The role of computed tomography angiography for popliteotibial bypass: a successful limb salvage procedure
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, vol.24, no.1, pp.130-132, 2016 (SCI-Expanded, Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 24 Issue: 1
- Publication Date: 2016
- Doi Number: 10.5606/tgkdc.dergisi.2016.11716
- Journal Name: TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Page Numbers: pp.130-132
- Keywords: Critical limb ischemia, distal bypass, occlusive disease
- Dokuz Eylül University Affiliated: Yes
Abstract
Herein, we present a successful surgical treatment of a 64-year-old male patient with critical ischemia due to atherosclerotic occlusion of the popliteotibial segment. Conventional angiography revealed total popliteal occlusion without distal run-off. Repeated computed tomography angiography showed poor distal flow of the anterior tibial artery and peroneal artery and proximal severe stenosis of the posterior tibial artery. Popliteodistal bypass using a reversed great saphenous vein was performed with antibiotherapy for limb salvage. We present this case for its rarity and difficulty in decision-making.