title: Endovascular Access for Challenging Anatomies in Peripheral Vascular Interventions.
abstract: Vascular interventionalists continue to expand the scope and breadth of endovascular procedures that we offer to our patients. However, we often have to overcome various anatomical and technical challenges to deliver an endovascular device. This article should give the modern interventionalist an array of technical tips and tricks to enable them to overcome various challenging anatomical features such as vessel tortuosity, vascular calcifications, and increasing abdominal pannus. We also hope to elucidate alternative accesses such as radial access, pedal access, popliteal access, and direct stent access as well as direct aortic access.
authors.affiliation: Division of Vascular and Interventional Specialists, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA. Electronic address: gvataken@gmail.com.
authors.forename: Geogy
authors.initials: G
authors.lastname: Vatakencherry
authors.affiliation: Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, FL.
authors.forename: Ripal
authors.initials: R
authors.lastname: Gandhi
authors.affiliation: Division of Vascular and Interventional Specialists, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Molloy
mesh_terms: D001027:Aortography; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D011237:Predictive Value of Tests; D015641:Radiography, Interventional; D012039:Regional Blood Flow; D015607:Stents; D016896:Treatment Outcome
keywords: arterial access; endovascular access; femoral access; pedal access; popliteal artery access; radial artery access