Anatomic Study of the Dorsalis Pedis-First Dorsal Metatarsal Artery

Lee, Jong-Ho; Dauber, Wolfgang

doi:10.1097/00000637-199701000-00010

Cited by 45 publications

(41 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9,10 There are significant anatomic variations of the FDMA. [11][12][13] Proper evaluation of the vessel's blood flow will help to determine the surgical approach and predict the outcome. The evaluation of the blood vessels before surgery is traditionally performed either with palpation or with Doppler rheometry.…”

Section: Discussionmentioning

confidence: 99%

Sonography of the first dorsal metatarsal artery of the foot

Zhu

2005

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Sonography of the first dorsal metatarsal artery of the foot

Zhu

2005

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…The presence of highly emergent anterior tibial artery or irregular tibial trifurcation was described in 5.6-6% cases [109][110], while anomalous origins of the dorsalis pedis artery were encountered in 4.3-6% presentations [109,111]. Aberrant first dorsal metatarsal artery and appended first toe dominant irrigation was described in 8.1% cases [112], parallel variants of the arcuate artery in 5% [113], and modified courses of the plantar arch and plantar arteries in 5% of presentations [114]. The intimate knowledge of these variants seems significant for the advised interventionist since wounddirected revascularization is planned [30,100].…”

Section: Does Topographic Wdr Allow Unrestricted Anatomical Applicatimentioning

confidence: 99%

“…They also seem to play a pivotal role in intentional "wound-directed" revascularization and appropriate tissue regeneration [35,[96][97][98]118]. These vessels assemble the foot arches, (acknowledging eventual 5-9% anatomical variations, Section 6.3) [108][109][110][111][112][113][114], the metatarsal perforators, the anterior communicants, and other sizable arterial-arterial branches such as the dorsal foot-to-plantar, or the peroneal-to-posterior tibial rescue heel collaterals (level III of perfusion) [35,101].…”

Section: Compensatory Collateral Systems Relying the Foot Angiosomes mentioning

confidence: 99%

Ischemic Ulcer Healing: Does Appropriate Flow Reconstruction Stand for All That We Need?

Alexandrescu¹,

Triffaux²

2016

Wound Healing - New Insights Into Ancient Challenges

View full text Add to dashboard Cite

During the recent decades, soaring progresses in vascular disease knowledge, particularly in critical limb ischemia (CLI) treatment, enhanced novel diagnostic and interventional strategies with high serviceableness in patient's selection, arterial recanalization, and dedicated ischemic ulcer follow-up. However, despite undeniable advances in medical technology and clinical judgment, limb salvage, the ambulation recovery, and patient's survival seem only scarcely affected in this heterogeneous CLI group, particularly concerning the diabetic and renal patients. Innovative strategies such as "end artery occlusive disease" treatment or "wound-targeted revascularization" were equally proposed by following the angiosomal anatomical distribution associating individual foot collateral assessment in a unified macro-and micro-circulatory judgment. However, despite encouraging clinical results, prospective evidence still lacks on this concern. It also appears that specific wounds could not always stand for the lowest perfusion areas according to current CLI criteria, since severe neuropathy, inflammatory swelling, local infection, and skin trauma may add complementary hindrances to tissue viability.The present chapter endeavor to summarize main available treatment principles for ischemic ulcer recovery that every modern practitioner eventually disposes in an updated contemporary view."

show abstract

“…The FDMA can have a variable course above, through, or below the first dorsal interosseous muscle. The dorsalis pedis supplies the overlying soft tissue via several tenuous branches along its length (3,4). Because of anatomic variations, preoperative angiography is necessary for successful reconstruction, especially in patients with comorbidities affecting patency of their vasculature (5).…”

Section: Reversed Dorsal Metatarsal Artery Flapmentioning

confidence: 99%