Author + information
- Erwin Blessing1
Retrograde recanalizations of femoropopliteal or below the knee occlusive disease potentially increase acute technical success rates in complex cases. Little is known so far regarding safety and acute technical success rates.
Between Apil 2014 and June 2017 we performed a total of 265 consecutive cases of retrograde recanalizations of either femorpopliteal and/or tibial occlusive disease. Retrograde vascular access was attempted via angiographic guidance in all cases.
Retrograde access could be achieved in all but one case. Recanalization of the occluded artery and successful adjunctive therapy could be performed in 91.7% of cases. Predictors of failure to recanalize the occlude segment were severe calcification, below the knee occlusions, and severe calcification. Procedure related in-hospital complications occured in 3/265 patients (0.11%).
Retrograde recanalizations can safely performed with high technical success and low complication rates in femoropopliteal and tibial arterial occlusive disease.
ENDOVASCULAR: Peripheral Vascular Disease and Intervention