Dorsalis pedis artery occlusion

Case contributed by Kevan English


Right foot pain with a history of arterial embolism.

Patient Data

Age: 45 years
Gender: Female

Gray scale/color flow Doppler


Right lower extremity arterial peak systolic velocities were evaluated as follows:

  • proximal superficial femoral artery ;108 cm/s

  • mid-superficial femoral artery; 116 cm/s

  • distal superficial femoral artery; 133 cm/s

  • popliteal artery; 51 cm/s

  • proximal anterior tibial artery; 39 cm/s

  • distal anterior tibial artery; 17 cm/s

  • proximal posterior tibial artery; 66 cm/s

  • distal posterior tibial artery; 34 cm/s

  • dorsalis pedis artery: 0 cm/s

The evaluated vessels demonstrated high-resistance waveforms unless otherwise specified.

The right dorsalis pedis artery was completely occluded.

Case Discussion

The dorsalis pedis artery is significant as it pertains to vascular surgery. It is easy to palpate and is routinely used to examine the peripheral arterial system. Impalpable pulses may indicate arterial insufficiency and thus require prompt intervention. Risk factors for arterial disease include smoking, obesity, advanced age, diabetes, and others.

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