Colegio Argentino de Cardioangiólogos Intervencionistas Revista Argentina de Cardioangiología intervencionista 2250-7531 2313-9307 14 1 2023 03 31 Retrograde angioplasty via pedal access. Progressive escalation strategy 0034 0038 EN G Dionisio Jefe de Servicio. Clínica Santa Clara Quilmes. DP Hemodinamia gfdionisio75@gmail.com L Puerta Médico de staff. Clínica Santa Clara Quilmes. DP Hemodinamia T Valverde Médico de staff. Clínica Santa Clara Quilmes. DP Hemodinamia A Terragno Médico de staff. Clínica Santa Clara Quilmes. DP Hemodinamia M Herrera Médico de staff. Clínica Santa Clara Quilmes. DP Hemodinamia F Villarruel Residente de Hemodinamia. Clínica Santa Clara Quilmes. DP Hemodinamia J Castro Residente de Hemodinamia. Clínica Santa Clara Quilmes. DP Hemodinamia C Tococari Residente de Hemodinamia. Clínica Santa Clara Quilmes. DP Hemodinamia Various health organizations and scientific societies have recognized the problem of peripheral vascular disease. The availability of smaller diameter devices, greater navigability, and specific design has allowed us to solve technically challenging cases. These tools allow the interventional cardiologist to use new strategies and improve their results. We present 3 case reports where we apply what we call pedal retrograde angioplasty with progressive escalation strategy. Peripheral vascular disease. Pedal access http://www.raci.com.ar/contenido/art.php?recordID=MjM3Nw== http://recursos.meducatium.com.ar/contenido/articulos/31100340038_2377/pdf/31100340038.pdf