title: Popliteal-Peroneal Artery Bypass via the Posterior Approach: A Case Report.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan. Electronic address: morisaki-k@matsuyama.jrc.or.jp.
authors.forename: Koichi
authors.initials: K
authors.lastname: Morisaki
authors.affiliation: Department of Vascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan.
authors.forename: Terutoshi
authors.initials: T
authors.lastname: Yamaoka
authors.affiliation: Department of Vascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan.
authors.forename: Kazuomi
authors.initials: K
authors.lastname: Iwasa
authors.affiliation: Department of Vascular Surgery, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital, Hiroshima, Hiroshima, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Ohmine
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003251:Constriction, Pathologic; D016638:Critical Illness; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012501:Saphenous Vein / Q000601:surgery*; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods*