Geniculate artery embolization is a treatment option for refractory knee osteoarthritis in patients unable to receive total knee arthroplasty. This case report describes two patients for whom pedal access was used to embolize the geniculate arteries due to challenging groin anatomy secondary to significant comorbidities (morbid obesity. proximal atherosclerosis). Both patients achieve... https://www.roneverhart.com/Sigon-s-Shelter-West-Ladder/