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1

Stevanovic, Goran, Boban Djordjevic, Marija Dakovic, et al. "Fasciocutaneous flaps of the lower leg: Anatomic study and clinical significance." Vojnosanitetski pregled 67, no. 2 (2010): 136–44. http://dx.doi.org/10.2298/vsp1002136s.

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Background/Aim. Soft tissue defects of the lower leg, especially in its distal third, still remain a challenging problem in reconstructive surgery. The aim of this study was to examine septocutaneous system of lower leg vascularization, quantitatively and qualitatively, which is the basis of fasciocutaneous and neurocutaneous flaps. Methods. Septocutaneous systems a. tibialis posterior and a. peroneae were examined by anatomical suprafascial lower leg microdissection of 40 fresh cadavers. Septocutaneous perforators located intermusculary, in deep crural fascia duplicature, were followed from i
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2

Betz, Lisa H., and Bradford W. Betz. "Peronea arteria magna." Pediatric Radiology 39, no. 9 (2009): 1016. http://dx.doi.org/10.1007/s00247-009-1253-2.

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3

Kneser, U., J. P. Beier, A. Dragu, A. Arkudas, and R. E. Horch. "Gefäßgestielte Arteria-peronea-Perforatorlappenplastik." Operative Orthopädie und Traumatologie 25, no. 2 (2013): 170–75. http://dx.doi.org/10.1007/s00064-012-0200-9.

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4

Rosson, Gedge D., and Navin K. Singh. "Devascularizing Complications of Free Fibula Harvest: Peronea Arteria Magna." Journal of Reconstructive Microsurgery 21, no. 08 (2005): 533–38. http://dx.doi.org/10.1055/s-2005-922432.

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5

Tonogai, Ichiro, Eiki Fujimoto, and Koichi Sairyo. "Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy." Case Reports in Orthopedics 2018 (November 21, 2018): 1–6. http://dx.doi.org/10.1155/2018/9821738.

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The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Here, we report the unusual case of a 48-year-old man in general good health with the absence of the anterior tibial artery and posterior tibial artery. The patient
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6

Lutz, Barbara S., Frank Siemers, Zun-Li Shen, Hans-G??nther Machens, Burkhard Wippermann, and Alfred Berger. "Free Flap to the Arteria Peronea Magna for Lower Limb Salvage." Plastic & Reconstructive Surgery 105, no. 2 (2000): 684–87. http://dx.doi.org/10.1097/00006534-200002000-00031.

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7

Jung, Wonsug, Chang-Seok Oh, Hyung-Sun Won, and In-Hyuk Chung. "Unilateral arteria peronea magna associated with bilateral replaced dorsalis pedis arteries." Surgical and Radiologic Anatomy 30, no. 5 (2008): 449–52. http://dx.doi.org/10.1007/s00276-008-0338-1.

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8

Gosselin, Michelle M., Jacob A. Haynes, Jeremy J. McCormick, Jeffery E. Johnson, and Sandra E. Klein. "The Arterial Anatomy of the Lateral Ligament Complex of the Ankle: A Cadaveric Study." American Journal of Sports Medicine 47, no. 1 (2018): 138–43. http://dx.doi.org/10.1177/0363546518808060.

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Background: Ankle sprains are the most common musculoskeletal injury in the United States. Chronic lateral ankle instability can ultimately require operative intervention to decrease pain and restore stability to the ankle joint. There are no anatomic studies investigating the vascular supply to the lateral ankle ligamentous complex. Purpose: To define the vascular anatomy of the lateral ligament complex of the ankle. Study Design: Descriptive laboratory study. Methods: Thirty pairs of cadaveric specimens (60 total legs) were amputated below the knee. India ink, followed by Ward blue latex, wa
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9

Martí, M. R., D. Medina, G. J. Español, M. Pérez, and J. R. Betancourt. "Estudio anatómico de la vascularización peroneal y su importancia clínica para el injerto vascularizado de peroné." Revista Iberoamericana de Cirugía de la Mano 44, no. 02 (2016): 078–85. http://dx.doi.org/10.1016/j.ricma.2016.07.001.

