Collateral artery bypass in the infrapopliteal segment

Ai Tochikubo; Atsuhiro Koya; Daiki Uchida; Yuki Tada; Shinsuke Kikuchi; Nobuyoshi Azuma

doi:10.1016/j.jvscit.2020.12.003

Collateral artery bypass in the infrapopliteal segment

J Vasc Surg Cases Innov Tech. 2020 Dec 29;7(1):30-34. doi: 10.1016/j.jvscit.2020.12.003. eCollection 2021 Mar.

Authors

Ai Tochikubo¹, Atsuhiro Koya¹, Daiki Uchida¹, Yuki Tada¹, Shinsuke Kikuchi¹, Nobuyoshi Azuma¹

Affiliation

¹ Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan.

Abstract

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.

Keywords: Chronic limb-threatening ischemia; Collateral bypass; Infrapopliteal arterial lesions.

Publication types

Case Reports