Pedal loop revascularization procedures are the last resort for patients with no other options for saving their limb. These procedures are technically challenging and require a highly skilled operator for best outcomes. A clear understanding of the pedal arterial anatomy and its variants is key to safely performing these procedures. Interventionalists need to understand the best tools (catheters, wires, balloons, etc) and technical steps to maximize patients outcomes.
Increasing evidence supports an endovascular first approach to patients with critical limb ischemia.
This paper is a meta-analysis looking at progression of peripheral arterial disease (PAD).
State of the art endovascular revascularization for critical limb ischemia