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Introducción: Desde que Ueba utilizara por primera vez el injerto óseo vascularizado de peroné en 1973, esta técnica se ha usado con éxito como método de reconstrucción de múltiples tipos de defectos óseos. La correcta vascularización del injerto es clave para su supervivencia. El objetivo de este trabajo es describir la vascularización diafisaria y epifisaria proximal del peroné.Material y método: Se utilizaron 12 especímenes de cadáver criopreservado inyectados con látex negro. Se procedió a su disección, seguida de una técnica de corrosión en solución alcalina para demostrar la distribución
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10

Donders, Johanna C. E., Craig E. Klinger, Andre D. Shaffer, et al. "Quantitative and Qualitative Assessment of the Relative Arterial Contributions to the Calcaneus." Foot & Ankle International 39, no. 5 (2018): 604–12. http://dx.doi.org/10.1177/1071100717749229.

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Background: The purpose of this study was to quantitatively and qualitatively assess relative arterial contributions to the calcaneus. Method: Fourteen cadaveric ankle pairs were used. In each specimen, the posterior tibial artery, peroneal artery, and anterior tibial artery were cannulated and used for contrast-enhanced magnetic resonance imaging (MRI) and computed tomography (CT). Quantitative MRI analysis of the pre- and postcontrast MRI scans facilitated assessment of relative arterial contributions. In addition, postcontrast MRIs were used to measure all perfused arterial entry points and
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11

Shindo, Shunya, Koji Ogata, Kenji Kubota, Atsuo Kojima, Masahiro Kobayashi, and Yusuke Tada. "Peroneal Artery Reconstruction via Medial Approach Using Tourniquet Occlusion." Asian Cardiovascular and Thoracic Annals 11, no. 2 (2003): 127–30. http://dx.doi.org/10.1177/021849230301100208.

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As peroneal artery bypass surgery is technically demanding, a simplified medial approach was used in 23 peroneal artery reconstructions in 21 patients between January 1993 and December 2001. The outcomes were reviewed retrospectively. Peroneal artery reconstruction was undertaken through a medial skin incision using tourniquet occlusion and saphenous vein grafts. Graft patency was confirmed by angiography or duplex color imaging. Peroneal bypass was possible through the medial approach in 20 cases; in 1 limb, the target was occluded. During a mean follow-up of 43.9 months, there were 4 graft o
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12

Stefanov-Kiuri, S., M. Gutiérrez-Nistal, A. Fernández-Heredero, et al. "Pseudoaneurisma de la arteria peronea tras la embolectomía con catéter de balón." Angiología 58, no. 6 (2006): 495–99. http://dx.doi.org/10.1016/s0003-3170(06)75014-3.

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13

Mukherjee, Dipankar, Brian Contos, Erica Emery, Devon T. Collins, and James H. Black. "High Reintervention and Amputation Rates After Outpatient Atherectomy for Claudication." Vascular and Endovascular Surgery 52, no. 6 (2018): 427–33. http://dx.doi.org/10.1177/1538574418772459.

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Outpatient use of atherectomy for peripheral arterial disease has grown rapidly and outcomes are poorly understood. We analyzed outcomes of atherectomy done for claudication, comparing office and hospital outpatient settings. Analysis of Medicare Part B claims data was performed for incident femoral–popliteal or tibial–peroneal atherectomy from 2012 to 2014. Longitudinal analysis assessed services 18 months before, during, and up to 18 months after the incident peripheral vascular intervention (PVI). Differences between office-based and hospital outpatient-based settings were assessed using χ2
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14

Choi, Young Woong. "Common Peroneal Nerve Palsy Associated With Intraoperative Hypotension Following Total Thyroidectomy." Anesthesia & Clinical Care 7, no. 2 (2020): 1–4. http://dx.doi.org/10.24966/acc-8879/100050.

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Perioperative peroneal neuropathy is an uncommon complication following surgeries performed with patients positioned supine. It may be caused by various factors aside from intraoperative compression. The authors report a case of common peroneal nerve palsy in a patient who underwent total thyroidectomy with central and bilateral selective neck dissection. The patient’s body mass index was 31.3 kg/m2. She was positioned supine and the operative time was 7-h. During surgery, her mean arterial pressure intermittently dropped to 50-60 mmHg for 55 min and 61-70 mmHg for 195 min. She developed commo
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15

Rahmel, Benjamin, Thomas Snow, and Martin Batstone. "Fibular Free Flap with Arteria Peronea Magna: The Role of Preoperative Balloon Occlusion." Journal of Reconstructive Microsurgery 27, no. 03 (2011): 169–72. http://dx.doi.org/10.1055/s-0030-1270531.

