Variations in the popliteal artery branching in 342 patients studied with peripheral CT angiography using 64-MDCT

Çalışır, Cüneyt; Simsek, Sevtap; Tepe, Murat

doi:10.1007/s11604-014-0373-2

Cited by 22 publications

(33 citation statements)

References 28 publications

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“…Reportedly, the variation rate can be as high as 13% [1,9,21,30,31], which necessitates thorough examination of the vascular anatomy in the lower extremity prior to any intervention. Without a precise knowledge of anatomic variations in the branching pattern of the popliteal artery, it can be limb-threatening during a number of procedures in the lower limb, including arterial reconstructions in femoro-distal bypass graft procedures, embolectomy, and catheterization to treat lower limb ischemia in diabetic and ankle arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

“…These variant arterial supplies to foot and/or leg are of important anatomical significance and great clinical relevance, especially in plastic and vascular surgeries in an effort to reconstructing lower limb arteries or preparing viable muscle flaps [9][10][11][12][13]. The knowledge of these variations will definitely help reduce the risk of vascular trauma and unnecessary haemorrhage during lower limb surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Anatomical variations of the popliteal artery have been extensively studied [1,9,10,12,14,15] with an impact on the daily clinical practice in the field of surgery and during catheterization. Studies have shown that the popliteal artery can trifurcate, gives high division or hypoplastic-aplastic branches with altered distal supply.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that the popliteal artery can trifurcate, gives high division or hypoplastic-aplastic branches with altered distal supply. In fact, hypoplastic changes have been reported for the anterior tibial, posterior tibial, and peroneal arteries [1,2,9,10,12,[14][15][16][17][18][19][20][21][22][23][24]. The information about the anatomy of limb arteries is usually obtained via ultrasonography, computer tomography angiography (CTA), magnetic resonance angiography (MRA), and/or anatomical dissection.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound in diagnosis of anatomical variation of anterior and posterior tibial arteries.

et al. 2016

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Aims: Knowledge about branching pattern of the popliteal artery is very important in any clinical settings involving the anterior and posterior tibial arteries. This study aims to elucidate the anatomical variation patterns and common types of anterior tibial artery (ATA) and posterior tibial arteries (PTA) in the general population in China. Material and methods: Anatomical variations of ATA, PTA, and peroneal artery were evaluated with ultrasound in a total of 942 lower extremity arteries in 471 patients. Results: Three patterns of course in the PTA were ultrasonographically identified: 1) PTA1: normal anatomy with posterior tibial artery entering tarsal tunnel to perfuse the foot (91.5%), 2) PTA2: tibial artery agenetic, and replaced by communicating branches of peroneal artery entering tarsal tunnel above the medial malleolus to perfuse the foot (5.9%), and 3) PTA3: hypoplastic or aplastic posterior tibial artery communicating above the medial malleolus with thick branches of peroneal artery to form a common trunk entering into the tarsal tunnel (2.4%). In cases where ATA was hypoplastic or aplastic, thick branches of the peroneal artery replaced the anterior tibial artery to give rise to dorsalis pedis artery, with a total incidence of 3.2 % in patients, and were observed more commonly in females than in males. Hypoplastic or aplastic termini of ATA and PTA, with perfusion of the foot solely by the peroneal artery, was identified in 1 case. In another case, both communicating branches of the peroneal artery and PTA entered the tarsal tunnel to form lateral and medial plantar arteries.Conclusions: Anatomical variation of ATA and PTA is relatively common in the normal population. Caution should be exercised with these variations when preparing a peroneal artery vascular pedicle flap grafting. Ultrasound evaluation provides accurate and reliable information on the variations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ultrasound in diagnosis of anatomical variation of anterior and posterior tibial arteries.

et al. 2016

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“…The most remarkable, however, is not the most common pattern but the second most prevalent pattern. Trifurcation (Figure 1) is one of the most prevalent variations [6,7,20,21]. Its frequency in the literature ranges from 6.0% (Davies et al, 1989) [22] to 1.5% (Kil & Jung, 2009) [8].…”

Section: Methodsmentioning

confidence: 99%

Anatomical Study of Popliteal Artery Branching Patterns and Surgical Considerations

Bispos¹,

Amorim²,

Rigolon³

et al. 2017

IJAR

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Anatomical variants of lower limb vasculature and implications for free fibula flap: Systematic review and critical analysis

Abou‐Foul

Borumandi

2015

Microsurgery

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Sound knowledge of the anatomical patterns of lower limb vasculature is crucial for raising the free fibula flap (FFF). The tibial arteries are particularly susceptible to anatomical variations with a dominant role of peroneal artery (PR) for lower leg perfusion, and hence precluding fibular flap harvest. In this systematic review we study the prevalence of lower limbs with dominant peroneal artery (dPR). A systematic review of the MEDLINE and EMBASE databases was conducted using a comprehensive combination of keywords and search algorithm according to PRISMA guidelines. Articles describing the branching patterns of lower limb arteries, in cadaveric or angiographic studies, were included. A total of 5,790 limbs were included from 26 studies. dPR was found in 5.2% of all limbs. The combination of dPR with hypoplastic or aplastic posterior tibial artery was the most common pattern (3.3%) followed by hypoplastic anterior tibial artery (1.5%). Peronea arteria magna (PAM) was seen in 0.4% of limbs. Bilateral variants were seen in 20% of all cases with a dPR. A greater awareness of dPR as anatomical variation and its prevalence among healthy subjects can prevent ischemic donor-site complications after FFF harvest. Clinical examination alone may not suffice to detect anatomical variations, hence preoperative imaging of lower limb vascular system is recommended.

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Variations in the popliteal artery branching in 342 patients studied with peripheral CT angiography using 64-MDCT

Cited by 22 publications

References 28 publications

Ultrasound in diagnosis of anatomical variation of anterior and posterior tibial arteries.

Ultrasound in diagnosis of anatomical variation of anterior and posterior tibial arteries.

Anatomical Study of Popliteal Artery Branching Patterns and Surgical Considerations

Anatomical variants of lower limb vasculature and implications for free fibula flap: Systematic review and critical analysis

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