scholarly journals Continuation of perforating branch of fibular artery as dorsalis pedis artery

2018 ◽  
Vol 6 (5) ◽  
pp. 1833
Author(s):  
Monica Baxla ◽  
Matangeshwar Nath
Keyword(s):  
Lower Limb ◽  
Bypass Surgery ◽  
Anterior Tibial Artery ◽  
Arterial Cannulation ◽  
Effective Management ◽  
Arterial Variation ◽  
Dorsalis Pedis Artery ◽  
Anterior Tibial ◽  
Dorsum Of Foot ◽  
Extensor Compartment

For the effective management of vascular surgeries such as arterial cannulation, bypass surgery, percutaneous trans arterial catheterization etc. needs a sound knowledge of the vessels of the lower extremity, their branching pattern, course followed by them and their diameter. The knowledge of arterial variation is a must before a surgeon deals with the concerned area. We are reporting a case in which the perforating branch of fibular artery passes through the gap in the interosseous membrane and continues as the dorsalis pedis artery. Normally anterior tibial artery, a branch of popliteal artery is the main artery of the extensor compartment of the lower limb which continues on the dorsum of foot as dorsalis pedis artery but in this case, it became hypoplastic and disappeared below, proximal to the ankle joint.

scholarly journals Effects of Enhanced External Counterpulsation With Different Sequential Levels on Lower Extremity Hemodynamics

2021 ◽  
Vol 8 ◽  
Author(s):  
Yahui Zhang ◽  
Yujia Zhang ◽  
Yinfen Wang ◽  
Xiuli Xu ◽  
Jing Jin ◽  
...  
Keyword(s):  
Blood Flow ◽  
Flow Velocity ◽  
Posterior Tibial Artery ◽  
Anterior Tibial Artery ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Dorsalis Pedis Artery ◽  
Level Sequence ◽  
Anterior Tibial ◽  
Enhanced External Counterpulsation

Objective: This study aimed to investigate acute hemodynamics of lower extremities during enhanced external counterpulsation with a three-level sequence at the hips, thighs, and calves (EECP-3), two-level sequence at the hips and thighs (EECP-2), and single leg three-level sequence (EECP-1).Methods: Twenty healthy volunteers were recruited in this study to receive a 45-min EECP intervention. Blood flow spectrums in the anterior tibial artery, posterior tibial artery, and dorsalis pedis artery were imaged by Color Doppler ultrasound. Mean flow rate (FR), area, pulsatility index (PI), peak systolic velocity (PSV), end-diastolic velocity (EDV), mean flow velocity (MV), and systolic maximum acceleration (CCAs) were sequentially measured and calculated at baseline during EECP-3, EECP-1, and EECP-2.Results: During EECP-3, PI, PSV, and MV in the anterior tibial artery were significantly higher, while EDV was markedly lower during EECP-1, EECP-2, and baseline (all P < 0.05). Additionally, ACCs were significantly elevated during EECP-3 compared with baseline. Moreover, FR in the anterior tibial artery was significantly increased during EECP-3 compared with baseline (P = 0.048). During EECP-2, PI and MV in the dorsalis pedis artery were significantly higher and lower than those at baseline, (both P < 0.05). In addition, FR was markedly reduced during EECP-2 compared with baseline (P = 0.028). During EECP-1, the area was significantly lower, while EDV was markedly higher in the posterior tibial artery than during EECP-1, EECP-2, and baseline (all P < 0.05). Meanwhile, FR of the posterior tibial artery was significantly reduced compared with baseline (P = 0.014).Conclusion: Enhanced external counterpulsation with three-level sequence (EECP-3), EECP-2, and EECP-1 induced different hemodynamic responses in the anterior tibial artery, dorsalis pedis artery, and posterior tibial artery, respectively. EECP-3 acutely improved the blood flow, blood flow velocity, and ACCs of the anterior tibial artery. In addition, EECP-1 and EECP-2 significantly increased the blood flow velocity and peripheral resistance of the inferior knee artery, whereas they markedly reduced blood flow in the posterior tibial artery.

scholarly journals Anatomical and clinical evaluation of perforator-based flaps of lower limb

2019 ◽  
Vol 6 (2) ◽  
pp. 381
Author(s):  
Mohit Jain ◽  
R. K. Basant ◽  
Shivam Madeshiya ◽  
D. Kumar ◽  
Vikas Dwivedi ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lower Leg ◽  
Posterior Tibial Artery ◽  
Peroneal Artery ◽  
Anterior Tibial Artery ◽  
Medical College ◽  
Tibial Artery ◽  
Anatomical Basis ◽  
Anterior Tibial ◽  
Post Traumatic

