Abstract
By definition the popliteal artery ends at the origin of the first tibial artery, which typically is the anterior tibial artery. The origin is normally located 4-5 cm below the knee joint Fig.33.1). However, in about 4% of cases (Bardsley and Staple 1970) we find a so-called high origin of the anterior tibial artery at the level of the knee joint or even some centimeters more proximal (Fig. 33.2). Similarly, in a small proportion of the population (about l%-2%) a high origin of the posterior tibial artery has been described. Normally, the direct continuation of the popliteal artery after the branch of the anterior tibial artery is the tibioperoneal (or tibiofibular) trunk. This vascular segment is about 5 cm long and splits into the posterior tibial artery and the peroneal (or fibular) artery (see Fig. 33.1). As a variation, a trifurcation of the popliteal artery into all three lower leg arteries at the same point has been observed in 0.4% of patients (Bardsley and Staple 1970) (Fig. 33.3).
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References
Bakal CW, Sprayregen S, Scheinbaum K, Cynamon J, Veith FJ (1990) Percutaneous transluminal angioplasty of the infrapopliteal arteries: results in 53 patients. Am J Roentgenol 154:171–;174
Bakal CW, Cynamon J, Sprayregen S (1996) Infrapopliteal percutaneous transluminal angioplasty: what we know. Radiology 200:36–;43
Bardsley JL, Staple TW (1970) Variations in branching of the popliteal artery. Radiology 94:581–;587
Bolia A, Sayers RD, Thompson MM, Bell PR (1994) Subintimal and intraluminal recanalisation of occluded crural arteries by percutaneous balloon angioplasty. Eur J Vasc Surg 8:214–;219
Brown KT, Schoenberg NY, Moore ED, Saddekni S (1988) Percutaneous transluminal angioplasty of infrapopliteal vessels: preliminary results and technical considerations. Radiology 169:75–;78
Brown KT, Moore ED, Getrajdman GI, Saddekni S (1993) Infrapopliteal angioplasty: long-term follow up. J Vasc Intervent Radiol 4:139–;144
Bull PG, Mendel H, Hold M, Schlegl A, Denck H (1992) Distal popliteal and tibioperoneal transluminal angioplasty: long-term follow-up. J Vasc Intervent Radiol 3:45–;53
Casarella WJ (1988) Percutaneous transluminal angioplasty below the knee: new techniques, excellent results. Radiology 169:271–;272
Cheshire NJW, Wolfe JHN, Noone MA, Davies L, Drummond M (1992) The economics of femorocrural reconstruction for critical limb ischaemia with and without autologous vein. J Vasc Surg 15:167–;175
Colombo A, Hall P, Nakamura S, Almagor Y, Maiello L, Martini G, Gaglione A, Goldberg SL, Tobis JM (1995) Intracoronary stenting without anticoagulation accomplished with intravascular ultrasound. Circulation 91: 1676–;1688
Combined Rotablator Atherectomy Group (CRAG) (1994) Peripheral atherectomy with the rotablator: a multicenter report. J Vasc Surg 19:509–;515
Consensus Conference on Chronic Critical Leg Ischemia (1991) Consensus document on chronic critical leg ischemia. Circulation 88 Suppl 4:IV1–;IV26
Dormandy JA, Thomas PRS (1988) What is the natural history of a critically ischaemic patient with and without his leg? In: Greenhalgh RM, Jamieson CW, Nicolaides AN (eds) Limb salvage and amputation for vascular disease. Saunders, Philadelphia, pp 11–;26
Dorros G, Hall P, Prince C (1993) Successful limb salvage after recanalization of an occluded infrapopliteal artery utilizing a balloon expandable (Palmaz-Schatz) stent. Catheterization Cardiovasc Diagn 28:83–;88
Dotter CT, Judkins MP (1964) Transluminal treatment of arterial obstruction: description of a new technique and a preliminary report of ist application. Circulation 30:654–;670
Durham JR, Horowitz JD, Wright JG, Smead WL (1994) Percutaneous transluminal angioplasty of tibial arteries for limb salvage in the high-risk diabetic patient. Ann Vasc Surg 8:48–;53
Greenfield AJ (1980) Femoral, popliteal, and tibial arteries: percutaneous transluminal angioplasty. Am J Roentgenol 135:927–;935
Haimovici H (1967) Patterns of arteriosclerotic lesions of the lower extremity. Arch Surg 95:918–;933
Hauser H, Bohndorf K, Wack C, Tietze W, Wölfle KD, Loeprecht H (1996) Percutaneous transluminal angioplasty (PTA) of isolated crural arterial stenoses in critical arterial occlusive disease. ROFO 164:238–;243
