title: Posterior tibial artery access using transradial techniques: retrograde approach to inaccessible lower extremity lesions.
abstract: Percutaneous intervention of chronic limb ischemia is often limited by vascular access especially in patients with previous surgical interventions. This warrants development of alternative endovascular techniques, particularly for patients in whom traditional ipsilateral antegrade or contralateral retrograde access has failed or is not possible. We describe a novel approach to the posterior tibial artery using retrograde access with transradial techniques including closure devices in two patients with inaccessible antegrade access.
authors: Mount Sinai Medical Center, Miami Beach, Florida, USA. drlondono@gmail.com
authors: Juan Carlos
authors: JC
authors: Londoño
authors: Vikas
authors: V
authors: Singh
authors: Claudia A
authors: CA
authors: Martinez
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods*; D057785:Catheters; D002908:Chronic Disease; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000628:therapy*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging; D011859:Radiography; D015607:Stents; D016909:Tibial Arteries / Q000000981:diagnostic imaging; D016896:Treatment Outcome