Novel retrograde puncture technique for infrapopliteal artery revascularization: transplantar retrograde access
Novel retrograde puncture technique for infrapopliteal artery revascularization: transplantar retrograde access
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DOI：
10.1007/s12928-016-0422-0
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发表时间：
2017-07-01
影响因子：
3.2
通讯作者：
Shibata, Yoshisato
中科院分区：
文献类型：
--
作者：
Nakama, Tatsuya;Ando, Hiroshi;Shibata, Yoshisato
严重肢体缺血患者因胫后动脉（PTA）至足底动脉长闭塞无近端残端接受血管内血运重建术。顺行再通似乎不可能，因此应考虑逆行入路。然而，传统的逆行穿刺也不可用。因此，进行了新的逆行足底移植入路。足底动脉被一根20-G的针头成功穿刺。此外，采用无鞘技术逆行插入导丝。最后，逆行穿过闭塞病变。最终血管造影显示了足够的结果。当传统的顺行和逆行入路不可用时，经足底逆行入路是膝下EVT的可行技术。
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.