Retrograde Pedal Access

[Jim Melton]
Yeah, you nailed it Aaron. I think, at the end of the day those people are just high risk to stick a groin. The radial's an option if you talk it through, but the radiation difference is drastic, to say the least.

I think that, at the end of the day, your ideal candidates for your first cases are two or three vessel runoff and a total SFA with an ulcer. Those are your best ones to practice on. The below the knee disease is good. There's a lot of techniques that we try to teach when the docs come about up and over from PT to AT or AT to PT, or interosseous, either one. And so, we do those also without sticking the groin. But, at the end of the day, the best cases and the most satisfying cases are the ones you can't get to from the top but you just fly through them from the bottom to heal an ulcer. So those are really good cases.

When you're a Critical Limb Ischemia Center of Excellence or that's what you want to be, you don't see a lot of those. But, at the end of the day, those are really good cases to practice and get a lot of confidence with.