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16

Wolosker, Nelson, Ruben Miguel Ayzin Rosoky, Baptista Muraco Neto, and Berilo Langer. "Maintenance treatment of diabetic patients, associating arterial obstructive tibio-peroneal disease." Sao Paulo Medical Journal 113, no. 1 (1995): 701–5. http://dx.doi.org/10.1590/s1516-31801995000100007.

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When a melito-diabetic patient presents trophic infected injury on the limb, it is essential an evaluation of the circulatory conditions for therapeutic procedures orientation. In some circumstances, although arterial pulsation is absent, there is no ischemia of tissues. In these cases, the maintenance treatment, with eventual resection of the necrosed and infected tissues may be adopted. Evolution of 70 diabetic patients with trophic injuries on extremities were submitted to a maintenance treatment. Age of patients varied from 28 to 88 years, with an average of 56.8. The most occurrence was v
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17

Zhou, Ling-Li, Jian-Wei Wei, Ping Peng, et al. "Distally Based Perforator-Plus Sural Neurocutaneous Flap with High or Low Pivot Point: Anatomical Considerations and a Retrospective Study of a Clinical Series of 378 Flaps." Journal of Reconstructive Microsurgery 37, no. 07 (2021): 580–88. http://dx.doi.org/10.1055/s-0041-1723817.

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Abstract Background This study is to describe the distribution of natural true anastomoses associated with the distally based perforator-plus sural neurocutaneous flap (sural flap), summarize our experience in the flap with high pivot point, and compare the outcomes between the flaps with high and low pivot points. Methods Five amputated lower limbs were perfused, and the integuments were radiographed. We retrospectively analyzed 378 flaps, which were divided into two groups: pivot points located ≤8.0 cm (low pivot point group) and >8.0 cm (high pivot point group) proximal to the tip of the
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18

Mangelsdorff G, Günther, José Ramón Rodríguez A, María Fernanda Deichler V, Camila Hevia S, Andrea Hasbún N, and Ricardo Roa G. "Colgajo perforante en hélice basado en arteria peronea para reconstrucción distal de extremidad inferior." Revista chilena de cirugía 65, no. 5 (2013): 433–37. http://dx.doi.org/10.4067/s0718-40262013000500011.

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19

Tsetis, Dimitrios K., Lampros K. Michalis, Michael R. Rees, et al. "Vibrational Angioplasty in the Treatment of Chronic Infrapopliteal Arterial Occlusions: Preliminary Experience." Journal of Endovascular Therapy 9, no. 6 (2002): 889–95. http://dx.doi.org/10.1177/152660280200900624.

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Purpose: To evaluate the safety and efficacy of vibrational angioplasty in chronic infrapopliteal arterial occlusions. Methods: Twelve patients (9 men, aged 54 to 90 years) with 13 below-knee arterial chronic total occlusions were treated percutaneously using vibrational angioplasty. The occlusions were located in the anterior tibial artery (n=5), the tibioperoneal trunk (n=4), the peroneal artery (n=1), the posterior tibial artery (n=1), and in both the tibioperoneal trunk and peroneal artery (n=2). The length of the lesions ranged from 5 to 14 cm. Results: Recanalization was successful in 12
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20

Wallin, B. G., R. G. Victor, and A. L. Mark. "Sympathetic outflow to resting muscles during static handgrip and postcontraction muscle ischemia." American Journal of Physiology-Heart and Circulatory Physiology 256, no. 1 (1989): H105—H110. http://dx.doi.org/10.1152/ajpheart.1989.256.1.h105.

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Simultaneous microneurographic recordings were made of muscle sympathetic activity (MSA) in the radial and the peroneal nerves of seven healthy subjects during 2-min static handgrip (30% of maximal voluntary contraction) followed by 2 min of forearm ischemia induced by arterial occlusion. At rest sympathetic burst frequency was similar in both nerves, but relative burst strengths differed between the two neurograms, suggesting that sympathetic outflows to arm and leg were not identical. Both radial and peroneal MSA were unchanged during the first minute of handgrip and increased to a similar d
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21

Jiji, P. J., Sujatha D'Costa, Soubhagya R. Nayak, et al. "Hypoplastic posterior tibial artery and the enlarged peroneal artery supplying the posterior crural region: a rare variation." Jornal Vascular Brasileiro 7, no. 3 (2008): 272–74. http://dx.doi.org/10.1590/s1677-54492008000300014.

