Tibiopedal Access for Crossing of Infrainguinal Artery Occlusions

Inclusion Criteria: * Patient has a totally occluded infrainguinal artery, due to peripheral arterial atherosclerotic disease, for which a previous attempt to cross the occlusion using an antegrade approach was unsuccessful. For institutions where tibiopedal access is performed as a primary standard-of-care procedure, a prior unsuccessful antegrade approach attempt is not required. Exclusion Criteria: * Patient will not sign the Informed Consent