The role of computed tomography angiography for popliteotibial bypass: a successful limb salvage procedure

doi:10.5606/tgkdc.dergisi.2016.11716

The role of computed tomography angiography for popliteotibial bypass: a successful limb salvage procedure

Tuğra Gençpınar, Çağatay Bilen, Deniz Serefli, Gökmen Akkaya, Öztekin Oto

Department of Cardiovascular Surgery, Medical Faculty of Dokuz Eylül University, İzmir, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.11716

Herein, we present a successful surgical treatment of a 64-year-old male patient with critical ischemia due to atherosclerotic occlusion of the popliteotibial segment. Conventional angiography revealed total popliteal occlusion without distal run-off. Repeated computed tomography angiography showed poor distal flow of the anterior tibial artery and peroneal artery and proximal severe stenosis of the posterior tibial artery. Popliteodistal bypass using a reversed great saphenous vein was performed with antibiotherapy for limb salvage. We present this case for its rarity and difficulty in decision-making.

Keywords : Critical limb ischemia; distal bypass; occlusive disease

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