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Arterial variations of distal parts of lower extremities are well-documented and can be demonstrated with the help of Doppler ultrasound or by arteriography. However, absence or variation of posterior tibial artery is considered a rare finding. We present a case of hypoplastic posterior tibial artery that terminated by supplying soleus muscle. The variant arterial supply to the sole was provided by the enlarged peroneal artery that continued as the lateral plantar artery. The awareness of these variations is important to vascular surgeons while performing arterial reconstructions in femorodist
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22

Pomposelli, Frank. "Arterial Imaging in Patients with Lower-extremity Ischemia and Diabetes Mellitus." Journal of the American Podiatric Medical Association 100, no. 5 (2010): 412–23. http://dx.doi.org/10.7547/1000412.

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Precise comprehensive imaging of arterial circulation is the cornerstone of successful revascularization of the ischemic extremity in patients with diabetes mellitus. Arterial imaging is challenging in these patients because the disease is often multisegmental, with a predilection for the distal tibial and peroneal arteries. Occlusive lesions and the arterial wall itself are often calcified, and patients with ischemic complications frequently have underlying renal insufficiency. Intra-arterial digital subtraction angiography, contrast-enhanced magnetic resonance angiography, and, more recently
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23

Tancredi, Tyler, Michael Akinyemi, Michelle Rohde, Allene S. Burdette, and Leslie B. Scorza. "Peroneal Mononeuropathy Resulting From Soft Knee Immobilizer Use After Arterial Embolization." Journal of Radiology Nursing 37, no. 2 (2018): 73–76. http://dx.doi.org/10.1016/j.jradnu.2018.02.003.

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24

Papadoulas, Spyros, Natasa Kouri, Francesk Mulita, and Konstantinos Katsanos. "Adjunctive vacuum-assisted aspiration thrombectomy in a patient with acute limb ischaemia and peronea arteria magna." BMJ Case Reports 14, no. 8 (2021): e245490. http://dx.doi.org/10.1136/bcr-2021-245490.

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25

Tada, Kaoru, Tadahiro Nakajima, Mika Nakada, Masashi Matsuta, and Hiroyuki Tsuchiya. "Topical Application of Fasudil Hydrochloride for Vasospasm during Soft Tissue Reconstruction Using a Free Flap." Case Reports in Orthopedics 2019 (April 28, 2019): 1–3. http://dx.doi.org/10.1155/2019/5929281.

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Vasospasm is a phenomenon that can complicate microsurgery. We report a case in which vasospasm was quickly relieved by topical application of fasudil hydrochloride. A 36-year-old man underwent preoperative chemotherapy and wide excision for a malignant soft tissue tumor around the knee joint. We planned reconstruction using a free latissimus dorsi muscle flap for the resulting soft tissue defect and selected the peroneal vessels as the recipient vessels. However, there was no arterial blood flow from the peroneal vessels, which we diagnosed as vasospasm. Conventional treatment of the vasospas
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26

Heck, Bruce E., Nabil A. Ebraheim, and W. Thomas Jackson. "Anatomical Considerations of Irreducible Medial Subtalar Dislocation." Foot & Ankle International 17, no. 2 (1996): 103–6. http://dx.doi.org/10.1177/107110079601700208.

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Irreducible medial subtalar dislocation has been associated with the talar head “buttonholing” through the extensor digitorum brevis (EDB) muscle, entrapment of the talar head in the extensor retinaculum, talonavicular impaction, interpositioning of the EDB muscle between the talus and navicular, and buttonholing of the talar head through the talonavicular ligament and joint capsule. Cadaver analysis of the medial subtalar dislocation in this study supported entrapment of the talar head in the extensor retinaculum and talonavicular impaction as well as impingement of the deep peroneal nerve an
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Batt, Michel, Emile Ferrari, Pascal Staccini, et al. "Severity of tibio peroneal arterial disease: A marker for coronary artery disease." International Journal of Angiology 7, no. 02 (2011): 97–101. http://dx.doi.org/10.1007/bf01618378.

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28

Yilmaz, Seyhan, Esra U. Mermi, Ethem Zobaci, Eray Aksoy, and Çınar Yastı. "Augmentation of arterial blood velocity with electrostimulation in patients with critical limb ischemia unsuitable for revascularization." Vascular 25, no. 2 (2016): 137–41. http://dx.doi.org/10.1177/1708538116649317.

