Combined Radial-Tibial Access Strategy With Radial-Tibial Reverse CART, Radial-Tibial Kiss, and Tibial-Tibial Kiss.

A 45-year-old male smoker presented with extensive non-healing ulcerations and an occluded right common femoral artery. His left forearm had contractures from a prior stroke. We describe a combined radial-tibial access revascularization strategy.

Endovascular Therapy of the Superficial Femoral Artery Via a Stand-Alone Transradial Access: A Single-Center Experience.

Objective: We describe our experience in transradial recanalization of the superficial femoral artery (SFA), and we provide a stepwise approach accounting for the patient's height and optimizing the yield of currently available devices.

Methods And Results: Fifteen patients with simple SFA disease, including 4 patients with total SFA occlusions <15 cm, were selected for stand-alone transradial recanalization. A 6F, 125-cm multipurpose guiding catheter was used to cannulate the limb of interest and support device delivery.

ECG Case of the Month: Wide-QRS Rhythm in a Man with a Clotted Dialysis Fistula.

A 57-year-old man with diabetes mellitus, systemic arterial hypertension, and end-stage kidney disease came to the hospital because his arteriovenous fistula used for hemodialysis had clotted. His blood hemoglobin level was 12.8 g/dL (reference, 13.