{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:59:43Z","timestamp":1762869583987,"version":"3.41.2"},"reference-count":9,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. He presented with a cutaneous ulcer on the right lower limb with torpid evolution and poor healing. The Doppler ultrasound and arteriographic study revealed a CTO lesion of the popliteal artery that was not a candidate for antegrade endovascular revascularization, but was successfully treated using the SAFARI technique. The patient had no perioperative complications, the wound showed better healing, and he was discharged with an indication of daily dressings and control by an external outpatient clinic.<\/jats:p>","DOI":"10.1590\/1677-5449.200126","type":"journal-article","created":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T18:58:36Z","timestamp":1615575516000},"source":"Crossref","is-referenced-by-count":0,"title":["Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique"],"prefix":"10.1590","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4697-6039","authenticated-orcid":false,"given":"Miguel Alonso-Rojas","family":"Huillca","sequence":"first","affiliation":[{"name":"Hospital Nacional Edgardo Rebagliati Martins,  Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4123-7314","authenticated-orcid":false,"given":"Milagros","family":"Moreno-Loaiza","sequence":"additional","affiliation":[{"name":"Hospital Nacional Edgardo Rebagliati Martins,  Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e9lix","family":"Tipacti-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Hospital Nacional Edgardo Rebagliati Martins,  Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manolo","family":"Brice\u00f1o-Alvarado","sequence":"additional","affiliation":[{"name":"Hospital Nacional Edgardo Rebagliati Martins,  Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5380-7372","authenticated-orcid":false,"given":"Wildor Samir Cubas","family":"Llalle","sequence":"additional","affiliation":[{"name":"Hospital Nacional Edgardo Rebagliati Martins,  Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1038\/nrcardio.2016.179","article-title":"Peripheral artery disease: epidemiology and global perspectives","volume":"14","author":"Fowkes FGR","year":"2017","journal-title":"Nat Rev Cardiol"},{"issue":"3","key":"ref2","first-page":"371","article-title":"The tibiopedal retrograde vascular access for challenging popliteal and below-the-knee chronic total occlusions: literature review and description of the technique","volume":"58","author":"Schmidt A","year":"2017","journal-title":"J Cardiovasc Surg (Torino)"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.jvir.2019.12.006","article-title":"Outcome and distal access patency in subintimal arterial flossing with antegrade-retrograde intervention for chronic total occlusions in lower extremity critical limb ischemia","volume":"31","author":"Zhuang KD","year":"2020","journal-title":"J Vasc Interv Radiol"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1253\/circj.CJ-13-1147","article-title":"Comparison of long-term outcome after endovascular therapy versus bypass surgery in claudication patients with Trans-Atlantic Inter-Society Consensus-II C and D femoropopliteal disease","volume":"78","author":"Aihara H","year":"2014","journal-title":"Circ J"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.119.008150","article-title":"Endovascular versus surgical revascularization for acute limb ischemia: a propensity-score matched analysis","volume":"13","author":"Kolte D","year":"2020","journal-title":"Circ Cardiovasc Interv"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/S0009-9260(89)80231-4","article-title":"Recanalisation of femoro-popliteal occlusions: improving success rate by subintimal recanalisation","volume":"40","author":"Bolia A","year":"1989","journal-title":"Clin Radiol"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/01.RVI.0000141336.53745.4A","article-title":"Subintimal arterial flossing with antegrade\u2013retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia","volume":"16","author":"Spinosa DJ","year":"2005","journal-title":"J Vasc Interv Radiol"},{"issue":"9","key":"ref8","doi-asserted-by":"crossref","first-page":"E61","DOI":"10.1111\/ans.13649","article-title":"Endovascular retrograde recanalization in Asian critical limb ischaemia patients","volume":"87","author":"Tay JS","year":"2017","journal-title":"ANZ J Surg"},{"issue":"5","key":"ref9","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1016\/j.jvs.2017.08.091","article-title":"Outcomes at a single center after subintimal arterial flossing with antegrade-retrograde intervention for critical limb ischemia","volume":"67","author":"Kaushal A","year":"2018","journal-title":"J Vasc Surg"}],"container-title":["Jornal Vascular 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