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Aim This pilot study aimed to reveal whether combination of electrostimulation with iloprost treatment achieves better results compared to iloprost alone in patients with critical limb ischemia. Material and methods Patients were randomized into Group 1 ( n = 11, mean age: 65.3 ± 4.2 years, received iloprost infusion protocol alone) or Group 2 ( n = 11, mean age: 62.9 ± 6.7, received iloprost infusion plus standardized protocol of peroneal nerve electrostimulation). Electrostimulation was delivered with 1 Hz frequency, 27 mA current, and 200 ms pulse width. Peak blood flow velocities in the an
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29

Sigala, Menenakos, Sigalas, et al. "Transluminal angioplasty of isolated crural arterial lesions in diabetics with critical limb ischemia." Vasa 34, no. 3 (2005): 186–91. http://dx.doi.org/10.1024/0301-1526.34.3.186.

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Background: We investigated the long-term clinical results of transluminal angioplasty of isolated infrapopliteal arteries in diabetic patients with severe ischaemic foot lesions and the influence of different parameters on primary success, the long-term outcome and the survival rate. Patients and methods: Between January 2001 and May 2004 we performed 50 transluminal angioplasties in 52 (10 female, 42 male, mean age 69.3 years) diabetics with isolated lesions of crural arteries (tibio-peroneal trunk 41, anterior tibial 13, posterior tibial 5, peroneal artery 14) and limb threatening ischaemia
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30

Ramdass, MJ, P. Harnarayan, N. Mooteeram, et al. "Patterns of arteriosclerotic lesions of the lower extremity in a West Indian population based on angiographic findings and ethnicity." Annals of The Royal College of Surgeons of England 96, no. 2 (2014): 121–26. http://dx.doi.org/10.1308/003588414x13814021676756.

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Introduction This study aimed to determine whether ethnic differences show different patterns of arterial disease in the lower limb. Methods A prospective analysis of 100 consecutive patients with 160 lower limb arteriograms was performed looking at the pattern of disease with relation to ethnicity in Trinidad and Tobago. Results There were 53 male and 47 female patients with an age range of 43–90 years (mean: 66 years). Of the 100 patients, 45 were of East Indian descent, 36 of Afro-Caribbean descent, 14 of mixed descent and 5 had other backgrounds. There were 32 smokers and 69 diabetics. The
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Haine, Axel, Alan G. Haynes, Andreas Limacher, et al. "Patency of the arterial pedal–plantar arch in patients with chronic kidney disease or diabetes mellitus." Therapeutic Advances in Cardiovascular Disease 12, no. 5 (2018): 145–53. http://dx.doi.org/10.1177/1753944718756605.

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Background: Patency of the pedal-plantar arch limits risk of amputation in peripheral artery disease (PAD). We examined patients without chronic kidney disease (CKD)/diabetes mellits (DM) [PAD-control], those with DM without CKD, and those with CKD without DM. Method: Uni- and multivariate logistic regression was used to assess association of CKD with loss of patency of the pedal–plantar arch and presence of tibial or peroneal vessel occlusion. Multivariate models adjusted for age, sex, hypertension, hyperlipidemia and smoking. Results: A total of 419 patients were included [age 75.2 ± 10.3 ye
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Victor, R. G., and W. N. Leimbach. "Effects of lower body negative pressure on sympathetic discharge to leg muscles in humans." Journal of Applied Physiology 63, no. 6 (1987): 2558–62. http://dx.doi.org/10.1152/jappl.1987.63.6.2558.

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Recent studies indicate that nonhypotensive orthostatic stress in humans causes reflex vasoconstriction in the forearm but not in the calf. We used microelectrode recordings of muscle sympathetic nerve activity (MSNA) from the peroneal nerve in conscious humans to determine if unloading of cardiac baroreceptors during nonhypotensive lower body negative pressure (LBNP) increases sympathetic discharge to the leg muscles. LBNP from -5 to -15 mmHg had no effect on arterial pressure or heart rate but caused graded decreases in central venous pressure and corresponding large increases in peroneal MS
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Smith, M. L., L. A. Beightol, J. M. Fritsch-Yelle, K. A. Ellenbogen, T. R. Porter, and D. L. Eckberg. "Valsalva's maneuver revisited: a quantitative method yielding insights into human autonomic control." American Journal of Physiology-Heart and Circulatory Physiology 271, no. 3 (1996): H1240—H1249. http://dx.doi.org/10.1152/ajpheart.1996.271.3.h1240.

