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 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.

Case report of a massive pseudoaneurysm of the anterior tibial artery

2021 ◽  
Vol 29 (2) ◽  
pp. 293-298
Author(s):  
Anna Dorn ◽  
Peter Galkin ◽  
Egan Kalmykov ◽  
Payman Majd
Keyword(s):  
Therapeutic Strategy ◽  
Delayed Diagnosis ◽  
Clinical Signs ◽  
Arterial Injury ◽  
The Body ◽  
Anterior Tibial Artery ◽  
Medical Procedures ◽  
Diagnosis And Therapy ◽  
Anterior Tibial ◽  
History Of

The majority of arterial pseudoaneurysms treated in our department of vascular surgery are consequences of catheter-associated medical procedures and located in the groin region. Clinical signs, combined with the recent history of a percutaneous intervention, ensure quick diagnosis and therapy. However, pseudoaneurysms can develop after any artery of the body is injured. No consensus on the therapeutic strategy is achieved because of the rare nature of this injury. This study provided an overview of the methods described in previous studies and contributions to their clinical experience. A case of a young man whose injury was not recognized immediately and who presented months after the accident with a pseudoaneurysm of unusual location and size was reported. Sonographic diagnosis was confirmed through computed tomography angiography, and open surgical repair was performed with satisfactory results. Conclusion. This case is a reminder that seemingly minor accidents can cause arterial injury, and patients should be carefully examined to avoid delayed diagnosis and therapy.

scholarly journals Variations in the origin, course and branching pattern of dorsalis pedis artery with clinical significance

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hemamalini ◽  
H. N. Manjunatha
Keyword(s):  
Clinical Significance ◽  
Lower Limbs ◽  
Peroneal Artery ◽  
Thromboangiitis Obliterans ◽  
Anterior Tibial Artery ◽  
Branching Pattern ◽  
Arterial Variations ◽  
Dorsalis Pedis Artery ◽  
Peripheral Arterial Diseases ◽  
Peripheral Arterial

AbstractPulsations of the dorsalis pedis artery are commonly used to evaluate the peripheral arterial diseases like thromboangiitis obliterans (TAO) or Buerger’s disease, in lower limbs. Dorsalis pedis artery is a direct extension from the anterior tibial artery and major vascular supply for the dorsum of the foot. But arterial variations in lower limbs are common due to rich distal anastomoses around the ankle joint. Absence of dorsalis pedis arterial pulse does not indicate peripheral arterial disease always as it is sometimes replaced by the enlarged perforating branch of peroneal artery, it may be absent or very thin, deviate laterally on the dorsum of foot. Aim of the present study is to observe the variations in origin, course and branching pattern of dorsalis pedis artery because of its clinical significance. During routine dissection of lower limbs for undergraduates we came across rare variations in the dorsalis pedis artery in its origin, course and branching pattern. Normal anatomic description was found in 27 limbs. In 13 specimens we noted variations, includes bilateral anomalous origin of dorsalis pedis artery, bilateral lateral deviation of dorsalis pedis artery, double dorsalis pedis artery, trifurcation of dorsalis pedis artery and absence of arcuate artery. Knowledge about the arterial variations around the ankle is important to orthopaedic, vascular surgeons and radiologists to prevent complications during surgical interventions.

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 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 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.

Two-Wire Technique With a Gooseneck Snare to Bail Out the Tip Separation of a Crosser Catheter

2018 ◽  
Vol 52 (4) ◽  
pp. 299-303
Author(s):  
Yoshito Kadoya ◽  
Kan Zen ◽  
Yohei Oda ◽  
Satoaki Matoba
Keyword(s):  
Limb Ischemia ◽  
Anterior Tibial Artery ◽  
Limited Information ◽  
Small Space ◽  
Total Occlusion ◽  
Distal Side ◽  
Anterior Tibial ◽  
History Of ◽  
Bail Out ◽  
Gooseneck Snare

Tip separation of a Crosser catheter is a serious complication; however, there is limited information on bailout methods. Here, we describe a case of successful retrieval of the separated tip of a Crosser catheter using a 2-wire technique with a gooseneck snare. A 76-year-old woman with a history of hemodialysis and diabetes mellitus who developed ulcers on her right toes was diagnosed as having critical limb ischemia and underwent transfemoral antegrade endovascular treatment of the anterior tibial artery (ATA). A 0.014-inch guidewire was passed through the ATA chronic total occlusion, and then a Crosser catheter was advanced along the wire. During catheter withdrawal, the tip completely detached from the shaft and remained in the ATA. We passed another 0.014-inch guidewire into the distal ATA through the small space beside the tip. A gooseneck snare catheter was advanced to the distal side of the tip along the new wire, and subsequently the 2 wires were entrapped by the snare. The detached tip was finally retrieved with the entire system as a unit and successfully withdrawn into the guiding sheath with no complications. Interventionists should be familiar with the bailout method of this unfavorable complication. Our technique may be widely adapted for various situations involving this complication.

Distribution, systematics and nomenclature of the three taxa of Common Stonechats (Aves, Passeriformes, Muscicapidae, Saxicola) that breed in the Caucasian region

2020 ◽  
Vol 29 (1) ◽  
pp. 33-57
Author(s):  
V.M. Loskot ◽  
G.B. Bakhtadze
Keyword(s):  
Geographic Distribution ◽  
Habitat Preferences ◽  
Junior Synonym ◽  
Type Locality ◽  
Diagnostic Features ◽  
Western Turkey ◽  
Geographical Variations ◽  
History Of ◽  
The Individual ◽  
North Western

Geographic distribution and habitat preferences of Saxicola rubicola rubicola (Linnaeus, 1766), S. maurus variegatus (S.G. Gmelin, 1774), and S. m. armenicus (Stegman, 1935) inhabiting the Caucasian Isthmus and adjacent areas are described in detail. We examined the individual, sexual, age, seasonal and geographical variations of seven main diagnostic features of both plumage and morphometrics (exactly, the length of wing and tail) using 381 skin specimens. Substantially improved diagnoses of S. m. variegatus and S. m. armenicus are provided. After a thorough examination of the materials and history of the expedition of Samuel Gmelin in 1768–1774, and his description of Parus variegatus, it was concluded that the type locality of this taxon was the vicinity of Shamakhi in Azerbaijan not Enzeli in North-Western Turkey. It is also shown the fallacy of the recently proposed attribution of the holotype of the northern subspecies S. m. variegatus to the southern taxon S. m. armenicus and synonymisation of these names, as well as the replacement of the name S. m. variegatus by its junior synonym S. m. hemrichii Ehrenberg, 1833 for the northern subspecies.

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