Retrograde tibiopedal approach is being used frequently in below-the-knee vascular interventions. In patients with diabetic foot pathology, complex anatomy often requires a retrograde technique when the distal vascular anatomy and puncture site is suitable. The dorsalis pedis and posterior tibial arteries can be punctured because of their relatively superficial position. We report a retrograde puncturing technique in patients with chronic total occlusions. After failed antegrade recanalization, puncturing and cannulation of a tiny dorsalis pedis artery with a narrow bore [20-gauge (0.8 mm)] intravenous cannula is described.
Keyphrases
- ultrasound guided
- extracorporeal membrane oxygenation
- total knee arthroplasty
- high dose
- type diabetes
- middle cerebral artery
- physical activity
- endovascular treatment
- positive airway pressure
- intensive care unit
- acute respiratory distress syndrome
- obstructive sleep apnea
- knee osteoarthritis
- blood flow
- wound healing