Approach to Tibiopedal Retrograde Revascularization of Below-The-Knee Peripheral Arterial Diseases With or Without Transradial Guidance Peripheral Angiography.

Objective: We sought to compare the use of transradial peripheral angiography to guide retrograde revascularization of below-the-knee (BTK) lesions using tibiopedal access (TPA).

Background: Tibiopedal retrograde revascularization of BTK lesions is an emerging technique in peripheral interventions.

Methods: We performed an observational cohort study of 194 consecutive adult patients with critical limb ischemia (CLI) who underwent endovascular intervention for BTK diseases using peripheral angiography and primary TPA access with vs without transradial (TR) guidance at 2 centers (New York, USA and Budapest, Hungary).

Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach.

Technological innovations have enabled higher success rates with percutaneous coronary intervention (PCI) of complex coronary lesions via the transradial approach. The orbital atherectomy system (OAS; Cardiovascular Systems, Inc) is the most recent innovation that abrades plaque using a rotation device for the facilitation of stent placement in heavily calcified lesions. Fifty patients with classic anginal symptoms and an abnormal stress test demonstrating ischemia underwent PCI using the coronary OAS.

Tips and tricks for antegrade recanalization of chronic total occlusions using the CrossBoss catheter.

Objectives: To provide new strategies and techniques for the successful recanalization of chronic total occlusions (CTOs) with the sole use of the CrossBoss catheter. In addition, some common CTO scenarios are illustrated in detail.

Background: CTOs are one of the most challenging complex coronary lesion subsets to intervene upon.

The utility of extension catheters in transradial percutaneous coronary intervention.

Objectives: To evaluate the use of extension catheters in transradial intervention of complex coronary lesions.

Background: Complex percutaneous coronary intervention (PCI) via transradial approach remains a challenge for many interventionalists, primarily due to the difficulty in obtaining adequate guide catheter support.

Methods: A retrospective case series identified 54 patients who presented for PCI of complex coronary lesions.