Percutaneous Femoropopliteal Recanalization Using a Completely Transpedal/Transtibial Approach

Timothy W.I. Clark, Micah M. Watts, Tak W. Kwan

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Purpose: To report preliminary experience with femoropopliteal revascularization using a completely transpedal/transtibial approach. Materials and Methods: Three patients with Rutherford 3–4 disease underwent revascularization of TASC C/D lesions using a pedal/tibial artery as the only site of arterial access. Results: One patient with a chronic superficial femoral artery occlusion had continuity achieved to the common femoral artery using a dedicated reentry device and stenting; in a second patient, an occluded popliteal artery stent was successfully revised with an endograft; and in a third patient with morbid obesity, a chronic SFA occlusion was successfully stented. All patients experienced complete resolution of presenting symptoms; no puncture site complications were seen. Conclusions: Use of a pedal/tibial approach as the sole site of arterial access may become an important access technique for femoropopliteal revascularization when patients have limited femoral access options.

Original languageEnglish
Pages (from-to)1750-1758
Number of pages9
JournalCardioVascular and Interventional Radiology
Issue number12
StatePublished - 1 Dec 2016
Externally publishedYes


  • Arterial access
  • Chronic total occlusions
  • Endovascular
  • Recanalization
  • Transpedal


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