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Foot Dorsal and Plantar Flexion to Enhance Crossing of Tortuous Highly-Calcific Ankle Vessels During Lower Limb Revascularization Procedures: A Technical Note

  • Technical Note
  • Arterial Interventions
  • Published:
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Abstract

Purpose

To describe a crossing technique of stenotic/occluded and tortuous highly calcific ankle vessels during complex percutaneous limb salvage intervention in diabetic patients with ischaemic foot ulcers (Rutherford 5 and 6).

Technique

We propose a simple technique to achieve “straightening” of the tortuous vessel and allow safe devices passage into the foot arteries, Patients were asked to hold their foot in plantar or dorsal flexion, accordingly to the treated artery. If unable to do so, an equipe member executed the manoeuvre on their behalf.

Results

The technique was applied in 148 cases, with a success rate of 81% (120/148). No complications related to the manoeuvre were observed.

Conclusion

Crossing of tortuous distal crural vessels can be challenging in diabetic patients; in our experience, this technique can be a useful tool to obtain a successful recanalization in complex procedures with high risk of failure.

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Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Interventional Radiology, University Hospital “Tor Vergata”, Viale Oxford, 81, 00133, Rome, Italy

    Roberto Gandini & Fabio Salimei

  2. Department of Interventional Radiology, Santissima Annunziata Hospital, Taranto, Italy

    Vittorio Semeraro

Authors
  1. Roberto Gandini
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  2. Vittorio Semeraro
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  3. Fabio Salimei
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Corresponding author

Correspondence to Fabio Salimei.

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The authors declare that they have no conflict of interest.

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Gandini, R., Semeraro, V. & Salimei, F. Foot Dorsal and Plantar Flexion to Enhance Crossing of Tortuous Highly-Calcific Ankle Vessels During Lower Limb Revascularization Procedures: A Technical Note. Cardiovasc Intervent Radiol 46, 805–808 (2023). https://doi.org/10.1007/s00270-023-03436-8

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  • DOI: https://doi.org/10.1007/s00270-023-03436-8

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