Abstract
An endovascular recanalization of chronic total occlusions (CTO) of the superficial femoral artery (SFA) can fail in a substantial number of cases. Retrograde approach for CTOs of the SFA, where an antegrade recanalization has failed, is an alternative technique. The classical transpopliteal recanalization technique however has some drawbacks. We developed another technique as an alternative to the classical transpopliteal approach for those cases where the SFA occlusion does not reach beyond the adductor canal. Retrograde access is attempted distal to the adductor canal (high P1-segment) by leaving the patient in a supine position.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bausback Y, Botsios S, Flux J, et al. Outback catheter for femoropopliteal occlusions: immediate and long-term results. J Endovasc Ther. 2011;18(1):13–21.
Scheinert D, Bräunlich S, Scheinert S, Ulrich M, Biamino G, Schmidt A. Initial clinical experience with an IVUS-guided transmembrane puncture device to facilitate recanalization of total femoral artery occlusions. EuroIntervention. 2005;1:115–9.
Noory E, Rastan A, Schwarzwälder U, et al. Retrograde transpopliteal recanalization of chronic superficial femoral artery occlusion after failed re-entry during antegrade subintimal angioplasty. J Endovasc Ther. 2009;16(5):619–23.
Kawarada O, Yokoi I. Retrograde 3-French popliteal approach in the supine position after failed antegrade angioplasty for chronic superficial femoral artery occlusion. J Endovasc Ther. 2010;17(2):255–8.
Fanelli F, Lucatelli P, Allegritti M, Corona M, Rossi P, Passariello R. Retrograde popliteal access in the supine patient for recanalization of the superficial femoral artery: initial results. J Endovasc Ther. 2011;18(4):503–9.
Montero-Baker M, Schmidt A, Bräunlich S, et al. Retrograde approach for complex popliteal and tibioperoneal occlusions. J Endovasc Ther. 2008;15(5):594–604.
Rogers RK, Tsai T, Casserly IP. Novel application of the “CART” technique for endovascular treatment of external iliac artery occlusions. Catheter Cardiovasc Interv. 2010;75(5):673–8.
Gandini R, Del Giudice C, Assako Ondo EP, Spano S, Stefanini M, Simonetti G. Stent puncture for recanalization of occluded superficial femoral artery stents. J Endovasc Ther. 2012;19(1):30–3.
Schmidt A, Bausback Y, Piorkowski M, Werner M, Bräunlich S, Ulrich M, et al. Retrograde recanalization technique for use after failed antegrade angioplasty in chronic femoral artery occlusions. J Endovasc Ther. 2012;19:23–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Schmidt, A., Scheinert, D. (2014). Distal Superficial Femoral Artery (SFA) Access. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_56
Download citation
DOI: https://doi.org/10.1007/978-1-4614-7312-1_56
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-7311-4
Online ISBN: 978-1-4614-7312-1
eBook Packages: MedicineMedicine (R0)