How I do it: Pedal access and pedal loop revascularization for patients with chronic limb-threatening ischemia

How I do it: Pedal access and pedal loop revascularization for patients with chronic limb-threatening ischemia

Blog Article

An increasing proportion of patients with chronic limb-threatening ischemia are older and have multiple comorbidities, including diabetes and renal failure.For those who are not candidates for a surgical bypass, this set Skirt of patients presents a challenge to vascular surgeons and interventionalists owing to the complex below-the-knee and increasingly below-the-ankle disease pattern that can fail traditional approaches for endovascular intervention.Two techniques, the retrograde pedal access and the pedal-plantar loop technique, can be useful in these settings and in skilled hands can be used safely, with a high technical success rate.

In patients with chronic limb-threatening ischemia who are not candidates for a single-segment saphenous vein bypass, the retrograde pedal access technique can be used not only in the setting of failed antegrade treatment, but also primarily when faced with a difficult groin or as an adjunct during a planned antegrade-retrograde intervention.The pedal plantar loop technique allows for retrograde access to AEG IDK84451IB - 83cm Induction Hob with Integrated Hood - Black - 942 150 636 tibial vessels without retrograde vessel puncture and additionally offers the ability to treat the pedal-plantar arch, which may have added benefit in wound healing.We describe the tips and tricks for these two techniques used in our limb salvage practice.