,32,33…”

Section: Resultsmentioning

confidence: 99%

“…5 The PTA was punctured at or distal to the ankle. 5,23 Ultrasound was used to obtain access in 10 studies, 12,15,19,20,23,24,27,29,30,33 6 allowed for a combination of ultrasound and fluoroscopy, 14,21,22,28,31,32 and 3 studies 5,25,26 described punctures using only fluoroscopy guidance. Sheathless access was performed in 4 studies.…”

Section: Intervention Strategymentioning

confidence: 99%

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Below-the-Knee Retrograde Access for Peripheral Interventions: A Systematic Review

et al. 2018

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A retrograde approach to facilitate peripheral endovascular interventions is a safe and successful technique and should be considered when an antegrade approach is not possible or fails to cross the lesion. Because of missing data on long-term outcomes and methodological shortcomings, real world data of retrograde access in nonexpert centers remains necessary before this technique can be advised to all interventionists dealing with peripheral artery disease.

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“…Finally, studies that did not include ≥10 punctures via the BTK arteries were excluded, leaving 19 articles for data abstraction. 5,12,14,15,19–33…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…In 294 interventions, lesion crossing and balloon angioplasty ± stenting was performed solely using the retrograde access site. 14,15,20,5,27,32,33…”

Section: Resultsmentioning

confidence: 99%

Section: Intervention Strategymentioning

confidence: 99%

See 2 more Smart Citations

Below-the-Knee Retrograde Access for Peripheral Interventions: A Systematic Review

et al. 2018

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“…Similar success was achieved in superficial femoral artery interventions using the pedal artery as the sole access site . In the treatment of iliac artery disease specifically, successful interventions via a single transpedal access or dual transpedal and transradial access have also been recently described (Auguste et al 2015;Zachariah et al 2016).…”

Section: Discussionmentioning

confidence: 99%

Treatment of an external iliac artery chronic total occlusion using alternate access sites

et al. 2019

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Background: With the advent of endovascular techniques, alternate sites such as the pedal and radial arteries can now be accessed when treating peripheral arterial disease to reduce procedural complications, shorten recovery time, and improve patient comfort. However, a paucity of literature exists on the availability of support devices that can be utilized during challenging cases. Case presentation: A 70 year-old female patient presented for evaluation of severe lifestyle-limiting left-sided claudication refractory to maximal medical therapy. Angiography revealed a chronic total occlusion of the left external iliac artery, which was treated successfully by percutaneous intervention via a primary transpedal approach and with the assistance of the Outback® Elite re-entry device. The patient was discharged 2 h after the procedure and reported significant symptom improvement at follow-up. Conclusion: This case highlights a newly adopted endovascular approach through an alternate access site and illustrates how the Outback® Elite device can be used as an adjunctive tool in the treatment of complex lowerextremity vascular lesions.

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Primary Retrograde Dorsalis Pedis Artery Single Access for Revascularization of Chronic Total Occlusion in Patients with Critical Limb Ischemia

Raskin

Khaitovich

Silverberg

et al. 2019

Journal of Vascular and Interventional Radiology

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Transpedal approach for iliac artery stenting: A pilot study

Cited by 7 publications

References 11 publications

Below-the-Knee Retrograde Access for Peripheral Interventions: A Systematic Review

Below-the-Knee Retrograde Access for Peripheral Interventions: A Systematic Review

Treatment of an external iliac artery chronic total occlusion using alternate access sites

Primary Retrograde Dorsalis Pedis Artery Single Access for Revascularization of Chronic Total Occlusion in Patients with Critical Limb Ischemia

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