tibial arteries

Summary

Summary: The anterior and posterior arteries created at the bifurcation of the popliteal artery. The anterior tibial artery begins at the lower border of the popliteus muscle and lies along the tibia at the distal part of the leg to surface superficially anterior to the ankle joint. Its branches are distributed throughout the leg, ankle, and foot. The posterior tibial artery begins at the lower border of the popliteus muscle, lies behind the tibia in the lower part of its course, and is found situated between the medial malleolus and the medial process of the calcaneal tuberosity. Its branches are distributed throughout the leg and foot.

Top Publications

  1. Fusaro M, Dalla Paola L, Brigato C, Marangotto M, Nicolini S, Rripay R, et al. Plantar to dorsalis pedis artery subintimal angioplasty in a patient with critical foot ischemia: a novel technique in the armamentarium of the peripheral interventionist. J Cardiovasc Med (Hagerstown). 2007;8:977-80 pubmed
  2. Reekers J. The feasibility of a percutaneous temporary pedal bypass. Eur J Vasc Endovasc Surg. 2007;34:50-2 pubmed
    ..This technique might offer new opportunities for patients with non-healing ulcers which are technically and/or medically inoperable...
  3. Fusaro M, Dalla Paola L, Biondi Zoccai G. Pedal-plantar loop technique for a challenging below-the-knee chronic total occlusion: a novel approach to percutaneous revascularization in critical lower limb ischemia. J Invasive Cardiol. 2007;19:E34-7 pubmed
    ..Technical points pertinent to this case are clearly illustrated, including the need to accurately choose guidewires and balloons of appropriate length, and the extensive use of the subintimal angioplasty technique...
  4. Rad A, Singh N, Rosson G. Peroneal artery perforator-based propeller flap reconstruction of the lateral distal lower extremity after tumor extirpation: case report and literature review. Microsurgery. 2008;28:663-70 pubmed publisher
  5. Anandbabu S, Neville R. Distal venous patch improves results in PFTE bypasses to tibial arteries. Acta Chir Belg. 2006;106:372-7 pubmed
    ..these alternative conduits have not resulted in equivalent results when used for distal bypass to tibial arteries. Several authors have reported upon the use of venous tissue at the distal anastomosis in the form of cuffs, ..
  6. Vraux H, Bertoncello N. Subintimal angioplasty of tibial vessel occlusions in critical limb ischaemia: a good opportunity?. Eur J Vasc Endovasc Surg. 2006;32:663-7 pubmed
    ..To evaluate the feasibility and the mid-term results of subintimal angioplasty (SA) in the treatment of critical limb ischaemia (CLI) with tibial vessels occlusions...
  7. Tanaka K, Matsumura H, Miyaki T, Watanabe K. An anatomic study of the intermuscular septum of the lower leg; branches from the posterior tibial artery and potential for reconstruction of the lower leg and the heel. J Plast Reconstr Aesthet Surg. 2006;59:835-8 pubmed
    ..We advocate that these anatomical features contribute to clinical applications of the IMS flap. It may be useful for reconstruction of the lower leg and heel as safer options with less morbidity...
  8. Shirai K, Utino J, Otsuka K, Takata M. A novel blood pressure-independent arterial wall stiffness parameter; cardio-ankle vascular index (CAVI). J Atheroscler Thromb. 2006;13:101-7 pubmed
    ..002 vs. NA). CAVI in the patients with all three complications was 8.9 +/- 0.35 (p < 0.001 vs. NA). These results suggested that CAVI could reflect arteriosclerosis of the aorta, femoral artery and tibial artery quantitatively...
  9. Ingle H, Nasim A, Bolia A, Fishwick G, Naylor R, Bell P, et al. Subintimal angioplasty of isolated infragenicular vessels in lower limb ischemia: long-term results. J Endovasc Ther. 2002;9:411-6 pubmed
    ..To assess the outcome of subintimal angioplasty in treating isolated infragenicular arterial disease in patients with severe lower limb ischemia...