Horvath W, Oertl M, Haidinger D (1990) Percutaneous transluminal angioplasty of crural arteries. Radiology 177:565–;569
Mathias K, Spillner G, Staiger J, Ahmadi A, Werner JP (1979) Percutane transluminale Revascularisation von Unterschenkelarterien. Chirurg 50:158–;163
Matsi PJ, Manninen HI, Suhonen MT, Pirinen AE, Soimakallio S (1993) Chronic critical lower-limb ischemia: prospective trial of angioplasty with 1–;36 months follow-up. Radiology 188:381–;387
McWhinnie DL, Gordon AC, Collin J, Gray DWR, Morrison JD (1994) Rehabilitation outcome 5 years after 100 lower limb amputations. Br J Surg 81:1596–;1599
Orchard TJ, Strandness DE (1992) Assessment of peripheral vascular disease in diabetes: report and recommendations of an international workshop. Circulation 88:819–;828
Rutherford RB, Flanigan DP, Gupta SK, et al. (1986) Suggested standards for reports dealing with lower extremity ischemia. J Vasc Surg 4:80–;94
Saab MH, Smith DC, Aka PK, Brownlee RW, Killeen JD (1992) Percutaneous transluminal angioplasty of tibial arteries for limb salvage. Cardiovasc Intervent Radiol 15:211–;216
Sacks D, Marinelli DL, Martin LG, Spies JB, et al. (1997) Reporting standards for clinical evaluation of new peripheral arterial revascularization devices. J Vasc Intervent Radiol 8:137–;149
Schwarten DE (1991) Clinical and anatomical considerations for nonoperative therapy in tibial disease and the results of angioplasty. Circulation 83 Suppl 1:I-86-I-90
Schwarten DE, Cutcliff WB (1988) Arterial occlusive disease below the knee: treatment with percutaneous transluminal angioplastyperformed with low-profile catheters and steerableguide wires. Radiology 169:71–;74
Schwarzenbach BP, Groscurth P, Lang A, Schöpke W, Hoffmann U, Bollinger A (1996) Bedeutung von arteriellen Anastomosen am distalen Unterschenkel und proximalen Fuß zur Kompensation der peripheren arteriellen Verschlußkrankheit. Vasa 25:331–;336
Sivananthan UM, Browne TF, Thorley PJ, Rees MR (1994) Percutaneous transluminal angioplasty of the tibial arteries. Br J Surg 81:1282–;1285
Sos TA (1996) Infrapopliteal intervention: the Cornell experience. Cardiovasc Intervent Radiol 19 Suppl 2:S104
Sprayregen S, Sniderman KW, Sos TA, Vieux U, Singer A, Veith FJ (1980) Popliteal artery branches: percutaneous transluminal angioplasty. Am J Roentgenol 135:945–;950
Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology (1990) Guidelines for percutaneous transluminal angioplasty. Radiology 177:619–;626
Starck EE, McDermott JC, Crummy AB, Heydwolf AV (1984) Angioplasty of the popliteal and tibial arteries. Semin Intervent Radiol 1:269–;277
Tamura S, Snidermann KW, Beinart C, Sos TA (1982) Percutaneous transluminal angioplasty of the popliteal artery and ist branches. Radiology 143:645–;648
Varty K, Bolia A, Naylor AR, Bell PR, London NJ (1995) Infrapopliteal percutaneous transluminal angioplasty: a safe and successful procedure. Eur J Vasc Endovasc Surg 9:341–;345
Veith FJ, Gupta SK, Wengerter KR, et al. (1990) Changing atherosclerotic disease patterns and management strategies in lower-limb-threatening ischemia. Ann Surg 212: 402–;414
Wack C, Wölfle KD, Loeprecht H, Tietze W, Bohndorf K (1994) Percutaneous balloon dilatation of isolated lesions of the calf arteries in critical ischemia of the leg. Vasa 23:30–;34
Wagner HJ (1994) Angioplastie von Unterschenkelarterien. In: Steudel A, Görich J, Götz HJ (eds) Interventionelle Radiologie. Zuckschwerdt, Munich, pp 18–;23
Wagner HJ, Reuter P, Alfke H, Starck E (1992) Prospektive Studie zur Rekanalisationszeitbestimmung mit einem Führungsdraht/Rekanalisationskathetersystem bei arteriellen Occlusionen. ROFO 157:477–;483
Wagner HJ, Starck EE, McDermott JC (1993) Infrapopliteal percutaneous transluminal revascularization: results of a prospective study on 148 patients. J Intervent Radiol 8:81–;90
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Wagner, HJ. (2000). Tibiofibular and Foot Artery Disease. In: Zeitler, E. (eds) Radiology of Peripheral Vascular Diseases. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56956-2_33
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DOI: https://doi.org/10.1007/978-3-642-56956-2_33
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