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Case Reports in Vascular Medicine
Volume 2016, Article ID 7519748, 3 pages
http://dx.doi.org/10.1155/2016/7519748
Case Report

Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications

Joan C. Edwards School of Medicine, Marshall University, Huntington, WV, USA

Received 27 June 2016; Revised 5 September 2016; Accepted 20 September 2016

Academic Editor: Nikolaos Papanas

Copyright © 2016 Ahmed Amro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage in critical limb ischemia (CLI) patients. In this manuscript we are presenting a case where retrograde tibiopedal access has been used as a bail-out procedure for the management of superficial femoral artery (SFA) intervention complications. Procedure/Technique. After development of a perforation while trying to cross the totally occluded mid SFA using the conventional CFA access, we were able to cross the mid SFA lesion after accessing the posterior tibial artery in a retrograde fashion and delivered a self-expanding stent which created a flap that sealed the perforation without the need for covered stent. Conclusion. Retrograde tibiopedal access is a safe and effective approach for delivery of stents from the distal approach and so can be used as a bail-out technique for SFA perforation.