More Information

Publications62

  1. Hsieh C, Liang C, Kueh N, Tsai H, Jeng S. Distally based sural island flap for the reconstruction of a large soft tissue defect in an open tibial fracture with occluded anterior and posterior tibial arteries-a case report. Br J Plast Surg. 2005;58:112-5 pubmed
    ..a 10 x 16 cm soft tissue defect of right lower leg that accompanied with occluded anterior and posterior tibial arteries in a 30-year-old man who sustained comminuted type III(B) Gustilo open tibial and fibular fracture, we ..
  2. Desgranges P, Boufi M, Lapeyre M, Tarquini G, Van Laere O, Losy F, et al. Subintimal angioplasty: feasible and durable. Eur J Vasc Endovasc Surg. 2004;28:138-41 pubmed
    ..To assess prospectively the feasibility and durability of subintimal angioplasty (SA) clinically and by duplex scans every 3 months...
  3. Sabatier M, Stoner L, Reifenberger M, McCully K. Doppler ultrasound assessment of posterior tibial artery size in humans. J Clin Ultrasound. 2006;34:223-30 pubmed
  4. Jurno M, Chevtchouk L, Nunes A, de Rezende D, Jevoux C, de Souza J, et al. Ankle-brachial index, a screening for peripheral obstructive arterial disease, and migraine - a controlled study. Headache. 2010;50:626-30 pubmed publisher
    ..The ankle-brachial index (ABI) is largely used as a surrogate of peripheral obstructive arterial disorders (POAD). Accordingly, in this study we contrasted the ABI in individuals with migraine and in controls...
  5. Vogel T, Dombrovskiy V, Carson J, Graham A. In-hospital and 30-day outcomes after tibioperoneal interventions in the US Medicare population with critical limb ischemia. J Vasc Surg. 2011;54:109-15 pubmed publisher
  6. Gur S, Oguzkurt L, Gurel K, Tekbaş G, Onder H. US-guided retrograde tibial artery puncture for recanalization of complex infrainguinal arterial occlusions. Diagn Interv Radiol. 2013;19:134-40 pubmed publisher
  7. Sadaghianloo N, Jean Baptiste E, Declemy S, Mousnier A, Brizzi S, Hassen Khodja R. Percutaneous angioplasty of long tibial occlusions in critical limb ischemia. Ann Vasc Surg. 2013;27:894-903 pubmed publisher
    ..The aim of this study was to assess the midterm results of percutaneous angioplasty in patients with critical limb ischemia (CLI) and long tibial occlusions...
  8. Lyden S. Techniques and outcomes for endovascular treatment in the tibial arteries. J Vasc Surg. 2009;50:1219-23 pubmed publisher
    Interventional therapy for tibial arteries is a key part of the vascular specialist armamentarium...
  9. Deguchi J, Shigematsu K, Ota S, Kimura H, Fukayama M, Miyata T. Surgical result of critical limb ischemia due to tibial arterial occlusion in patients with systemic scleroderma. J Vasc Surg. 2009;49:918-23 pubmed publisher
    ..To analyze the outcome after surgery for critical limb ischemia (CLI) due to tibial artery occlusion in patients with systemic scleroderma...
  10. Wel Z, Shao X, Shuai X, Sun G, Han W, Jin W, et al. [Repairing small wounds around ankle by medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus]. Zhonghua Zheng Xing Wai Ke Za Zhi. 2010;26:251-3 pubmed
    ..To discuss the application of medial planta island flaps pedicled with anterior tibial artery perforator in front of inner malleolus for repairing small wounds around ankle...
  11. Neville R, Attinger C, Bulan E, Ducic I, Thomassen M, Sidawy A. Revascularization of a specific angiosome for limb salvage: does the target artery matter?. Ann Vasc Surg. 2009;23:367-73 pubmed publisher
    ..Although many factors must be considered in choosing the target artery for revascularization, consideration should be given to revascularization of the artery directly feeding the ischemic angiosome...
