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3 . 2025

Antegrade distal access as an alternative to the retrograde techniques in below-the-knee endovascular revascularization

Abstract

Despite good results of using retrograde recanalization techniques (retrograde access, transcollateral technique) in a failed antegrade endovascular intervention, in some cases their use is impossible or associated with certain risks. Therefore, in rare instances it is feasible to use “exotic” techniques. Presented herein is a clinical case report of successful use of antegrade pedal access in the situation of failed antegrade endovascular revascularization of the foot in a patient with chronic limb-threatening ischemia.

Keywords: antegrade pedal access; retrograde access; transcollateral technique; endovascular revascularization

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflict of interest.

Authors’ contribution. Study conception and design – Platonov S.A., Zhigalo V.N., Kandyba D.V.; data collection and handling – Zhigalo V.N., Mkrtchyan G.V., Tomchenko A.I., Alisultanov A.Sh.; draft manuscript preparation – Platonov S.A., Zhigalo V.N., Mkrtchyan G.V.; manuscript revision – Platonov S.A., Kandyba D.V.

For citation: Platonov S.A., Zhigalo V.N., Mkrtchyan G.V., Tomchenko A.I., Alisultanov A.Sh., Kandyba D.V. Antegrade distal access as an alternative to the retrograde techniques in below-the-knee endovascular revascularization. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (3): 122–8. DOI: https://doi.org/10.33029/1027-6661-2025-31-3-122-128

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CHIEF EDITOR
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.


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