Case and Plan:
This is a 68 F with hypertension, diabetes, dyslipidemia and peripheral arterial disease who had prior interventions of the right lower extremity. She presented to the office with life style limiting claudication that has progressed to pain at rest despite optimal medical and exercise therapy. Non invasive studies showed severely reduced ABI and complete occlusion of the left popliteal artery and is now referred for peripheral angiography / endovascular intervention.
When both ante grade and retrograde wires were opposite to each other, was it a good idea to use reverse cart technique to fenestrate the planes