Road Mapping Guided Puncture Versus Ultrasound Guided Puncture During Retrograde Angioplasty Feasibility and Safety
The study aims to compare the technical feasibility and safety of road mapping-guided versus ultrasound-guided retrograde arterial puncture in patients with (CLTI) as measured by: * Puncture success rate * Access-related complication rate (e.g., hematoma, vessel dissection, perforation)
• Adults : Both male and female participants.
• Diagnosed with critical limp threatening ischemia (CLTI):
• significant occlusions in the femoropopliteal
• o Rutherford Class 5: Non-healing wounds or ulcers
• Failed or unable to achieve antegrade access:
• Patients requiring retrograde puncture for the procedure.
• Planned intervention with retrograde access: Candidates for endovascular interventions, including angioplasty, stent deployment