J Reconstr Microsurg 2009; 25(1): 035-038
DOI: 10.1055/s-0028-1090608
© Thieme Medical Publishers

Analysis of Flow Changes to the Foot after Sacrifice of One of the Major Arteries

Ahmet Sönmez1 , İhsan Akpinar2 , Tevfik Şatir1 , Nihal Durmuş1 , Mehmet Bayramiçli1
  • 1Department of Plastic and Reconstructive Surgery, Marmara University Medical School, İstanbul, Turkey
  • 2Department of Radiology, Marmara University Medical School, İstanbul, Turkey
Further Information

Publication History

Publication Date:
21 October 2008 (online)

ABSTRACT

The objective of this study was to find out whether a compensatory increase in blood flow to the foot is observed after sacrifice of one of the tibial arteries. Eleven patients who had one of the tibial arteries as the recipient artery of free tissue transfer to their lower extremities were included. The arterial diameter, cross-sectional area, maximum flow velocity, minimum flow velocity, and flow rate were measured by a Doppler ultrasound in the nonrecipient tibial artery and perforating peroneal artery in the operated limb. The same parameters were measured in the anterior and posterior tibial arteries and the perforating peroneal artery in the contralateral limb. The arterial diameter, cross-sectional area, flow velocity, and flow rate were increased significantly in the nonrecipient tibial artery of the operated limb with respect to the same artery on the contralateral limb. The same changes were not demonstrated in the perforating branch of the peroneal artery. Total blood flow to the foot in the operated extremity was not different from that of the nonoperated foot. The results reveal that if a major feeder to the foot is sacrificed, the other tibial artery compensates for it, and resting blood supply to the foot is not altered.

REFERENCES

Ahmet Sönmez, M.D. 

Marmara Üniversitesi Hastanesi, Plastik ve Rekonstrüktif Cerrahi A.D., Tophanelioğlu Cad. No: 13-15

81190 Altunizade, İstanbul, Turkey

Email: [email protected]