title: Retrograde approach for endovascular salvage of an infrapopliteal vein bypass.
abstract: Endovascular treatment through femoropopliteal and infragenicular percutaneous transluminal angioplasty, both in native vessels and in bypass salvage, has been an emerging technique in recent years. However, in some cases, a difficult anterograde access in distal occlusions has limited the technical success of this procedure. Combined subintimal arterial flossing with antegrade-retrograde intervention is used as a resource technique to obtain precise recanalization in these cases. Here, we present the case of a retromalleolar access of the posterior tibial artery, based on subintimal arterial flossing with antegrade-retrograde intervention technique, to achieve femoral-posterior tibial bypass salvage.
authors.affiliation: Hospital Clínico Universitario de Valladolid, Valladolid, Spain. noecen@yahoo.es
authors.forename: Noelia
authors.initials: N
authors.lastname: Cenizo Revuelta
authors.forename: Victoria
authors.initials: V
authors.lastname: Gastambide
authors.forename: Enrique M
authors.initials: EM
authors.lastname: San-Norberto
authors.forename: Maria-Antonia
authors.initials: MA
authors.lastname: Ibáñez
authors.forename: Miguel
authors.initials: M
authors.lastname: Martín-Pedrosa
authors.forename: James
authors.initials: J
authors.lastname: Taylor
authors.forename: Vicente
authors.initials: V
authors.lastname: Gutiérrez
authors.forename: Carlos
authors.initials: C
authors.lastname: Vaquero
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation; D003251:Constriction, Pathologic; D005263:Femoral Artery / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000601:surgery*; D011859:Radiography; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D016909:Tibial Arteries / Q000601:surgery*; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000009:adverse effects*