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(a) Digital subtraction angiography shows occlusion of the distal popliteal artery (black arrow) and reconstitution of the anterior tibial artery (white arrow). (b) Retrograde access is obtained using a micropuncture needle (arrow). (c) A through-and-through flossing guide wire is established by advancing the retrograde wire (white arrow) through the end hole of the antegrade catheter (black arrow) via a retrograde 3-F catheter (arrowheads) as a support catheter. (d) Completion angiogram after angioplasty shows in-line patency of and to the anterior tibial artery (arrows).
Citation: Sabri, S. S. et al. Retrograde Pedal Access Technique for Revascularization of Infrainguinal Arterial Occlusive Disease. Journal of Vascular and Interventional Radiology (2014). doi:doi: 10.1016/j.jvir.2014.10.008
Post Author: Luke Wilkins, MD