{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T10:15:57Z","timestamp":1792491357825,"version":"4.5.0"},"reference-count":9,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,11,9]],"date-time":"2013-11-09T00:00:00Z","timestamp":1383955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>A tibial\u2010pedal access method is needed for patients with advanced peripheral artery disease (PAD) unable to tolerate common femoral artery (CFA) access and intervention due to body habitus or comorbidities. This is the first case series reporting an alternative technique to revascularize such patients. Using ultrasound (US) and the tibio\u2010pedal arterial minimally invasive retrograde revascularization (TAMI) technique, operators accessed, and revascularized the lower extremity completely via tibial\u2010pedal arterial access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective, single\u2010center, case series recorded on 23 patients who underwent TAMI revascularization during a seven\u2010month period in 2012, demonstrating the feasibility and safety of the TAMI technique. Eighty\u2010three percent had Rutherford Classification IV\u2013VI. Ultrasound guidance aided all tibial access. Demographics, vascular symptoms, disease characteristics, success, procedure length, time to discharge, immediate and 30\u2010day complications were collected. Comparison was sought with 201 unmatched patients treated via traditional CFA access over a similar period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Arterial access was successful in all patients. Thirty\u2010six lesions were treated. Lesion success (ability to cross lesion and achieve post treatment stenosis &lt;30%) was achieved in 95% of patients. 25% of lesions were above the knee. Average prestenosis was 92.5%; average poststenosis 12%. No major complications were noted. Two patients presented within 30 days with access site pain. Access site peroneal artery pseudo\u2010aneurysms were diagnosed and treated percutaneously with covered stents. Both recovered with no sequelae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Retrograde tibio\u2010pedal intervention appears to be safe and effective. The TAMI technique offers an alternate revascularization method for critically ill advanced PAD patients. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.25227","type":"journal-article","created":{"date-parts":[[2013,11,9]],"date-time":"2013-11-09T11:38:43Z","timestamp":1383997123000},"page":"987-994","source":"Crossref","is-referenced-by-count":57,"title":["Tibio\u2010pedal arterial minimally invasive retrograde revascularization in patients with advanced peripheral vascular disease: The TAMI technique, original case series"],"prefix":"10.1002","volume":"83","author":[{"given":"J.A.","family":"Mustapha","sequence":"first","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi","family":"Saab","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"McGoff","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Heaney","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry","family":"Diaz\u2010Sandoval","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Sevensma","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Karenko","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u2010Metro Health Hospital College of Osteopathic Medicine, Michigan State University Wyoming Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-63-752-602"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1150"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/111.2.482"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/127.1.266"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.176.1.2353111"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20373"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.11.055"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67704-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.02.049"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.25227","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.25227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:06:07Z","timestamp":1696637167000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.25227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,9]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1002\/ccd.25227"],"URL":"https:\/\/doi.org\/10.1002\/ccd.25227","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11,9]]}}}