September 2023

Retrograde pedal access may allow the treatment of superficial femoral artery occlusive lesions when standard endovascular techniques fail. Here, we aimed to analyze the outcomes of this approach in patients with chronic limb ischemia who had undergone an unsuccessful attempt at revascularization through antegrade access.

In response to the COVID-19 pandemic, the authors' tertiary referral center implemented guidelines to triage procedures and shift toward telehealth encounters. The aim of this analysis is to evaluate the impact of this alteration in practice pattern on amputation rate and vascular procedural experience for similar time intervals before and during the initial pandemic.

The authors analyzed data from the NIS to identify all patients ≥18 years admitted with a primary diagnosis of CLTI from 2016 to 2019. Descriptive statistics were used to summarize patient baseline characteristics. Logistic regression models and temporal trends were used to determine predictors of major amputation and MACE.

This article describes the patient selection criteria, procedural overview, and postoperative surveillance strategies for open lower extremity distal bypass surgery in patients with long-segment superficial femoral artery disease.

The authors comment on the article by Papoyan et al, "Retrograde Pedal Access for the Superficial Femoral Artery Recanalization In Critical Limb Ischemia."