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CardioVascular and Interventional Radiology

, Volume 38, Issue 2, pp 453–456 | Cite as

Profunda Anchor Technique for Ipsilateral Antegrade Approach in Endovascular Treatment of Superficial Femoral Artery Ostial Occlusion

Technical Note

Abstract

Endovascular treatment of the superficial femoral artery (SFA) is challenging in the presence of flush ostial occlusion. One of the main challenges is the availability of access sites for intervention. Contralateral retrograde femoral access followed by cross-over and antegrade intervention while commonly used, may not be feasible in cases of altered iliac anatomy (e.g. kissing iliac stents). Ipsilateral antegrade intervention using common femoral artery (CFA) access in these instances while possible is typically challenging due to inadequate working length of the CFA for interrogation of the SFA ostium, compounded by the lack of sheath stability. The “profunda anchor” technique uses a buddy wire in the profunda femoris artery (PFA) to stabilize the sheath and allow catheter manipulation for antegrade intervention at the level of the SFA ostium. The PFA is further used as a conduit for deployment of closure device to avoid interference with the treated SFA.

Keywords

Arterial intervention Angioplasty/angiogram Artery Peripheral vascular disease 

Notes

Conflict of interest

U. Pua declares no conflict of interest pertaining to the contents of this manuscript.

Statement of Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Statement of Informed Consent

For this type of study formal consent is not required.

References

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    Shi W, Yao Y, Wang W, Yu B, Wang S, Que H et al (2014) Combined antegrade femoral artery and retrograde popliteal artery recanalization for chronic occlusions of the superficial femoral artery. J Vasc Interv Radiol. doi: 10.1016/j.jvir.2014.02.006 PubMedGoogle Scholar
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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014

Authors and Affiliations

  1. 1.Department of Diagnostic RadiologyTan Tock Seng HospitalSingaporeSingapore

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