Exposure of the anterior tibial artery by medial popliteal extension

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Presentation transcript:

Exposure of the anterior tibial artery by medial popliteal extension J.G. Sladen, FRCS(C), G. Kougeer, FRCS(C), J.D.S. Reid, FRCS(C) Journal of Vascular Surgery Volume 19, Issue 4, Pages 717-721 (April 1994) DOI: 10.1016/S0741-5214(94)70046-X Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Precise angiogram of proximal ATA; ideal situation for medial exposure of ATA. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Diagram demonstrates incision of interosseous membrane. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Photograph of medial exposure of ATA at operation, still tethered by muscular and recurrent arterial branches. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A, Preoperative arteriogram shows diseased popliteal artery and occluded origin of ATA. B, Postoperative arteriogram in same patient. In situ, superficial femoral vein composite graft has been anastomosed into "poplitealized" anterior tibial vein. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Williams disc retractor improves exposure from medial approach and is useful in most tibial exposures. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Schematic diagram summarizes anatomy observed during postmortem dissections. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Postmortem dissection of proximal anterior compartment in right leg. Peroneal nerve approaches ATA about 7 cm below interosseous foramen. Journal of Vascular Surgery 1994 19, 717-721DOI: (10.1016/S0741-5214(94)70046-X) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions