title: Retrograde pedal access with a 20-gauge intravenous cannula after failed antegrade recanalization of a tibialis anterior artery in a diabetic patient: a case report.
abstract: Retrograde tibiopedal approach is being used frequently in below-the-knee vascular interventions. In patients with diabetic foot pathology, complex anatomy often requires a retrograde technique when the distal vascular anatomy and puncture site is suitable. The dorsalis pedis and posterior tibial arteries can be punctured because of their relatively superficial position. We report a retrograde puncturing technique in patients with chronic total occlusions. After failed antegrade recanalization, puncturing and cannulation of a tiny dorsalis pedis artery with a narrow bore [20-gauge (0.8 mm)] intravenous cannula is described.
authors.affiliation: Department of Cardiology, Adana Numune Training and Research Hospital, Seyhan Adana, Turkey; kardiyoloji@yahoo.com.
authors.forename: Yucel
authors.initials: Y
authors.lastname: Colkesen
keywords: critical limb ischemia; diabetic foot; intravenous cannula; retrograde access