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Seventeen healthy supine subjects performed graded Valsalva maneuvers. In four subjects, transesophageal echographic aortic cross-sectional areas decreased during and increased after straining. During the first seconds of straining, when aortic cross-sectional area was declining and peripheral arterial pressure was rising, peroneal sympathetic muscle neurons were nearly silent. Then, as aortic cross-sectional area and peripheral pressure both declined, sympathetic muscle nerve activity increased, in proportion to the intensity of straining. Poststraining arterial pressure elevations were propo
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Lotfi, Usama, and Magdy Haggag. "Combined retrograde–antegrade arterial wiring: Peroneal artery can be a bridge to cross infrapopliteal Trans Atlantic Inter Society Consensus D lesions." Vascular 24, no. 5 (2016): 538–44. http://dx.doi.org/10.1177/1708538115619266.

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Background Percutaneous transluminal angioplasty of complex infrapopliteal lesions might be a true and complex challenge. Success rates remain suboptimal when employing standard approaches. Thus, recanalization techniques for infrapopliteal disease remain a seat of continuous evolution. Aim of the study We report our results of Trans Atlantic Inter Society Consensus D infrapopliteal disease recanalization using combined antegrade-retrograde approach through peroneal artery branches. Patients and methods A total of 27 patients with infrapopliteal Trans Atlantic Inter Society Consensus D lesions
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Darling, R. Clement, Dhiraj M. Shah, Benjamin B. Chang, William E. Lloyd, Philip S. K. Paty, and Robert P. Leather. "Arterial reconstruction for limb salvage: Is the terminal peroneal artery a disadvantaged outflow tract?" Surgery 118, no. 4 (1995): 763–67. http://dx.doi.org/10.1016/s0039-6060(05)80047-9.

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36

LEATHER, R., W. LLOYD, D. SHAH, R. DARLINGIII, B. CHANG, and P. PATY. "Arterial reconstruction for limb salvage: is the terminal peroneal artery a disadvantaged outflow tract." Cardiovascular Surgery 3 (September 1995): 115. http://dx.doi.org/10.1016/0967-2109(95)94296-9.

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37

Islam, Md Saiful, Md Alamgir Hossain, Ranjan Talukder, and Md Moniruzzaman. "Arterial Thromboembolism in a patient with Ischemic Dilated Cradiomypathy (IDCM)." KYAMC Journal 2, no. 1 (2013): 149–51. http://dx.doi.org/10.3329/kyamcj.v2i1.13521.

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Mrs. Shikha, 51 years old pleasant lady presented to us with the complaints of acute severe pain in the left leg associated with bluish discoloration for 5 days. She is a known case of Ischemic Dilated cardiomyopathy (IDCM) for last 6 years & had history of formation of LV thrombus for repeated times. She was on regular anti-platelets, anti-ischemic & anti-coagulant drugs. Recently her echocardiogram report revealed- IDCM, Mitral regurgitation (gr-11), spontaneous echo contrast within LV, LVEF- 24%. On this admission her CT coronary angiogram of lower limb vessels revealed total occlus
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Hardy, J. C., K. Gray, S. Whisler, and U. Leuenberger. "Sympathetic and blood pressure responses to voluntary apnea are augmented by hypoxemia." Journal of Applied Physiology 77, no. 5 (1994): 2360–65. http://dx.doi.org/10.1152/jappl.1994.77.5.2360.

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Oscillations of arterial pressure during sleep are the hemodynamic hallmark of the sleep apnea syndrome. The mechanism of these transient pressure elevations is incompletely understood. To investigate the role of the arterial chemoreflex in the neurocirculatory responses to apnea, we measured mean arterial pressure (MAP; Finapres) and muscle sympathetic nerve activity (MSNA; peroneal microneurography) during voluntary end-expiratory apnea during exposure to room air, 10.5% O2 in N2 (hypoxemia), and 100% O2 (hyperoxia) in 11 healthy men. While the men breathed spontaneously, MSNA (in bursts/min
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Al-Zoubi, Nabil A., and Nawaf J. Shatnawi. "Gender variation in symptomatic peripheral arterial occlusive disease among type-2 diabetic patients." SAGE Open Medicine 7 (January 2019): 205031211984019. http://dx.doi.org/10.1177/2050312119840198.

