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Retrograde salvage approach to treat tibial artery perforation during attempted revascularization of a chronically occluded artery
Author(s) -
Fusaro Massimiliano,
Keta Dritan,
Byrne Robert A.
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22410
Subject(s) - medicine , surgery , revascularization , percutaneous , perforation , posterior tibial artery , anterior tibial artery , balloon , artery , lumen (anatomy) , radiology , cardiology , myocardial infarction , punching , materials science , metallurgy
Arterial perforation is a well‐recognized complication of attempted percutaneous revascularization of a chronic totally occluded tibial artery and typically necessitates termination of the procedure. This report describes a step‐by‐step approach on how to perform a direct posterior tibial artery puncture and a sheathless wire introduction, to salvage a case of tibial artery perforation induced during attempted anterograde recanalization of an occluded tibial artery. After control of blood loss, retrograde wire passage and balloon inflation can facilitate relocation of the anterograde wire in the true lumen allowing uneventful completion of the procedure. © 2010 Wiley‐Liss, Inc.