The pedal revolution – From exotic to routine: A step by step approach to pedal artery retrograde access and intervention – Adapted from an oral presentation.

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Presentation transcript:

The pedal revolution – From exotic to routine: A step by step approach to pedal artery retrograde access and intervention – Adapted from an oral presentation from APVIC VII Jaafer Golzar, MD, F.A.C.C., F.S.C.A.I. Journal of Indian College of Cardiology Volume 6, Pages 11-14 (May 2016) DOI: 10.1016/j.jicc.2015.11.008 Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 1 Popliteal occlusion with heavy collaterals. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 2 Anatomy of anterior tibial, peroneal and posterior tibial arteries. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 3 Advantages and disadvantages of angiographic access. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 4 Advantages and disadvantages of ultrasound guided access. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 5 (A, B) Transducer position for visualizing the dorsalis pedis and posterior tibial access. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 6 Angiographic guidance for peroneal access. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 7 Maintaining arterial access. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 8 Anterograde intervention: wire-flip technique. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 9 Micropuncture pedal access set. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 10 Techniques to achieve hemostasis of pedal arteries. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions

Fig. 11 Tips & tricks for successful pedal access. Journal of Indian College of Cardiology 2016 6, 11-14DOI: (10.1016/j.jicc.2015.11.008) Copyright © 2015 Indian College of Cardiology Terms and Conditions