{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T14:52:03Z","timestamp":1777819923036,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T00:00:00Z","timestamp":1454544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:p>Purpose: To describe the combined use of radial-pedal access for recanalization of complex superficial femoral artery (SFA) occlusions unsuitable for transfemoral recanalization. Technique: Patients are selected for this strategy if they have a long (\u226510 cm) SFA occlusion with unfavorable aortoiliac anatomy, an absent ostial stump, or severely diseased and calcified distal reconstitution. Left radial artery and distal anterior or posterior tibial artery are accessed with 6-F and 4-F sheaths, respectively. The SFA lesion is crossed retrogradely with a 0.035-inch wire system. If retrograde crossing is not immediately successful, transradial subintimal tracking and radial-pedal subintimal rendezvous are used to allow retrograde reentry. Fifteen patients (mean age 62\u00b15 years; 11 men) have been treated in this fashion, and frequently stented, through the tibiopedal access. Seven patients required radial-pedal rendezvous to facilitate retrograde reentry. Two patients underwent transradial iliac stenting during the same session, and 1 patient underwent transradial kissing angioplasty of the profunda. No major complication occurred in any patient. After the procedure, the pulse across the accessed tibial artery was palpable in all patients. Conclusion: In patients with long and complex SFA occlusion unsuitable for transfemoral recanalization, a radial-pedal strategy can overcome revascularization obstacles.<\/jats:p>","DOI":"10.1177\/1526602816629609","type":"journal-article","created":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T21:03:21Z","timestamp":1454619801000},"page":"321-329","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Combined Radial-Pedal Access Strategy and Radial-Pedal Rendezvous in the Revascularization of Complex Total Occlusions of the Superficial Femoral Artery (the \u201cNo Femoral Access\u201d Strategy)"],"prefix":"10.1177","volume":"23","author":[{"given":"Elias B.","family":"Hanna","sequence":"first","affiliation":[{"name":"Department of Medicine, Cardiovascular Section, Louisiana State University, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davey L.","family":"Prout","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cardiovascular Section, Louisiana State University, New Orleans, LA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,2,4]]},"reference":[{"key":"bibr1-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.04.034"},{"key":"bibr2-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60292-6"},{"key":"bibr3-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.06.017"},{"key":"bibr4-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25227"},{"key":"bibr5-1526602816629609","first-page":"225","volume":"55","author":"Walker C","year":"2014","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr6-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.02.038"},{"key":"bibr7-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22348"},{"key":"bibr8-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1583\/14-4747R.1"},{"key":"bibr9-1526602816629609","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV7I8A146"},{"key":"bibr10-1526602816629609","first-page":"645","volume-title":"Endovascular Interventions: A Case-Based Approach","volume":"2013","author":"Diaz-Sandoval LJ"},{"key":"bibr11-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1583\/08-2440.1"},{"key":"bibr12-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210306"},{"key":"bibr13-1526602816629609","doi-asserted-by":"publisher","DOI":"10.1583\/07-2324.1"},{"key":"bibr14-1526602816629609","first-page":"327","volume":"27","author":"Kwan TK","year":"2015","journal-title":"J Invasive Cardiol"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602816629609","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602816629609","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602816629609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:29:38Z","timestamp":1777498178000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602816629609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,4]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1177\/1526602816629609"],"URL":"https:\/\/doi.org\/10.1177\/1526602816629609","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,4]]}}}