  12. Satoh H, Saijo Y, Kishi R, Tsutsui H. Brachial-ankle pulse wave velocity is an independent predictor of incident hypertension in Japanese normotensive male subjects. Environ Health Prev Med. 2011;16:217-23 pubmed publisher
    ..We have conducted a study aimed at evaluating whether brachial-ankle pulse wave velocity (baPWV) is a predictor of incident hypertension...
  13. Klecker R, Winalski C, Aliabadi P, Minas T. The aberrant anterior tibial artery: magnetic resonance appearance, prevalence, and surgical implications. Am J Sports Med. 2008;36:720-7 pubmed publisher
    ..Preoperative identification of this anatomical variant may help avoid these injuries...
  14. Glasby M, Bolia A. Subintimal angioplasty of a crural vessel via an antegrade popliteal artery puncture. Eur J Vasc Endovasc Surg. 2007;34:347-9 pubmed
    ..This report highlights that if other access is not possible due to unfavourable anatomy this approach is a technically feasible option...
  15. Weyrich P, Rittig K, Stock J, Scheule A, Haring H, Balletshofer B. [Early systolic notched peripheral Doppler flow pattern as an indicator of functional obstruction of the common iliac artery after iatrogenic aortic dissection: a case report]. Ultraschall Med. 2006;27:176-9 pubmed
    ..The pathogenesis of this morphologically altered Doppler flow pattern and potential differential diagnoses are discussed in this case report, also considering the current literature...
  16. Spurlock D, Toomasian J, Romano M, Cooley E, Bartlett R, Haft J. A simple technique to prevent limb ischemia during veno-arterial ECMO using the femoral artery: the posterior tibial approach. Perfusion. 2012;27:141-5 pubmed publisher
    ..Cannulation of the posterior tibial artery is a simple technique to reperfuse the lower extremity during VA ECMO. The cannula should be inserted within 6 hours of ECMO initiation to avoid irreversible ischemic damage...
  17. Graziani L, Morelli L, Parini F, Franceschini L, Spano P, Calza S, et al. Clinical outcome after extended endovascular recanalization in Buerger's disease in 20 consecutive cases. Ann Vasc Surg. 2012;26:387-95 pubmed publisher
    ..To present our experience of extended endovascular management for thromboangiitis obliterans (Buerger's disease) patients with critical limb ischemia (CLI)...
  18. Abularrage C, Weiswasser J, White P, Arora S, Sidawy A. Aortic angiosarcoma presenting as distal arterial embolization. Ann Vasc Surg. 2005;19:744-8 pubmed
    ..Despite surgery and adjunctive measures, prognosis remains dismal as a result of early metastasis and late diagnosis. We report a case of aortic angiosarcoma that presented with distal thromboembolic phenomenon...
  19. Kishman L, Malin D, Nerone V, Siesel K. Clinical implications of peroneal artery variation. Foot Ankle Spec. 2009;2:135-9 pubmed publisher
    ..The anomalous anatomic pattern is the peroneal artery replacing the posterior tibial artery in the medial ankle and providing the primary blood supply to the plantar foot...
  20. Myredal A, Osika W, Li Ming Gan -, Friberg P, Johansson M. Increased intima thickness of the radial artery in patients with coronary heart disease. Vasc Med. 2010;15:33-7 pubmed publisher
    ..the aim of the current study was to measure intima and intima-media thickness of the radial and the anterior tibial arteries among patients with CHD and healthy subjects (HS)...
  21. Abou Foul A, Borumandi F. Anatomical variants of lower limb vasculature and implications for free fibula flap: Systematic review and critical analysis. Microsurgery. 2016;36:165-72 pubmed publisher
    ..The tibial arteries are particularly susceptible to anatomical variations with a dominant role of peroneal artery (PR) for lower ..
