Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center
Purpose: Antegrade superficial femoral artery (SFA) access for peripheral artery disease reduces the time, radiation, and contrast required as compared with contralateral common femoral access (CFA). However, this technique remains underutilized and understudied in the treatment of SFA, popliteal an...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=2;spage=151;epage=155;aulast=Basavanthappa |
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| author | Rajendra Prasad Basavanthappa Nivedita Mitta Chandrashekar Anagavalli Ramswamy Sanjay C Desai R Hemanth Kumar Chowdary Harikamal Kunapareddy Vijay Kumar Vishnumolakala |
| author_facet | Rajendra Prasad Basavanthappa Nivedita Mitta Chandrashekar Anagavalli Ramswamy Sanjay C Desai R Hemanth Kumar Chowdary Harikamal Kunapareddy Vijay Kumar Vishnumolakala |
| author_sort | Rajendra Prasad Basavanthappa |
| collection | DOAJ |
| description | Purpose: Antegrade superficial femoral artery (SFA) access for peripheral artery disease reduces the time, radiation, and contrast required as compared with contralateral common femoral access (CFA). However, this technique remains underutilized and understudied in the treatment of SFA, popliteal and tibial disease, and there remains limited data on the safety and efficacy of antegrade SFA access. Materials and Methods: An observational review of lower extremity peripheral arterial interventions was conducted from January 2014 to July 2021. Interventions necessitating CFA access such as iliac, common femoral, or deep femoral artery revascularization were excluded. In addition, interventions potentially requiring large sheaths were excluded. Relevant demographic and treatment variables including postoperative complications were abstracted. Results: We identified 482 patients, who underwent revascularization of the SFA, popliteal and tibial arteries. Antegrade SFA access was chosen in all these patients. Access was attained either through ultrasound or fluoroscopy guidance in 94.6% of patients. The overall rate of complications was low (access site complications, hematoma, pseudoaneurysm, etc.). Conclusions: Percutaneous antegrade SFA access can be performed safely and remains an effective alternative to retrograde CFA access with significantly less complications and is also associated with lesser utilization of fluoroscopy and contrast. |
| first_indexed | 2024-04-12T07:00:37Z |
| format | Article |
| id | doaj.art-a2a26785a3c940ac9f9b2da82c15007d |
| institution | Directory Open Access Journal |
| issn | 0972-0820 2394-0999 |
| language | English |
| last_indexed | 2024-04-12T07:00:37Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj.art-a2a26785a3c940ac9f9b2da82c15007d2022-12-22T03:43:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992022-01-019215115510.4103/ijves.ijves_117_21Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary centerRajendra Prasad BasavanthappaNivedita MittaChandrashekar Anagavalli RamswamySanjay C DesaiR Hemanth Kumar ChowdaryHarikamal KunapareddyVijay Kumar VishnumolakalaPurpose: Antegrade superficial femoral artery (SFA) access for peripheral artery disease reduces the time, radiation, and contrast required as compared with contralateral common femoral access (CFA). However, this technique remains underutilized and understudied in the treatment of SFA, popliteal and tibial disease, and there remains limited data on the safety and efficacy of antegrade SFA access. Materials and Methods: An observational review of lower extremity peripheral arterial interventions was conducted from January 2014 to July 2021. Interventions necessitating CFA access such as iliac, common femoral, or deep femoral artery revascularization were excluded. In addition, interventions potentially requiring large sheaths were excluded. Relevant demographic and treatment variables including postoperative complications were abstracted. Results: We identified 482 patients, who underwent revascularization of the SFA, popliteal and tibial arteries. Antegrade SFA access was chosen in all these patients. Access was attained either through ultrasound or fluoroscopy guidance in 94.6% of patients. The overall rate of complications was low (access site complications, hematoma, pseudoaneurysm, etc.). Conclusions: Percutaneous antegrade SFA access can be performed safely and remains an effective alternative to retrograde CFA access with significantly less complications and is also associated with lesser utilization of fluoroscopy and contrast.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=2;spage=151;epage=155;aulast=Basavanthappaaccessantegrade puncturefemoral access |
| spellingShingle | Rajendra Prasad Basavanthappa Nivedita Mitta Chandrashekar Anagavalli Ramswamy Sanjay C Desai R Hemanth Kumar Chowdary Harikamal Kunapareddy Vijay Kumar Vishnumolakala Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center Indian Journal of Vascular and Endovascular Surgery access antegrade puncture femoral access |
| title | Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center |
| title_full | Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center |
| title_fullStr | Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center |
| title_full_unstemmed | Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center |
| title_short | Antegrade access for peripheral vascular disease intervention of the lower limb – Our experience at a tertiary center |
| title_sort | antegrade access for peripheral vascular disease intervention of the lower limb our experience at a tertiary center |
| topic | access antegrade puncture femoral access |
| url | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=2;spage=151;epage=155;aulast=Basavanthappa |
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