title: Superficial Femoral Artery Intervention by Single Transpedal Arterial Access.
abstract: BACKGROUND
  Atherosclerotic disease of the superficial femoral artery (SFA) is frequently seen and can be treated with percutaneous interventions, traditionally via femoral artery access. There are limited reports of transpedal artery access for peripheral artery interventions, but none to date describing routine primary transpedal artery approach for SFA stenting.
  
  
  METHODS
  In this preliminary study, we report 4 patients who underwent successful endovascular SFA stenting using a single transpedal artery access via a new ultra-low profile 6 Fr sheath (Glidesheath Slender; Terumo Corporation).
  
  
  RESULTS
  All patients underwent successful SFA stenting without complication. Procedure time varied from 51 to 72 minutes. The mean contrast amount used was 56 mL; mean fluoroscopy time was 21 minutes; mean radiation dose was 91 mGy. At 1-month follow-up, duplex ultrasonography showed that all pedal arteries had remained patent.
  
  
  CONCLUSIONS
  Transpedal artery approach as a primary approach to SFA stenting appears feasible and safe. Comparative trials with standard percutaneous femoral approach are warranted.
authors.forename: Nicholas S
authors.initials: NS
authors.lastname: Amoroso
authors.forename: Sooraj
authors.initials: S
authors.lastname: Shah
authors.forename: Michael
authors.initials: M
authors.lastname: Liou
authors.forename: Justin
authors.initials: J
authors.lastname: Ratcliffe
authors.forename: Moinakhtar
authors.initials: M
authors.lastname: Lala
authors.forename: Ravi
authors.initials: R
authors.lastname: Diwan
authors.forename: Yili
authors.initials: Y
authors.lastname: Huang
authors.forename: Hugo
authors.initials: H
authors.lastname: Rosero
authors.forename: John
authors.initials: J
authors.lastname: Coppola
authors.forename: Olivier F
authors.initials: OF
authors.lastname: Bertrand
authors.affiliation: Mount Sinai Beth Israel Heart Institute, 16th Street at First Avenue, New York, NY 10013 USA. kwancardio@aol.com.
authors.forename: Tak W
authors.initials: TW
authors.lastname: Kwan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D000800:Angioplasty, Balloon; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex