Superficial femoral artery (SFA) angioplasty is best performed by antegrade puncture of the common femoral artery (CFA). Catheterizing the SFA from the common femoral approach may be difficult, especially when the catheter/guidewire combination preferentially advances down the deep fernoral artery (DFA), rather than the SFA. Several technical notes describe methods for repositioning the catheter from the DFA to the SFA. These include use of a special side-hole catheter such as a Cope introduction catheter [1 ], the soft outer jacket of a variable-stiffness guidewire [2], and a special curved sheath/needle set [3]. All of these maneuvers, however, require successful initial catheterization of the CFA. Frequently, a high bifurcation of the CFA may result in too short a vessel to puncture safely below the inguinal ligament and still be above the origin of the SFA. Obesity and a weakly palpable pulse may further compound the problem. The worst possible situation occurs when a successful antegrade puncture is performed in a difficult patient, but the arterial access must be abandoned because the initial puncture was into the DFA. In such cases, the SFA may have to be punctured directly with care taken to avoid the DFA. We recommend a simple technique for selective antegrade puncture of the SFA using the placement of a “target” guidewire. Figures 1-3 illustrate the use of this procedure.