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Standard popliteal bypass surgery involves the bypass of the popliteal artery. [5] During surgery, incisions are made depending on the location of the blockage. [3] Usually, a healthy vein is located and sewn above and below the blockage to bypass the narrowed or blocked femoral artery. [6]
The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal , and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh.
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle , where it branches into the anterior and posterior tibial arteries.
For example, a femoral-popliteal bypass ("fem-pop") might be used if the femoral artery is occluded. A fem-pop bypass may refer to the above- or below-knee popliteal artery. Other anatomic descriptions of lower extremity bypasses include: "fem-fem" - femoral to femoral bypass, e.g. from right to left. Used when there is no inflow to one femoral ...
Peripheral artery disease (PAD), or limb ischemia, affects the femoral, popliteal, or iliac arteries. [17] PAD is caused by atherosclerotic plaques that occlude blood flow to extremities. [5] Once blood flow is impeded, ischemic muscle cells switch from aerobic to anaerobic metabolism to cope with oxygen scarcity.
However, only two structures enter and then leave through the hiatus; namely the femoral artery and femoral vein. Those vessels become the popliteal vessels (popliteal artery and popliteal vein) immediately after they leave the hiatus, [4] where they form a network of anastomoses called the genicular arteries. The genicular arteries supply the ...
Five genicular arteries branch from the popliteal artery to form a network around the knee, the genicular anastomosis. The anastomosis provides collateral circulation in the event of damage to the region. [1] Inferior or distal to the origin of the descending genicular artery are two superior genicular arteries: Medial superior genicular artery
The popliteal artery entrapment syndrome (PAES) is an uncommon pathology that occurs when the popliteal artery is compressed by the surrounding popliteal fossa myofascial structures. [1] This results in claudication and chronic leg ischemia. This condition mainly occurs more in young athletes than in the elderlies. [2]