Collateral artery bypass in the infrapopliteal segment

A 74-year-old man with diabetes and end-stage renal failure on regular dialysis required revascularization for gangrene of multiple toes and a heel ulcer on the right foot with chronic limb-threatening ischemia. However, the anterior tibial artery, posterior tibial artery, and peroneal artery, which...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2021-03, Vol.7 (1), p.30-34
Main Authors: Tochikubo, Ai, Koya, Atsuhiro, Uchida, Daiki, Tada, Yuki, Kikuchi, Shinsuke, Azuma, Nobuyoshi
Format: Article
Language:English
Subjects:
Case report
Chronic limb-threatening ischemia
Collateral bypass
Infrapopliteal arterial lesions
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Summary:A 74-year-old man with diabetes and end-stage renal failure on regular dialysis required revascularization for gangrene of multiple toes and a heel ulcer on the right foot with chronic limb-threatening ischemia. However, the anterior tibial artery, posterior tibial artery, and peroneal artery, which are the usual targets below the knee, showed obstruction or calcification and were considered inappropriate bypass targets. Instead, a collateral artery developed along the area of the posterior tibial artery, and bypass surgery was performed with this artery. This is a case report showing successful collateral artery bypass grafting in the distal infrapopliteal segment.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2020.12.003