1. Indications for distal arterial reconstruction in the presence of palpable pedal pulses 
Steven P. Rivers, MD, Larry Scher, MD, Frank J. Veith, MD 
Journal of Vascular Surgery 
Volume 12, Issue 5, Pages (November 1990)
DOI: / (90)90009-Y
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2. Fig. 1
Case 1. Preoperative reduction of blood pressure and pulse volume tracing (left) eliminated by a bypass to the distal anterior tibial artery (right).
Journal of Vascular Surgery  , DOI: ( / (90)90009-Y)
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3. Fig. 2
Case 2. Occlusion of tibioperoneal trunk (arrows) with reconstitution of peroneal artery through collaterals. A pulse was transmitted further into the dorsal pedal artery via a large lateral perforating branch at the ankle.
Journal of Vascular Surgery  , DOI: ( / (90)90009-Y)
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4. Fig. 3
Case 3. Dorsal pedal artery pulse was detectable despite high-grade stenoses of proximal anterior tibial artery. Indolent mal perforans ulcers healed after vein patch angioplasty.
Journal of Vascular Surgery  , DOI: ( / (90)90009-Y)
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5. Fig. 4
Case 6. A, Segmental occlusion of dorsal pedal artery with acute ischemia of forefoot. B, Intraoperative arteriogram after thrombectomy and patch angioplasty. Foot vessel reconstruction prevented tissue loss.
Journal of Vascular Surgery  , DOI: ( / (90)90009-Y)
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6. Fig. 5
Pulse volume recordings in Case 6 show segmental ischemia of the forefoot and toes (left) with normalization of tracings after surgery (right).
Journal of Vascular Surgery  , DOI: ( / (90)90009-Y)
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7. Fig. 6
Case 8. Operative angiogram on left of anterior tibial to medial plantar artery bypass shows point of obstruction (arrow) at ankle joint with pulse transmitted slightly distally into the dorsal pedal artery. View on right shows outflow to patent plantar vessel extending into pedal arch.
Journal of Vascular Surgery  , DOI: ( / (90)90009-Y)
Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions