Popliteal-to-Dorsalis Pedis In-Situ Small Saphenous Vein Bypass under Planning with Mapping Using Computed Tomography Volume Rendering Technique.
10.5758/vsi.2015.31.3.102
- Author:
Seung Jae BYUN
1
Author Information
1. Department of Vascular Surgery, Wonkwang University School of Medicine, Iksan, Korea. polarisking@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
In-situ bypass;
Aberrant small saphenous vein;
Volume rendering technique;
LeMaitre valvulotome
- MeSH:
Arteries;
Humans;
Limb Salvage;
Saphenous Vein*;
Tibial Arteries;
Transplants;
Veins
- From:Vascular Specialist International
2015;31(3):102-105
- CountryRepublic of Korea
- Language:English
-
Abstract:
The small saphenous vein (SSV) is an important graft in limb salvage surgery. It is frequently translocated for bypass surgery. Sometimes, the use of the SSV as an in-situ graft for posterior tibial artery or peroneal artery reconstruction offers the advantages of reduced vein graft injury and improved patency. Recently, saphenous vein mapping through computed tomography (CT) volume rendering technique offers a great quality view to the surgeon. We experienced a patient in whom a CT image with volume rendering technique revealed an aberrant SSV connected with the great saphenous vein at the medial malleolus level. This case indicates that an aberrant SSV may be successfully used as an in-situ conduit for bypass to the dorsalis pedis artery. Here, we present the case of a popliteal-to-dorsalis pedis in-situ vein bypass using a LeMaitre valvulotome (LeMaitre Vascular Inc., USA) under mapping of the aberrant SSV by CT volume rendering technique.
