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[The popliteal artery entrapment syndrome]
L Davidović1, S Lotina, P Stojanov
1Institut za kardiovaskularne bolesti KCS Beograd.
Acta Chirurgica Iugoslavica
|January 1, 1997
Summary
Popliteal artery entrapment syndrome can cause foot ischemia in young adults. Surgical repair offers excellent early limb salvage and good long-term potency rates.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Diagnostic Imaging
Context:
- Popliteal artery entrapment syndrome (PAES) is a rare condition causing lower limb ischemia.
- It often affects young, active individuals without traditional cardiovascular risk factors.
- Diagnosis and management can be challenging due to its varied presentation.
Purpose:
- To report on the surgical management and outcomes of patients with popliteal artery entrapment syndrome.
- To highlight the diagnostic utility of Doppler sonography and angiography in PAES.
- To evaluate the efficacy of surgical intervention in restoring arterial patency and limb salvage.
Summary:
- This study reviewed 9 cases of PAES in 8 patients (7 male, 1 female, average age 36.4 years).
- Presentations included acute (6 cases) and chronic (2 cases) foot ischemia, with 1 asymptomatic case.
- Diagnosis utilized Doppler sonography and transfemoral angiography. Surgical approaches included posterior (8 cases) and medial (1 case).
- Types II (2 cases) and III (4 cases) were most common. Surgical intervention involved muscle resection and arterial reconstruction in 8 cases.
- Early outcomes showed 100% potency and limb salvage. Long-term potency after a 6.3-year follow-up was 83.5%.
Impact:
- Highlights the importance of considering PAES in young patients with unexplained limb ischemia.
- Demonstrates the effectiveness of surgical treatment for PAES, achieving high rates of limb salvage and arterial patency.
- Emphasizes the role of advanced imaging in diagnosing this uncommon vascular condition.