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Purpose: Little is known about the existence of potential gender disparities in peripheral arterial occlusive disease. To our knowledge, this is the first study to analyze differences attributed to gender in type-2 diabetic patients with symptomatic peripheral arterial occlusive disease, with regard to clinical presentations, risk factors and anatomical distributions of atherosclerosis. Patients and methods: This study was conducted at King Abdullah University Hospital, Jordan. Medical records of all diabetic (type-2) patients who presented with symptomatic peripheral arterial occlusive diseas
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Meloni, Marco, Valentina Izzo, Valerio Da Ros, et al. "Characteristics and Outcome for Persons with Diabetic Foot Ulcer and No-Option Critical Limb Ischemia." Journal of Clinical Medicine 9, no. 11 (2020): 3745. http://dx.doi.org/10.3390/jcm9113745.

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The study aimed to evaluate clinical and vascular characteristics, as well as outcomes, for diabetic persons with foot ulceration and no-option critical limb ischemia (CLI). The study group included a sample of patients admitted to our diabetic foot unit because of a new diabetic foot ulcer and CLI. All subjects were managed using a limb salvage protocol which includes lower-limb revascularization. According to whether or not the revascularization procedure was a success, patients were respectively divided into two groups: successfully treated CLI patients (ST-CLI) and no-option CLI patients (
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Fritsch, J. M., D. L. Eckberg, L. D. Graves, and B. G. Wallin. "Arterial pressure ramps provoke linear increases of heart period in humans." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 251, no. 6 (1986): R1086—R1090. http://dx.doi.org/10.1152/ajpregu.1986.251.6.r1086.

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A variety of methods has been used experimentally to increase baroreceptor activity and provoke transient, vagally mediated cardiac slowing in humans. We studied baroreceptor-cardiac reflex physiology in eight resting volunteers by measuring R-R interval changes during and after spontaneous brief elevations of arterial pressure, preceded by bursts of muscle sympathetic nerve activity. Arterial pressure was measured with a catheter in a brachial artery, and muscle sympathetic activity was measured with a microelectrode positioned transcutaneously in a peroneal nerve. R-R intervals were related
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42

Takalkar, S., M. Gite, G. Venkateshwar, et al. "Current role of computed tomography angiography in fibula flap: a rare case study of peroneal arteria magna." International Journal of Oral and Maxillofacial Surgery 46 (March 2017): 193. http://dx.doi.org/10.1016/j.ijom.2017.02.659.

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Ray, Chester A., and Dario I. Carrasco. "Isometric handgrip training reduces arterial pressure at rest without changes in sympathetic nerve activity." American Journal of Physiology-Heart and Circulatory Physiology 279, no. 1 (2000): H245—H249. http://dx.doi.org/10.1152/ajpheart.2000.279.1.h245.

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The purpose of this study was to determine whether isometric handgrip (IHG) training reduces arterial pressure and whether reductions in muscle sympathetic nerve activity (MSNA) mediate this drop in arterial pressure. Normotensive subjects were assigned to training ( n = 9), sham training ( n = 7), or control ( n = 8) groups. The training protocol consisted of four 3-min bouts of IHG exercise at 30% of maximal voluntary contraction (MVC) separated by 5-min rest periods. Training was performed four times per week for 5 wk. Subjects' resting arterial pressure and heart rate were measured three t
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Jun, Hee Jae, and Myung Hee Yoon. "Posterior Approach to the Peroneal Artery in Both Popliteal Arterial Aneurysm with Acute Limb Ischemia." Vascular Specialist International 28, no. 4 (2012): 217–19. http://dx.doi.org/10.5758/kjves.2012.28.4.217.

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Abd-Al-Moktader, Magdy. "Distally Based Peroneus Brevis Muscle Flap for Large Leg, Ankle, and Foot Defects: Anatomical Finding and Clinical Application." Journal of Reconstructive Microsurgery 34, no. 08 (2018): 616–23. http://dx.doi.org/10.1055/s-0038-1661366.

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Background Peroneus brevis muscle flap is a distinguished, distally based safe flap that can be manipulated to cover small defects in the leg and ankle. For large-sized defects, a more distal, larger flap is required either locally or distantly. Methods Forty-two distally based peroneus brevis muscle flaps were elevated in 42 patients (30 males and 12 females) with major lower leg, ankle, and proximal foot defects of 6 to 15 cm in length and 6 to 12 cm in width. Anatomical findings were recorded as number, size, and sources of blood supply, entry sites, the lowermost two arterial supplies, int
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Park, Sang Woo, Junhyung Kim, Jaehoon Choi, Jun Sik Kim, Jeong Hwan Lee, and Young Sook Park. "Preoperative Angiographic Criteria for Predicting Free-Flap Transfer Outcomes in Patients With Lower-Extremity Peripheral Arterial Disease." International Journal of Lower Extremity Wounds 15, no. 4 (2016): 325–31. http://dx.doi.org/10.1177/1534734616668764.

