Subintimal Angioplasty of a Crural Vessel via an Antegrade Popliteal Artery Puncture

Percutaneous retrograde puncture of the popliteal artery is a well-described technique and offers an alternative site for access to the peripheral vascular system. Antegrade popliteal artery puncture has only been described once in the literature. We present a case of subintimal angioplasty of a crural vessel occlusion using an antegrade popliteal approach. This report highlights that if other access is not possible due to unfavourable anatomy this approach is a technically feasible option.