  22. Zeller T. Individual treatment strategies for patients suffering from critical limb ischemia are mandatory. Catheter Cardiovasc Interv. 2007;69:671-2 pubmed
  23. Niglio T, Cirillo P, Giugliano G, Trimarco B, Esposito G, Stabile E. Abluminal-Coated Drug-Eluting Bifurcation-Dedicated Stent for the Treatment of Tibioperoneal Bifurcation. Vasc Endovascular Surg. 2017;51:327-330 pubmed publisher
    ..We here report the endovascular treatment of a symptomatic bifurcation lesion in below-the-knee region, using a self-expanding Biolimus A9-eluting stent in combination with a "conventional" coronary drug-eluting stent...
  24. Conti F, Priori R, Alessandri C, Misasi R, Capozzi A, Pendolino M, et al. Diagnosis of catastrophic anti-phospholipid syndrome in a patient tested negative for conventional tests. Clin Exp Rheumatol. 2017;35:678-680 pubmed
    ..To our knowledge, this is the first ever reported case of CAPS diagnosed by means of thin layer chromatography immunostaining and vimentin/cardiolipin antibody ELISA test. ..
  25. Zhou W, Bush R, Lin P, Peden E, Lumsden A. Laser atherectomy for lower extremity revascularization: An adjunctive endovascular treatment option. Vasc Endovascular Surg. 2006;40:268-74 pubmed
    ..Further study of clinical outcome measures and comparison to other interventional techniques are warranted...
  26. Ruzsa Z, Pinter L, Kolvenbach R. Retrograde transpedal stenting of the tibioperoneal trunk in critical limb ischemia. Catheter Cardiovasc Interv. 2012;80:1105-11 pubmed publisher
    ..Our report discusses the feasibility, safety, and efficacy of the retrograde approach applying 4F compatible devices...
  27. Fontcuberta J, Flores A, Orgaz A, Doblas M, Gil J, Leal I, et al. Reliability of preoperative duplex scanning in designing a therapeutic strategy for chronic lower limb ischemia. Ann Vasc Surg. 2009;23:577-82 pubmed publisher
    ..both plans were as follows: 80%, 82,7% and 59% in the examinations of the iliac arteries, femoropopliteal or tibial arteries respectively...
  28. Belczak S, Sincos I, Teivelis M, de Oliveira C, Fragoso H, Aun R. Mycotic aneurysm of the tibioperoneal trunk: a first manifestation of an infected endocarditis. Rev Inst Med Trop Sao Paulo. 2012;54:171-4 pubmed
    ..Aggressive antibiotic treatment was initiated, and open surgery confirmed a mycotic pseudo-aneurysm of the tibioperoneal trunk. To our knowledge, this is the 8th case reported of an infected aneurysm in this particular location...
  29. Bolia A. Subintimal angioplasty in lower limb ischaemia. J Cardiovasc Surg (Torino). 2005;46:385-94 pubmed
    ..Subintimal angioplasty has proved to be a useful and inexpensive way to treat intermittent claudication. For critical limb ischaemia, it has proved to be very effective...
  30. Radlbauer R, Salomonowitz E, van der Riet W, Stadlbauer A. Triggered non-contrast enhanced MR angiography of peripheral arteries: optimization of systolic and diastolic time delays for electrocardiographic triggering. Eur J Radiol. 2011;80:331-5 pubmed publisher
    ..The signal in the popliteal arteries and anterior tibial arteries of the systolic and diastolic images was measured and optimal delay times for systolic and diastolic phase ..
  31. Black J, LaMuraglia G, Kwolek C, Brewster D, Watkins M, Cambria R. Contemporary results of angioplasty-based infrainguinal percutaneous interventions. J Vasc Surg. 2005;42:932-9 pubmed
    ..This study addresses the initial results of an implementation of infrainguinal percutaneous transluminal angioplasty (PTA) performed by vascular surgeons to treat lower-extremity ischemia...
