Miralles M, Candela E, Blanes E, Ribé L
Hospital Universitari I Politècnic La Fe, Department of Vascular Surgery, Bulevar Sur s/n, 46026 Valencia, Spain.
EJVES Short Rep. 2016 Feb 8;30:7-9. doi: 10.1016/j.ejvssr.2015.12.002. eCollection 2016.
Access for endovascular treatment of the superficial femoral artery (SFA) is usually gained through an antegrade approach from the ipsilateral common femoral artery (CFA), or by crossing over from the contralateral CFA. In this technical note, an alternative method, based on retrograde access of the ipsilateral iliac artery (IA), and conversion into an antegrade approach to the SFA, is described. Successful reverse ipsilateral catheterisation was obtained in 15/16 patients. Calcification of the CFA and IA required a crossover approach in one case. There were no complications related to the technique, except for moderate bleeding in relation to the deployment of a closure device.
股浅动脉（SFA）血管内治疗的入路通常是通过同侧股总动脉（CFA）的顺行入路，或者从对侧CFA交叉进入。在本技术说明中，描述了一种基于同侧髂动脉（IA）逆行入路并转换为SFA顺行入路的替代方法。16例患者中有15例成功实现同侧逆行插管。1例患者因CFA和IA钙化需要采用交叉入路。除了与封堵装置置入相关的中度出血外，未发生与该技术相关的并发症。
