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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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