2017 Volume 26 Issue 1 Pages 9-12
2D perfusion angiography is a useful tool in terms of visualization and quantitative evaluation of blood perfusion. It can be applied to the evaluation of the bypass surgery for critical limb ischemia (CLI). Herein, we described a 49-year-old man presented with CLI. On preoperative angiography, the right anterior tibial and peroneal arteries were obstructed at proximal site. We performed bypass procedure; right popliteal–dorsalis pedis artery bypass with a saphenous vein graft. During the bypass surgery and after anastomosis of bypass, we evaluated peripheral perfusion with 2D perfusion angiography. We could confirm improved peripheral perfusion with colored mapping image. In addition, all of the functional parameters were improved compared with preoperative values. At 2 month postoperatively, the patient underwent skin grafting surgery for preserving the ankle. This is the first case report regarding bypass surgery evaluated by 2D perfusion angiography.
