Angiographic analysis of the first metatarsal arteries and its clinical applications.
Twenty-five feet (18 patients) plus 2 traumatically amputated feet were used for angiographic analysis of the first metatarsal arteries. The author classified the first (dorsal and plantar) metatarsal arteries into three types: the first dorsal metatarsal artery, dominant type (seen in 17 feet), the first plantar metatarsal artery, dominant type (seen in 8 feet), and the intermediate type (seen in 2 feet). The serial angiograms taken under optimum conditions were of considerable value in preoperative assessment. Nine toe-to-hand, 1 toe-to-nose, 5 free flap, and 2 island flap transfers in which the foot was utilized as a donor site were successfully performed. Many of the procedures were undertaken with angiograms for reference. Anatomical studies of the first metatarsal artery reported in the literature are also discussed.
D000293:Adolescent; D000328:Adult; D000792:Angiography; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000098:blood supply* / Q000000981:diagnostic imaging; D008875:Middle Aged; D013524:Surgical Flaps