Clark Timothy W I, Watts Micah M, Kwan Tak W
Section of Interventional Radiology, Department of Radiology, Penn Presbyterian Medical Center, University of Pennsylvania Medical Center, 39th and Market Streets, Philadelphia, PA, 19104, USA.
Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Medical Center, New York, NY, USA.
Cardiovasc Intervent Radiol. 2016 Dec;39(12):1750-1758. doi: 10.1007/s00270-016-1427-x. Epub 2016 Jul 20.
To report preliminary experience with femoropopliteal revascularization using a completely transpedal/transtibial approach.
Three patients with Rutherford 3-4 disease underwent revascularization of TASC C/D lesions using a pedal/tibial artery as the only site of arterial access.
One patient with a chronic superficial femoral artery occlusion had continuity achieved to the common femoral artery using a dedicated reentry device and stenting; in a second patient, an occluded popliteal artery stent was successfully revised with an endograft; and in a third patient with morbid obesity, a chronic SFA occlusion was successfully stented. All patients experienced complete resolution of presenting symptoms; no puncture site complications were seen.
Use of a pedal/tibial approach as the sole site of arterial access may become an important access technique for femoropopliteal revascularization when patients have limited femoral access options.
报告使用完全经足/经胫方法进行股腘动脉血运重建的初步经验。
3例患有卢瑟福3-4级疾病的患者，采用足/胫动脉作为唯一的动脉入路部位，对TASC C/D级病变进行血运重建。
1例慢性股浅动脉闭塞患者使用专用再入装置和支架实现了与股总动脉的连续性；第2例患者，腘动脉闭塞支架成功地用腔内移植物进行了修复；第3例病态肥胖患者，慢性股浅动脉闭塞成功置入支架。所有患者的现有症状均完全缓解；未观察到穿刺部位并发症。
当患者股动脉入路选择有限时，使用足/胫入路作为唯一的动脉入路部位可能成为股腘动脉血运重建的一种重要入路技术。
