title: The "SAFARI" technique using retrograde access via peroneal artery access.
abstract: The "SAFARI" technique or subintimal arterial flossing with antegrade-retrograde intervention is a method for recanalisation of chronic total occlusions (CTOs) when subintimal angioplasty fails. Retrograde access is usually obtained via the popliteal, distal anterior tibial artery (ATA)/dorsalis pedis (DP), or distal posterior tibial artery (PTA). Distal access via the peroneal artery has not been described and has a risk of continued bleeding, leading to compartment syndrome due to its deep location. We describe our experience in two patients with retrograde access via the peroneal artery and the use of balloon-assisted hemostasis for these retrograde punctures. This approach may potentially give more options for endovascular interventions in lower limb CTOs.
authors: Interventional Radiology Centre, Singapore General Hospital, Singapore City, Singapore. zkunda@gmail.com
authors: Kun Da
authors: KD
authors: Zhuang
authors: Seck Guan
authors: SG
authors: Tan
authors: Kiang Hiong
authors: KH
authors: Tay
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D015897:Comorbidity; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007511:Ischemia / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011677:Punctures; D014034:Toes / Q000098:blood supply*