Lateral exposure of the proximal and distal peroneal artery without bone resection

Abstract

Surgical revascularization with distal bypass surgery is associated with good outcomes for chronic limb-threatening ischemia. The peroneal artery, the most-often preserved outflow vessel, is commonly reached through a lateral approach involving resection of the fibula. We present two different techniques for a lateral approach to the peroneal artery: the first by proximal exposure and the second by exposing the distal segment of the peroneal artery. Both techniques are performed without bone resection.

Keywords

• Bypass surgery
• Chronic limb-threatening ischemia
• Fibula resection
• Peripheral artery disease
• Peroneal artery