Trans-pedal access for endovascular revascularization in complex infra-popliteal lesions in critically ischemic limb: A cohort study. (September 2022)

• Record Type: Journal Article
• Authors: Abdelgawad, Mohamed S.; Wahba, Adel; Elshafie, Amr M.; Abdelnaby, Mahmoud; Mowafy, Khalid A.
• Is Part Of: Annals of medicine and surgery. Volume 81(2022)
• Publication Date: 2022-09
• Subjects: Trans-pedal access -- Retrograde angioplasty -- Critical limb ischemia; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104215
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Background: critical limb ischemia is one of the most challenging cases we face nowadays with high risk for amputation, retrograde trans-pedal angioplasty offers an alternative technique after failure of traditional ante-grade angioplasty. Patients and Methods: 96 patients underwent trans-pedal or trans-tibial retrograde angioplasty after failure of the traditional ante-grade angioplasty with the aid of US, 21-gauge needle and 0.018 wire through sheath-less approach as a last chance for revascularization. Results: clinical success or improvement in 77 cases (80.2%), and in other 19 cases (19.8%) there was no clinical success or improvement. The technical success was achieved in 81 cases with percentage of (84.4%), and not achieved in 15 cases (15.6%) only. Conclusions: Retrograde Trans-pedal angioplasty is an efficient, safe, and practical procedure with a high technical success and a relatively minimal procedural adverse effect. Highlights: retrograde trans-pedal angioplasty offers an alternative technique after failure of traditional ante-grade angioplasty. Retrograde Trans-pedal angioplasty is an efficient, safe, and practical procedure