Retrograde approach to recanalization of complex tibial disease
A significant proportion (∼20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2011-05, Vol.77 (6), p.915-925 |
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| container_title | Catheterization and cardiovascular interventions |
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| creator | Rogers, R. Kevin Dattilo, Philip B. Garcia, Joel A. Tsai, Thomas Casserly, Ivan P. |
| description | A significant proportion (∼20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13 limbs from 12 patients. Retrograde pedal/tibial access was achieved in all cases (facilitated by surgical cutdown in one case), and procedural success was achieved in 11 of 13 limbs (85%). Based on this experience, a discussion of clinical and technical aspects of the retrograde pedal/tibial approach is provided, and a new classification for tibial artery occlusive disease is proposed. © 2011 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ccd.22796 |
| format | Article |
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Kevin ; Dattilo, Philip B. ; Garcia, Joel A. ; Tsai, Thomas ; Casserly, Ivan P.</creator><creatorcontrib>Rogers, R. Kevin ; Dattilo, Philip B. ; Garcia, Joel A. ; Tsai, Thomas ; Casserly, Ivan P.</creatorcontrib><description>A significant proportion (∼20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13 limbs from 12 patients. Retrograde pedal/tibial access was achieved in all cases (facilitated by surgical cutdown in one case), and procedural success was achieved in 11 of 13 limbs (85%). 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Kevin</creatorcontrib><creatorcontrib>Dattilo, Philip B.</creatorcontrib><creatorcontrib>Garcia, Joel A.</creatorcontrib><creatorcontrib>Tsai, Thomas</creatorcontrib><creatorcontrib>Casserly, Ivan P.</creatorcontrib><title>Retrograde approach to recanalization of complex tibial disease</title><title>Catheterization and cardiovascular interventions</title><addtitle>Cathet. Cardiovasc. Intervent</addtitle><description>A significant proportion (∼20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13 limbs from 12 patients. Retrograde pedal/tibial access was achieved in all cases (facilitated by surgical cutdown in one case), and procedural success was achieved in 11 of 13 limbs (85%). Based on this experience, a discussion of clinical and technical aspects of the retrograde pedal/tibial approach is provided, and a new classification for tibial artery occlusive disease is proposed. © 2011 Wiley‐Liss, Inc.</description><subject>acute limb ischemia</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Angioplasty, Balloon - methods</subject><subject>Arterial Occlusive Diseases - classification</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Arterial Occlusive Diseases - therapy</subject><subject>Atherectomy</subject><subject>claudication</subject><subject>Colorado</subject><subject>Constriction, Pathologic</subject><subject>critical limb ischemia</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>peripheral vascular disease</subject><subject>Platelet Aggregation Inhibitors - therapeutic use</subject><subject>Prosthesis Design</subject><subject>Radiography, Interventional</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Tibial Arteries - diagnostic imaging</subject><subject>Tibial Arteries - physiopathology</subject><subject>tibial revascularization</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EolAY-AMoG2JIG9u1HU8IFShI5UMIBGKxHOcMhrQJdipafj2BtN2Y7obn3nv1IHSAkx5OEtI3Ju8RIiTfQDuYERILwp83lzuWA95BuyG8J0kiOZHbqEOSlFHK5A46uYfal69e5xDpqvKlNm9RXUYejJ7qwn3r2pXTqLSRKSdVAfOodpnTRZS7ADrAHtqyugiwv5xd9Hhx_jC8jMe3o6vh6Tg2A5LymOKmnRHAuE2b5wTSpgzjRFOANOfGamutpDyTWZYLCTQTDGQGOeUis1jQLjpqc5uKnzMItZq4YKAo9BTKWVApp4KncoAb8rgljS9D8GBV5d1E-4XCifrVpRpd6k9Xwx4uU2fZBPI1ufLTAP0W-HIFLP5PUsPh2Soybi9cqGG-vtD-Q3FBBVNPNyN1_ZLeYcaEEvQHs0iDEA</recordid><startdate>20110501</startdate><enddate>20110501</enddate><creator>Rogers, R. 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Kevin ; Dattilo, Philip B. ; Garcia, Joel A. ; Tsai, Thomas ; Casserly, Ivan P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4286-31796c7e56f82082e8000562a3ee8d6cfafff936b9bbd79e3b75e9bed367bf173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>acute limb ischemia</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty, Balloon - instrumentation</topic><topic>Angioplasty, Balloon - methods</topic><topic>Arterial Occlusive Diseases - classification</topic><topic>Arterial Occlusive Diseases - diagnostic imaging</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Arterial Occlusive Diseases - therapy</topic><topic>Atherectomy</topic><topic>claudication</topic><topic>Colorado</topic><topic>Constriction, Pathologic</topic><topic>critical limb ischemia</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>peripheral vascular disease</topic><topic>Platelet Aggregation Inhibitors - therapeutic use</topic><topic>Prosthesis Design</topic><topic>Radiography, Interventional</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Tibial Arteries - diagnostic imaging</topic><topic>Tibial Arteries - physiopathology</topic><topic>tibial revascularization</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rogers, R. Kevin</creatorcontrib><creatorcontrib>Dattilo, Philip B.</creatorcontrib><creatorcontrib>Garcia, Joel A.</creatorcontrib><creatorcontrib>Tsai, Thomas</creatorcontrib><creatorcontrib>Casserly, Ivan P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rogers, R. Kevin</au><au>Dattilo, Philip B.</au><au>Garcia, Joel A.</au><au>Tsai, Thomas</au><au>Casserly, Ivan P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrograde approach to recanalization of complex tibial disease</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Cathet. Cardiovasc. Intervent</addtitle><date>2011-05-01</date><risdate>2011</risdate><volume>77</volume><issue>6</issue><spage>915</spage><epage>925</epage><pages>915-925</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>A significant proportion (∼20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13 limbs from 12 patients. Retrograde pedal/tibial access was achieved in all cases (facilitated by surgical cutdown in one case), and procedural success was achieved in 11 of 13 limbs (85%). Based on this experience, a discussion of clinical and technical aspects of the retrograde pedal/tibial approach is provided, and a new classification for tibial artery occlusive disease is proposed. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20853359</pmid><doi>10.1002/ccd.22796</doi><tpages>11</tpages></addata></record> |
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| subjects | acute limb ischemia Aged Aged, 80 and over Angioplasty, Balloon - instrumentation Angioplasty, Balloon - methods Arterial Occlusive Diseases - classification Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - physiopathology Arterial Occlusive Diseases - therapy Atherectomy claudication Colorado Constriction, Pathologic critical limb ischemia Drug Therapy, Combination Female Humans Male Middle Aged peripheral vascular disease Platelet Aggregation Inhibitors - therapeutic use Prosthesis Design Radiography, Interventional Retrospective Studies Stents Tibial Arteries - diagnostic imaging Tibial Arteries - physiopathology tibial revascularization Treatment Outcome Vascular Patency |
| title | Retrograde approach to recanalization of complex tibial disease |
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