With over 30 years of impacting treatment modalities that address complex coronary and peripheral vascular disease, I believe that easier access to the disease segment will improve the outcome, will decrease the overall procedural risk, will shorten the procedure duration, and will simplify the procedure.​

​

Antegrade Sheath Placement:

• When theAorta-Iliac bifurcation is hostile

• When patients have undergone previous surgical procedures

• When the severely calcified occluded segments in the outlow systems, and below the knee, need direct and close insertion of devices (better “pushability“)

• When pedal approach is not an option 

• When radial access is not an option

• When contralateral approach is unsuccessful