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Patients scheduled for microsurgical reconstruction of the lower leg often receive preoperative assessment of recipient vessels using angiography. However, no clear standard is available for evaluating angiographic results to predict free-flap survival outcomes. We developed angiographic criteria for predicting surgical outcome in patients with lower-extremity peripheral arterial disease based on abnormality of the anterior tibial and posterior tibial arteries. We applied the criteria to a small number of patients scheduled for microsurgical reconstruction of the lower leg. Angiographies with
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Katragadda, Srinivas, Ailiang Xie, Dominic Puleo, James B. Skatrud, and Barbara J. Morgan. "Neural mechanism of the pressor response to obstructive and nonobstructive apnea." Journal of Applied Physiology 83, no. 6 (1997): 2048–54. http://dx.doi.org/10.1152/jappl.1997.83.6.2048.

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Katragadda, Srinivas, Ailiang Xie, Dominic Puleo, James B. Skatrud, and Barbara J. Morgan. Neural mechanism of the pressor response to obstructive and nonobstructive apnea. J. Appl. Physiol. 83(6): 2048–2054, 1997.—Obstructive and nonobstructive apneas elicit substantial increases in muscle sympathetic nerve activity and arterial pressure. The time course of change in these variables suggests a causal relationship; however, mechanical influences, such as release of negative intrathoracic pressure and reinflation of the lungs, are potential contributors to the arterial pressure rise. To test th
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Li, Peng, Kasra Rowshan, Melissa Crisostomo, Stephanie C. Tjen-A-Looi, and John C. Longhurst. "Effect of electroacupuncture on pressor reflex during gastric distension." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 283, no. 6 (2002): R1335—R1345. http://dx.doi.org/10.1152/ajpregu.00192.2002.

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The effect of electroacupuncture (EA) on the reflex cardiovascular response induced by mechanical distension of the stomach was studied in ventilated male Sprague-Dawley rats anesthetized by ketamine and α-chloralose. Repeated balloon inflation of the stomach to produce 20 mmHg tension on the gastric wall induced a consistent rise in mean arterial pressure, while heart rate (372 ± 22 beats/min) was unchanged. This response was reversed by transection of the splanchnic nerves. Bilateral application of EA (1–2 mA, 2 Hz) at Neiguan-Jianshi acupoints (pericardial meridian, Pe 5–6) over the median
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Paranjape, V., J. Kulkarni, P. V. Swamy, and S. Shevade. "Cadaveric Study of Angiosomes of Anterior Tibial and Dorsalis Pedis Artery." Journal of Morphological Sciences 35, no. 01 (2018): 17–24. http://dx.doi.org/10.1055/s-0038-1660483.

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Introduction Angiosome formed by Anterior tibial artery and dorsalis pedis artery supply the ankle and the dorsum of foot. Both the vessels shows variation in termination and branching pattern. Materials and Methods 50 free formalin preserved limbs were dissected for the study. Results and Conclusion Anterior tibial artery showed variation in termination in 16%, most common of them was formation of loop with perforating branch of peroneal artery in 10%, bifurcation in to medial and lateral tarsal artery in 4% and trifutcation in 2%. Branching pattern of dorsalis pedis artey was variable in 18%
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Das, Saroj K., Luxmi Dhoonmoon, Duncan Bain, and Swati Chhabra. "Microcirculatory changes in venous leg ulcers using intermittent electrostimulation of common peroneal nerve." Journal of Wound Care 30, no. 2 (2021): 151–55. http://dx.doi.org/10.12968/jowc.2021.30.2.151.

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Objective: Activation of the venous muscle pumps of the leg by intermittent transdermal neuromuscular stimulation of the common peroneal nerve has been previously shown to augment venous and arterial flow in patients with leg ulcers. This study aims to establish if microcirculation in the wound bed and periwound area are augmented by the activation of a neuromuscular electrostimulation device (NMES) (Geko, Firstkind Ltd., UK). Method: In this self-controlled, observational study, laser speckle contrast imaging was used to map and quantify microcirculatory flow in the wound bed and periwound ar
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