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Angiographie Anatomy of the Peripheral Vasculature and the Non-invasive Assessment of Peripheral Vascular Disease
Published in Richard R Heuser, Giancarlo Biamino, Peripheral Vascular Stenting, 1999
Philip A. Morales, Richard R. Heuser
The common femoral artery is the continuation of the external iliac artery after it passes through the inguinal canal. The common femoral artery gives rise to the superficial circumflex iliac artery and the pudendal branches. The common femoral artery then bifurcates into the superficial femoral artery and the arteria profunda femoris (profunda). The femoral profunda artery comes off posterolaterally, and thus the femoral bifurcation is best seen angiographically with a 30° RAO or LAO view. The superficial femoral artery courses along the medial aspect of the thigh and continues on as the popliteal artery when it exits the adductor canal via the adductor hiatus. Prior to passing through the adductor canal, it gives rise to the superior genicular artery. It provides the superior, middle, and inferior genicular arteries which have anastomoses with genicular branches from the superficial femoral and femoral profunda arteries. The popliteal artery continues below the knee until it bifurcates into the anterior tibial (lateral takeoff) and tibioperoneal trunk, which subsequently bifurcates into the peroneal artery and the posterior tibial artery, which is the medial-most artery (Fig. 2.9). The anterior tibial artery passes between the tibia and fibula to run anterior to the interosseous membrane and eventually forms the arteria dorsalis pedis.
Immediate tendon transfer for functional reconstruction of a dorsal forearm defect after sarcoma resection
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Ryo Karakawa, Hidehiko Yoshimatsu, Yuma Fuse, Kenta Tanakura, Tomohiro Imai, Masayuki Sawaizumi, Tomoyuki Yano
A 74-year-old male suffered from soft tissue sarcoma on the dorsal aspect of the left forearm (Figure 3(a)). Additional surgical wide resection followed by immediate tendon transfer was planned. Surgical wide resection, including the extensor compartment muscles (EDC, EDM, ECRL, ECRB, EPL) and posterior interosseous nerve, was performed (Figure 3(b)). A preoperatively planned tendon transfer was performed. Transfers of the FCR to the EDC and the EDM, and the PL tendon to the EPL were performed (Figure 3(c–e)). The size of the defect after tumor ablation was 11.5 × 12.5 cm. The skin defect was covered using an 11 × 18 cm superficial circumflex iliac artery perforator (SCIP) free flap (Figure 3(f)). The posterior interosseous artery and vein were used as recipient vessels. The resected mass was confirmed to be a UPS. The same rehabilitation as with case 1 was performed. Within 21 months, the patient returned to normal activity with full fist motion, pinch of the thumb and little finger, DIP joint extension of 0°, PIP joint extension of 5°, MP joint extension of 5° and thumb IP joint extension of 0°. The MSTS score was 27 (Figure 4).
A trial to visualize perforators images from CTA with a tablet device: experience of operating on minipigs
Published in Computer Assisted Surgery, 2022
Hisato Konoeda, Miyuki Uematsu, Nie Jumxiao, Ken Masamune, Hiroyuki Sakurai
Recently, AR technology has been incorporated into the field of plastic surgery to indicate perforator locations. The navigation system is divided into three systems, projection-mapping [11,32,33], a medical image overlay system with smart glasses [34–36] and a smartphone [10,11]. The following are the navigation system’s target vasculatures: the deep inferior epigastric artery, the lateral circumflex femoral artery, the superficial circumflex iliac artery, the posterior tibial artery and the peroneal artery. Yodrabum et al. established a device similar to ours. They assessed the accuracy of their device by analyzing how accurately it identified perforator locations, compared with a duplex scan. The inaccuracy was 0.7–1.0 cm [11] and the error was larger than our target registration errors.
Role of the Cadaver Lab in Lymphatic Microsurgery Education: Validation of a New Training Model
Published in Journal of Investigative Surgery, 2022
Lucian P. Jiga, Corrado C. Campisi, Zaher Jandali, Melissa Ryan, Michele Maruccia, Luigino Santecchia, Mario Cherubino, Janniko Georgiadis
This flap followed the exact anatomy of the superficial circumflex iliac artery perforator (SCIAP) flap and was marked raised from lateral to medial in a suprafascial plane as described by Hong et al. [20]. The entry point of the medial septo-cutaneous perforator of the SCIA into the skin paddle of the flap was identified. The perforator was followed up to the main trunk of the SCIA, which could be found medially to the lateral inguinal lymph node group that are included in the flap (Figure 3D).