  32. Zhang X, Li C, Wen S, Zhu H, Sheng Q, Shao X, et al. Temporary ex vivo posterior tibial artery bypass for iliofemoral artery injury. J Trauma. 2011;70:203-9 pubmed
    ..In addition, the objective of this report is to provide outcome data after this novel procedure including mortality, limb salvage, and quality of limb assessment...
  33. Drzisga D, Köppl T, Pohl U, Helmig R, Wohlmuth B. Numerical modeling of compensation mechanisms for peripheral arterial stenoses. Comput Biol Med. 2016;70:190-201 pubmed publisher
    ..442cm(2) can be compensated at rest, if metabolic regulation is combined with collateral arteries whose total cross-section area accounts for 8.14% of the occluded artery. ..
  34. Herlin C, Lievain L, Qassemyar Q, Michel G, Assaf N, Sinna R. [Freestyle free perforator flaps for heel reconstruction]. Ann Chir Plast Esthet. 2013;58:283-9 pubmed publisher
    ..In recent years, perforator freestyle free flaps offer plastic surgeons an unparalleled freedom that can adapt the constraints of the reconstruction while minimizing the functional and scar donor site morbidity...
  35. DeCarlo C, Spangler E, Stableford J. A Case of Endofibrosis Presenting with Embolic Symptoms in a 43-Year-Old Cyclist. Ann Vasc Surg. 2016;36:292.e5-292.e8 pubmed publisher
    ..While there have been previous reports of thrombosis associated with endofibrosis, to our knowledge this is the first reported case of endofibrosis presenting with embolic symptoms. ..
  36. Karpitskaya Y, Miller J, Otsuka N. The influence of arterial flow on capillary refill in pediatric lower extremity. J Surg Orthop Adv. 2008;17:74-6 pubmed
    ..However, the change in CRT correlating to the decrease in ABF is too small to be considered practically useful for clinically monitoring tissue perfusion...
  37. Saková R, Dusilova Sulkova S, Lopot F, Polakovic V. Obliteration Index: a simple non-invasive tool for the assessment of peripheral vascular disease in chronic kidney disease. J Nephrol. 2009;22:534-46 pubmed
    ..9. However, in CKD patients, vascular disease includes not only atherosclerosis but also arteriosclerosis with high calcification score. There, the API method often fails...
  38. Lee J, Kim D, Yu S, Oh D, Yu S. Association of serum albumin and homocysteine levels and cardio-ankle vascular index in patients with continuous ambulatory peritoneal dialysis. Korean J Intern Med. 2006;21:33-8 pubmed
    ..The present study used the CAVI to identify the main factors associated with arteriosclerosis in continuous ambulatory peritoneal dialysis (CAPD) patients...
  39. McKeon K, McCormick J, Johnson J, Klein S. Intraosseous and extraosseous arterial anatomy of the adult navicular. Foot Ankle Int. 2012;33:857-61 pubmed
    ..Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the adult navicular...
  40. Stranix J, Lee Z, Jacoby A, Anzai L, Avraham T, Thanik V, et al. Not All Gustilo Type IIIB Fractures Are Created Equal: Arterial Injury Impacts Limb Salvage Outcomes. Plast Reconstr Surg. 2017;140:1033-1041 pubmed publisher
    ..In the authors' experience, however, the presence of arterial injury appears to negatively impact microsurgical outcomes...
  41. Wang W, Deng J, Li M, Zhu J, Xu B. Preoperative three-dimensional reconstruction in vascularized fibular flap transfer. J Craniomaxillofac Surg. 2012;40:599-603 pubmed publisher
    ..The objective of this study was to investigate the added value of preoperative computerized tomographic angiography (CTA) and three-dimensional reconstruction of the lower limb in vascularized fibular flap transfer...
  42. Burkhardt G, Cox M, Clouse W, Porras C, Gifford S, Williams K, et al. Outcomes of selective tibial artery repair following combat-related extremity injury. J Vasc Surg. 2010;52:91-6 pubmed publisher
    ..The objective of this study is to define the factors most relevant in selective tibial artery revascularization and to characterize limb salvage following tibial-level vascular injury...
