Left SFA CTO with antegrade and retrograde crossing with NaviCross. Discussion regarding Supine Popliteal access - Introduction

Posted: 7/23/2014

A 72-year-old male patient with long standing history of diabetes mellitus and hypertension presented with critical limb ischemia in the lower left extremity. There was gangrene in the big toe and significant skin breakdown at the heel area. Physical examination showed 1+ right and 3+ left femoral pulses. Popliteal and distal pulses were non-palpable.

Venkatesh G. Ramaiah, MD, FACS

Posted: 3/28/2013

A 55-year-old male patient presented with a large non-healing wound and exposed bone at the base of the right great toe for almost 9 months. The patient previously received a superficial femoral artery stent for a diabetic foot ulcer.

Complex Long segment SFA CTO and Popliteal intervention with staged TPT/AT intervention. Subintimal crossing technique with Reentry device (Medtronic Pioneer) to access distal vessel - Intervention

Posted: 7/23/2014

1. Access via a retrograde approach 2. Technique and equipment for the retrograde approach. Use of support catheter and wire for retrograde approach after failed antegrade approach. 3. PTA results 4. Angiosome concept 5. Hemostasis