Dynamic compression of the dorsalis pedis artery is an underrecognized vascular phenomenon. We report an asymptomatic 52-year-old male in whom severe focal stenosis of the dorsalis pedis artery was observed during foot dorsiflexion. Repeat angiography with plantar flexion demonstrated complete resolution of the lesion, confirming position-dependent arterial compression. Recognition of this phenomenon is essential to avoid misinterpretation as fixed atherosclerotic disease and unnecessary intervention.Clinical ImpactDynamic dorsalis pedis artery compression is a position-dependent phenomenon that can mimic fixed stenosis on angiography. Simple positional maneuvers can clarify the diagnosis. Recognition of this phenomenon can prevent misdiagnosis and unnecessary intervention.
Halabi et al. (Thu,) studied this question.