Background: Wound of lower leg have a poor and delayed healing due to paucity of blood supply. Coverage of defects of leg and foot has always posed a problem for reconstructive surgeon. The objective of this study was to evaluate anatomical basis of various perforator-based flaps in lower limb and their clinical outcome and usefulness.Methods: All patients with post traumatic defects with exposed bones/tendons in the leg and ankle region presenting in MLN Medical college, Allahabad from August 2011 to July 2012 were included in the study.Results: A total 12 patients were included in study. Majority of cases are of compound fracture following accidents involving lower one third of leg. Majority of flaps were based on peroneal artery (5) and posterior tibial artery (5), only 2 flaps were based on anterior tibial artery. Maximum flap length was 21cm and maximum flap rotation was 180º. Complications occurred more in cases having maximum rotation. Result were good in 11 patients and satisfactory in 1 patient with coverage of the defect leading to healing of the wound. More time gap between injury and flap reconstruction leads to more complications and longer hospital stay. Graft site complication occur in 5 cases include partial flap necrosis, infection and venous congestion. There was no complication at the donor site.Conclusions: Perforator based flaps can be used for all large lower leg defects provided there is correct measurement and anatomical knowledge of various perforators, with good functional and cosmetic results.

scholarly journals A morphological study on variation in branching pattern of dorsalis pedis artery and its clinical perspectives

2020 ◽  
Vol 7 (10) ◽  
pp. 1594
Author(s):  
B. Vengadesan
Keyword(s):  
Peroneal Artery ◽  
Lateral Side ◽  
Anterior Tibial Artery ◽  
Branching Pattern ◽  
Text Book ◽  
Classical Text ◽  
Medical College ◽  
Tibial Artery ◽  
Dorsalis Pedis Artery ◽  
Anterior Tibial

Background: The study of dorsalis pedis artery and variations in its branching pattern has been reported sporadically. The purpose of this study was to evaluate the arterial. Supply on the dorsum of the foot. Methods: The study was carried out of forty dissected limbs of unknown sex and age from the department of Anatomy, Aarupadai veedu Medical College, Pondicherry.Results and Discussion: The incidence of classical text-book description was found to be very less in present study. In 5% of cases the dorsalis pedis artery was replaced by the peroneal artery. In 5% of cases the anterior tibial artery was found on lateral side of leg, dorsalis pedis artery is a continuation of the anterior tibial artery seen passing above lateral malleolus and then it passes forwards along the lateral side of the dorsum of the foot.Conclusion: The findings suggest that the lateral aspect of the dorsum of the foot has a poor nourishment. 

scholarly journals Mechanical Thrombectomy with Rotarex System in Buerger's Disease

2015 ◽  
Vol 5 ◽  
pp. 14 ◽  
Author(s):  
Ozgur Kilickesmez ◽  
Levent Oguzkurt
Keyword(s):  
Mechanical Thrombectomy ◽  
Thromboangiitis Obliterans ◽  
Anterior Tibial Artery ◽  
Diagnostic Features ◽  
Dorsalis Pedis Artery ◽  
Mechanical Removal ◽  
Antegrade Approach ◽  
Straight Line ◽  
Anterior Tibial ◽  
History Of

We report the case of a patient with 2-month history of chronic thromboembolism of the distal superficial femoral and popliteal arteries with diagnostic features of thromboangiitis obliterans disease. The occlusion could not be crossed by antegrade approach and was achieved retrogradely via dorsalis pedis artery puncture followed by mechanical removal of the thrombus with Rotarex system (Straub Medical AG, Wangs, Switzerland). Subsequent ballooon angioplasties achieved exclusion of the thrombus, and straight-line flow established to the foot through the anterior tibial Artery. The present case report demonstrates the success of mechanical thrombectomy in a patient with Buerger's vasculitis.

scholarly journals Cadaveric Study of Angiosomes of Anterior Tibial and Dorsalis Pedis Artery

2018 ◽  
Vol 35 (01) ◽  
pp. 17-24
Author(s):  
V. Paranjape ◽  
J. Kulkarni ◽  
P.V. Swamy ◽  
S. Shevade
Keyword(s):  
Peroneal Artery ◽  
Anterior Tibial Artery ◽  
Branching Pattern ◽  
Arterial Tree ◽  
Tibial Artery ◽  
Dorsalis Pedis Artery ◽  
Doppler Study ◽  
Anterior Tibial ◽  
Peripheral Pulse ◽  
Arcuate Artery

Introduction Angiosome formed by Anterior tibial artery and dorsalis pedis artery supply the ankle and the dorsum of foot. Both the vessels shows variation in termination and branching pattern. Materials and Methods 50 free formalin preserved limbs were dissected for the study. Results and Conclusion Anterior tibial artery showed variation in termination in 16%, most common of them was formation of loop with perforating branch of peroneal artery in 10%, bifurcation in to medial and lateral tarsal artery in 4% and trifutcation in 2%. Branching pattern of dorsalis pedis artey was variable in 18%, medial and lateral tarsal arteries were not branches of dorsalis pedis artery in 14% and 16% respectively. Arcuate artery was absent in 10%, when present it was branch of dorsalis pedis artery in 96%, perforating branch of peroneal artery in 2% and loop of medial and lateral tarsal artery in 2%. First dorsal metatarsal artery was not branch of dorsalis pedis artery in 4%. Lateral tarsal artery was constantly found in all the dissected limbs. Thorough knowledge of variation about branching pattern of arterial tree is clinically important for accuracy in interpretation of angiographs, Doppler study of lower limb vessels and optimum use of vascular pedicle for myocutaneous flaps. Importance of palpation of peripheral pulse in lateral tarsal artery is discussed in the study.

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