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  • Title: Retrograde approach to recanalization of complex tibial disease.
    Author: Rogers RK, Dattilo PB, Garcia JA, Tsai T, Casserly IP.
    Journal: Catheter Cardiovasc Interv; 2011 May 01; 77(6):915-25. PubMed ID: 20853359.
    Abstract:
    A significant proportion (~ 20%) of patients with complex tibial artery occlusions cannot be treated using a conventional antegrade approach. We report our experience using the retrograde approach for the treatment of complex tibial artery occlusive disease using retrograde pedal/tibial access in 13 limbs from 12 patients. Retrograde pedal/tibial access was achieved in all cases (facilitated by surgical cutdown in one case), and procedural success was achieved in 11 of 13 limbs (85%). Based on this experience, a discussion of clinical and technical aspects of the retrograde pedal/tibial approach is provided, and a new classification for tibial artery occlusive disease is proposed.
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