Abstract
Transpedal access is an evolving technique primarily used in patients after failed
femoral antegrade approach to revascularize complex tibiopedal lesions. In patients
who are at high risk for surgery the transpedal access may be the only option in failed
antegrade femoral access to avoid amputation of the limbs. In recent years transpedal
access is used routinely to revascularize supra-popliteal lesions due to more success
and less complications over femoral artery approach. Retrograde approach parse will
not give success in all cases and importantly success depends on techniques used.
There are different techniques that need to be used depending on lesion characteristics,
comorbidities, and hardware available to improve success with less complications.
This review provides different strategies for successful treatment of iliac and femoral
artery lesions by transpedal approach after failed antegrade femoral attempt.
Keywords
transpedal approach - peripheral arterial disease - critical limb ischemia - lower
extremity
