SCAI 2026 Treatment and Management of Complex Peripheral Arterial Disease-Access Considerations in Approaching Complex PAD, Dr. Lichaa

Access Considerations in Approaching Complex PAD, Dr. Lichaa

Video Transcription

Video Summary

The speaker explains why alternative access routes are essential in peripheral interventions, especially when femoral access is unsafe or ineffective. Reasons include hostile groins, severe obesity or thinness, iliac tortuosity, stents, CTOs, distal disease, and the need for better pushability, lower radiation/contrast, and earlier ambulation. He reviews access options such as brachial, radial, axillary, antegrade femoral/SFA, retrograde tibial or foot, and digital plantar access, emphasizing careful ultrasound-guided puncture and hemostasis. He warns that these techniques can cause bleeding, pseudoaneurysm, or compartment syndrome if done poorly.

Asset Caption

closed captions are computer-generated

Keywords

peripheral interventions

alternative access routes

femoral access

ultrasound-guided puncture

complication risks