Case Series

Kissing Balloon Technique for Angioplasty of Tibioperoneal Arteries Bifurcation Using Pedal Arterial Retrograde Revascularization

Table 2

The arterial lesions, endovascular access, and follow-up for the 7 patients.

Patient numberLimbABITBIArterial lesion siteAccess siteSheathFollow-up

1Right (0.41)(0.33)(i) Right PA 50-60% stenosis
(ii) Right peroneal artery 50-60% stenosis
(iii) Right anterior tibial artery completely occluded
(iv) Right posterior tibial artery completely occluded
Right femoral artery
Right anterior tibial artery
6 French sheath
4 French sheath
5 months’ follow-up: total healing of ulcer with repeat ABI: 0.73.

2Left (0.85) (0.5)(i) Left anterior tibial artery 80% stenosis proximally
(ii) Left tibioperoneal trunk 80-90% stenosis proximally and 70% distally
(iii) Left posterior tibial artery 80% stenosis proximally
(iv) Left deep peroneal 60-70% stenosis proximally
Right femoral artery
Left posterior tibial artery
6 French sheath
4 French sheath
4 months’ follow-up: improved claudication with repeat ABI 0.91.

3LeftN/AN/A(i) Left tibioperoneal trunk 50% stenosis
(ii) Left posterior tibial 60% stenosis proximally
(iii) Left deep peroneal artery 60-80% stenosis
Right femoral artery
Left posterior tibial artery
6 French sheath
4 French sheath
3 months’ follow-up: improved claudication with widely patent left popliteal and
tibioperoneal seen on repeat angiogram.

4RightN/AN/A(i) Right femoral-popliteal bypass stenosis proximally and distally
(ii) Right common iliac 80-90% stenosis
(iii) Left common iliac 70% stenosis
Left femoral artery
Right posterior tibial artery
6 French sheath
4 French sheath
7 months’ follow-up: improved claudication.

5Left (0.63)(0.32)(i) Left distal SFA and PA stenosis
(ii) Left tibioperoneal trunk and posterior tibial stenosis
(iii) Left deep peroneal artery stenosis
Right femoral artery
Left deep peroneal artery
6 French sheath
4 French sheath
8 months’ follow-up: improved claudication with repeat ABI 0.73.

6Left (0.49) 0.39)(i) Left SFA 90-95% stenosis distally
(ii) Left tibioperoneal trunk 70-80%
(iii) Left anterior tibial artery completely occluded
(iv) Left posterior tibial artery completely occluded
Right femoral artery
Left anterior tibial artery
6 French sheath
4 French sheath
3 months’ follow-up: improved claudication with repeat ABI 0.91.

7Left (0.59)(0.44)(i) Left popliteal artery 90% stenosis distally
(ii) Left anterior tibial artery 70% stenosis distally
(iii) Left tibial artery 80% stenosis
(iv) Left peroneal artery occluded
Left femoral artery
Left anterior tibial artery
6 French sheath
4 French sheath
5 months’ follow-up: significant healing of ulcer with repeat ABI 0.66.

ABI, ankle brachial index, TBI, toe brachial index, N/A, not applicable, SFA, superficial femoral artery, PA, popliteal artery.