The posterior approach to popliteal-crural bypass

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Presentation transcript:

The posterior approach to popliteal-crural bypass Kenneth Ouriel, MD Journal of Vascular Surgery Volume 19, Issue 1, Pages 74-80 (January 1994) DOI: 10.1016/S0741-5214(94)70122-9 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Exposure of popliteal and proximal crural arteries through posterior approach. Two heads of gastrocnemius muscle are separated and soleus muscle is lysed from its tibial origin. Journal of Vascular Surgery 1994 19, 74-80DOI: (10.1016/S0741-5214(94)70122-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Exposure of posterior tibial artery through posterior approach. Tendo calcaneus is retracted laterally. Flexor digitorum longus muscle is reflected medially in lower portion of calf, because artery lies posterior to lateral border of this muscle near level of malleoli. Journal of Vascular Surgery 1994 19, 74-80DOI: (10.1016/S0741-5214(94)70122-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Exposure of peroneal artery through posterior approach. Tendo calcaneus is retracted medially and flexor hallucis longus muscle is reflected laterally to expose artery in groove next to fibula. Journal of Vascular Surgery 1994 19, 74-80DOI: (10.1016/S0741-5214(94)70122-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Kaplan-Meier curves of primary graft patency and limb salvage in 21 patients undergoing lesser saphenous vein popliteal-crural reconstruction through posterior approach. Numbers at bottom of graph represent number of patients remaining at risk at specific follow-up intervals. Journal of Vascular Surgery 1994 19, 74-80DOI: (10.1016/S0741-5214(94)70122-9) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions