Popliteal-Peroneal Artery Bypass via the Posterior Approach: A Case Report

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• 作者：Koichi Morisaki¹ ; ^{morisaki-k@matsuyama.jrc.or.jp" class="auth_mail" title="E-mail the corresponding author} ; Terutoshi Yamaoka¹ ; Kazuomi Iwasa¹ ; Takahiro Ohmine²
• 刊名：Annals of Vascular Surgery
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：36
• 期：Complete
• 页码：292.e1-292.e4
• 全文大小：1550 K

文摘

We report the case of a 65-year-old man with critical limb ischemia treated with popliteal–peroneal bypass via the posterior approach and endarterectomy of the P2 popliteal artery. The posterior approach is useful in a number of situations, such as cases of arteriosclerotic disease of the crural arteries, where the target artery is the distal posterior tibial artery or peroneal artery; where the inflow site is the popliteal artery; in cases of a poor-quality greater saphenous vein, limited length of vein, and a preferable lesser saphenous vein; and in reoperation after failed bypass via a medial approach. Vascular surgeons should consider the posterior approach as an alternative procedure in below-knee revascularization.