title: Retrograde approach to recanalization of complex tibial disease.
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.
authors.affiliation: Department of Cardiology, University of Colorado Denver, Aurora, Colorado, USA.
authors.forename: R Kevin
authors.initials: RK
authors.lastname: Rogers
authors.forename: Philip B
authors.initials: PB
authors.lastname: Dattilo
authors.forename: Joel A
authors.initials: JA
authors.lastname: Garcia
authors.forename: Thomas
authors.initials: T
authors.lastname: Tsai
authors.forename: Ivan P
authors.initials: IP
authors.lastname: Casserly
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000295:instrumentation / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000145:classification / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D017073:Atherectomy; D003120:Colorado; D003251:Constriction, Pathologic; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011474:Prosthesis Design; D015641:Radiography, Interventional; D012189:Retrospective Studies; D015607:Stents; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology; D016896:Treatment Outcome; D014654:Vascular Patency
chemical_list: D010975:Platelet Aggregation Inhibitors