Vance Ansar Z, Leung Daniel A, Clark Timothy W
Division of Interventional Radiology, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA -
Department of Vascular and Interventional Radiology, Christiana Care Health System, Newark, DE, USA.
J Cardiovasc Surg (Torino). 2018 Oct;59(5):685-691. doi: 10.23736/S0021-9509.18.10627-6. Epub 2018 Jun 14.
Pedal access has become an indispensable technique for endovascular therapy of complex lower extremity peripheral vascular disease. From an option as a single access in a patient lacking traditional access approaches to a critical maneuver in combined antegrade-retrograde approaches during the treatment of complex chronic total occlusions, pedal access is an essential tool for any endovascular physician treating peripheral arterial disease. Anticipatory planning is critical in the successful utilization of pedal access. The appropriate tibiopedal vessel should be chosen and combined with the ideal access technique. Knowledge of the current medical devices available for pedal access and post-procedural hemostasis is key and can ease the learning curve. We present the evolution of pedal access with a review of the literature and technical tips to incorporate into everyday practice.
经足入路已成为复杂下肢周围血管疾病血管内治疗不可或缺的技术。从作为缺乏传统入路方法患者的单一入路选择，到复杂慢性完全闭塞病变治疗中顺行-逆行联合入路的关键操作，经足入路是任何治疗周围动脉疾病的血管内科医生的重要工具。前瞻性规划对于经足入路的成功应用至关重要。应选择合适的胫足部血管，并结合理想的入路技术。了解目前可用于经足入路和术后止血的医疗设备是关键，这可以简化学习曲线。我们通过文献综述和技术要点介绍经足入路的发展，以便将其纳入日常实践。
