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Congress: ECR25
Poster Number: C-28226
Type: Poster: EPOS Radiologist (scientific)
Authorblock: S. Kirdar-Smith, J. Archer, R. Gambhir, D. Valenti, S. Gregory, H. Slim; London/UK
Disclosures:
Sebastian Kirdar-Smith: Nothing to disclose
James Archer: Nothing to disclose
Raghvinder Gambhir: Nothing to disclose
Domenico Valenti: Nothing to disclose
Stephen Gregory: Nothing to disclose
Hani Slim: Nothing to disclose
Keywords: Vascular, CT-Angiography, Surgery, Arteriosclerosis
Purpose The approach to the terminal Peroneal artery through a novel technique has been recently described in the Annals of Vascular Surgery(1). In the paper, the authors reported new anatomical and radiological findings related to the course of the terminal Peroneal artery and what the author named as the Terminal Peroneal Window (TPW).  These new anatomical and radiological findings were crucial in developing a new technique (The Slim Surgical Access) to access the terminal part of the peroneal artery for limb...
Read more Methods and materials A retrospective analysis of all performed computed tomography (CT) angiography scans of the lower limbs at a single tertiary centre between 2018-2019. The Inclusion criteria was the presence of patent Peroneal artery in its entirety. All scans that did not have contrast, or were found to have an occluded Peroneal artery, were otherwise excluded from the study. Patient demographics, CT scan indications, the presence of the described Terminal Peroneal course and the presence of the TPW were all recorded and...
Read more Results A total of 916 CT lower limb angiography scans were performed during the study period. The study was stopped after analysing the first 250 scans with 100% positive findings.Out of the 250 scans, 162 (65%) were males and 88 (35%) were females.  The median age was 68 years, range 12-96. The most common indications for the CT scans were peripheral vascular disease PVD 111 (44.4%), acute limb ischaemia 38 (15.2%) trauma 53 (21.2%), and pseudoaneurysm 11 (4.4%). Other indications occurring...
Read more Conclusion This study demonstrated that the terminal Peroneal artery anatomical course and the Terminal Peroneal Window as described(1) were not an anatomical variant, but the norm. A wider study will be required to assess its clinical implications in similar limb salvage procedures or in other subspecialty fields.
Read more References 1.    Slim H, Pran L, Zyada RWA, Valenti D, Rashid H. Novel Technique for Latero-anterior Approach to the Terminal Peroneal Artery for Bypass Surgery without Fibular Resection. Annals of Vascular Surgery. 2021;72:637-42.
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