  43. Stoner L, Sabatier M, Mahoney E, Dudley G, McCully K. Electrical stimulation-evoked resistance exercise therapy improves arterial health after chronic spinal cord injury. Spinal Cord. 2007;45:49-56 pubmed
    ..Repeated measures training intervention...
  44. Kreidy R, Hatem J. Mycotic aneurysm of the tibioperoneal trunk. An extremely rare localization with pseudo-phlebitis clinical presentation. J Med Liban. 2006;54:50-3 pubmed
    ..Postoperative course was uneventful. No complication was observed at long-term follow-up. This observation represents the seventh case reported in the literature of mycotic aneurysm at this localization...
  45. Guzman R, Brinkley D, Schumacher P, Donahue R, Beavers H, Qin X. Tibial artery calcification as a marker of amputation risk in patients with peripheral arterial disease. J Am Coll Cardiol. 2008;51:1967-74 pubmed publisher
    The purpose of this study was to evaluate the relationship between calcification in tibial arteries, the degree of limb ischemia, and the near-term risk of amputation.
  46. Ng R, Chan J, Mok V, Wei W. Free posterior tibial flap for head and neck reconstruction after tumor expiration. Laryngoscope. 2008;118:216-21 pubmed
    ..Similar to the radial forearm flap, free tissue transfer of a fasciocutaneous flap is possible if the septocutaneous perforators of the posterior tibial vessels are preserved...
  47. Domenick N, Cho J, Abu Hamad G, Makaroun M, Chaer R. Endovascular repair of multiple infrageniculate aneurysms in a patient with vascular type Ehlers-Danlos syndrome. J Vasc Surg. 2011;54:848-50 pubmed publisher
    ..We describe the case of a 33-year-old woman with vascular type Ehlers-Danlos syndrome who developed metachronous tibial artery aneurysms that were sequentially treated with endovascular means...
  48. Takahashi O, Shimbo T, Rahman M, Musa R, Kurokawa W, Yoshinaka T, et al. Validation of the auscultatory method for diagnosing peripheral arterial disease. Fam Pract. 2006;23:10-4 pubmed
    ..The ausculutatory method (AUS) is an alternative method and quite easy to perform, but has not yet been validated in diagnosing PAD...
  49. Tindall A, Shetty A, James K, Middleton A, Fernando K. Prevalence and surgical significance of a high-origin anterior tibial artery. J Orthop Surg (Hong Kong). 2006;14:13-6 pubmed
    ..To assess the prevalence of proximal high-origin anterior tibial artery and its surgical significance...
  50. Causey M, Oguntoye M, Miller S, Andersen C, Singh N. Limb salvage after delayed diagnosis for blunt traumatic infrapopliteal occlusion. J Vasc Surg. 2010;52:734-7 pubmed publisher
    ..We describe the workup and treatment of delayed infrapopliteal occlusion and a review of the current literature on this topic...
  51. Shimizu K, Takahashi M, Shirai K. A huge earthquake hardened arterial stiffness monitored with cardio-ankle vascular index. J Atheroscler Thromb. 2013;20:503-11 pubmed
    ..To determine the effect of a major earthquake on CAVI in healthy volunteers and in patients with cardiovascular risks...
  52. Jung W, Oh C, Won H, Chung I. Unilateral arteria peronea magna associated with bilateral replaced dorsalis pedis arteries. Surg Radiol Anat. 2008;30:449-52 pubmed publisher
    ..As on the right side, the left dorsalis pedis artery also arose from the peroneal artery through its perforating branch. A possible embryologic explanation of these variations is proposed...
  53. Lopera J, Suri R, Cura M, Kroma G, El Merhi F. Crural artery traumatic injuries: treatment with embolization. Cardiovasc Intervent Radiol. 2008;31:550-7 pubmed publisher
    ..We conclude that transcatheter embolization alone or in combination with different endovascular techniques is useful in the treatment of traumatic crural vessel injuries...