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Erschienen in: Cardiovascular Intervention and Therapeutics 3/2017

31.08.2016 | Case Report

Novel retrograde puncture technique for infrapopliteal artery revascularization: transplantar retrograde access

verfasst von: Tatsuya Nakama, Hiroshi Ando, Nozomi Watanabe, Kenji Ogata, Tatsuro Takei, Yoshisato Shibata

Erschienen in: Cardiovascular Intervention and Therapeutics | Ausgabe 3/2017

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Abstract

Patients with critical limbs ischemia received endovascular revascularization for his posterior tibial artery (PTA) to plantar artery long occlusion without proximal stump. Antegrade recanalization seemed impossible, so retrograde access should be considered. However, the conventional retrograde puncture was also not available. Therefore, novel retrograde transplantar access was conducted. The plantar artery was successfully punctured with a 20-G needle. In addition, a guidewire was retrogradely inserted with a sheathless technique. Finally, it was retrogradely crossed the occluded lesion. The final angiogram showed sufficient results. Transplantar retrograde access was feasible technique for infrapopliteal EVT, when the conventional antegrade and retrograde approaches were not available.
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Metadaten
Titel
Novel retrograde puncture technique for infrapopliteal artery revascularization: transplantar retrograde access
verfasst von
Tatsuya Nakama
Hiroshi Ando
Nozomi Watanabe
Kenji Ogata
Tatsuro Takei
Yoshisato Shibata
Publikationsdatum
31.08.2016
Verlag
Springer Japan
Erschienen in
Cardiovascular Intervention and Therapeutics / Ausgabe 3/2017
Print ISSN: 1868-4300
Elektronische ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0422-0

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