Retrograde Endovascular Revascularization of Anterior Tibial Artery via the Dorsal and Plantar Arches

Yoshida RdA

Abstract

Background: Endovascular techniques through anterograde approaches are routinely used in infragenicular endovascular procedures, but sometimes total chronicle occlusions transposition are not possible. Puncture of the distal arteries and retrograde approach have been reported to improve the chances of successful artery occlusion transposition. Case report: Patient female, presenting with necrosis of right foot toes and infragenicular arteries occlusions. Results: We report a successful case using anterograde approach via posterior tibial artery, crossing the dorsal or plantar arches and retrograde endovascular revascularization of anterior tibial artery. Conclusion: The combined anterograde-retrograde access crossing the dorsal and pedal arches is feasible and could avoid complications related to direct artery puncture.