Infrapopliteal Occlusive Disease



The superficial femoral artery becomes popliteal artery, as it enters the adductor hiatus. It lies deep to the vein (for this reason, there is a risk of arterio-venous fistula formation complicating a popliteal puncture). The artery divides into the anterior tibial (AT) artery and tibio-peroneal trunk (TPT). The TPT divides into the posterior tibial (PT) artery and peroneal artery. The AT becomes the dorsalis pedis at the foot which anastomoses with the plantar arch and then gives off branches contributing to the supply of the toes. The PT artery after giving off the circumflex fibula artery descends the leg medially and passes behind the medial maleolus. It divides into the medial and lateral plantar arteries. The peroneal artery descends in the posterior compartment giving off muscular branches It terminates at the ankle and anastomoses with the distal anterior tibial artery.


Popliteal Artery Critical Limb Ischaemia Anterior Tibial Peroneal Artery Posterior Tibial 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Bolia A, Sayers RD, Thompson MM, Bell PR. Subintimal and intraluminal recanalisation of occluded crural arteries by percutaneous balloon angioplasty. Eur J Vasc Surg. 1994;8(2):214–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Ingle H, Nasim A, Bolia A, Fishwick G, Naylor R, Bell PR, Thompson MM. Subintimal angioplasty of isolated infragenicular vessels in lower limb ischemia: long-term results. J Endovasc Ther. 2002;9(4):411–6.PubMedCrossRefGoogle Scholar
  3. 3.
    Adam DJ, Beard JD, Cleveland T, Bell J, Bradbury AW, Forbes JF, Fowkes FG, Gillepsie I, Ruckley CV, Raab G, Storkey H. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial, BASIL trial participants. Lancet. 2005;366(9501):1925–34.PubMedCrossRefGoogle Scholar
  4. 4.
    Met R, Van Lienden KP, Mark JW, Koelemay SB, Legemate DA, Reekers JA. Subintimal angioplasty for peripheral arterial occlusive disease: a systematic review. Cardiovasc Intervent Radiol. 2008;31(4):687–97.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.X-ray DepartmentDerby Royal InfirmaryDerbyUK
  2. 2.Department of Imaging and InterventionsLeicester Royal Infirmary NHS Infirmary SquareLeicesterUK

Personalised recommendations