Successful extreme foot revascularization with plaque cracking (percutaneous direct needle puncture of calcified plaque) technique of medial tarsal artery

Nicola Troisi; Francesco Canovaro; Daniele Adami; Raffaella Berchiolli

doi:10.1016/j.jvscit.2023.101282

Successful extreme foot revascularization with plaque cracking (percutaneous direct needle puncture of calcified plaque) technique of medial tarsal artery

J Vasc Surg Cases Innov Tech. 2023 Aug 1;9(4):101282. doi: 10.1016/j.jvscit.2023.101282. eCollection 2023 Dec.

Authors

Nicola Troisi¹, Francesco Canovaro¹, Daniele Adami¹, Raffaella Berchiolli¹

Affiliation

¹ Vascular Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Abstract

The percutaneous direct needle puncture of calcified plaque technique is a valuable method to allow for extreme revascularization of occluded below-the-ankle vessels. We report the case of an antegrade recanalization technique from the peroneal artery to medial plantar artery to achieve external "cracking" of a calcified plaque of the medial tarsal artery.

Keywords: Below-the-ankle; PIERCE technique; Retrograde access; Tarsal artery.

Publication types

Case Reports