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A Microfluidic-based Hydrodynamic Trap for Single Particles
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Trapped by the Entrapment.

Alban Longchamp1,2, Justine Longchamp1, Sara Manzocchi Besson1,3

  • 1Department of Vascular Surgery, Sion Hospital, Sion, Switzerland.

EJVES Vascular Forum
|October 20, 2020
PubMed
Summary
This summary is machine-generated.

Popliteal entrapment syndrome, a rare cause of limb ischemia, can be mismanaged. Early diagnosis and definitive surgical release are crucial for effective treatment of this popliteal artery compression.

Keywords:
AneurysmArterial bypassesEntrapmentIschaemiaPopliteal arteryVascular injury

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Area of Science:

  • Vascular Surgery
  • Anatomy
  • Diagnostic Imaging

Background:

  • Popliteal entrapment syndrome (PES) is a rare condition caused by extrinsic compression of the popliteal artery.
  • It can lead to limb ischemia and is often misdiagnosed, resulting in suboptimal management.
  • This report highlights potential pitfalls in managing PES.

Observation:

  • A 23-year-old male initially underwent bypass surgery for presumed traumatic popliteal artery thrombosis.
  • Over 13 years, multiple inappropriate procedures were performed due to misinterpretation of the condition.
  • Diagnosis of Type V PES was confirmed 19 years later, involving abnormal gastrocnemius muscle insertion compressing the artery and vein.

Findings:

  • The patient's previous revascularization failures were attributed to misdiagnosis and the complex nature of the entrapment.
  • Surgical release involved resecting the aberrant muscle slip and reconstructing the artery.
  • Post-operative imaging revealed asymptomatic contralateral popliteal artery entrapment.

Implications:

  • An isolated popliteal artery lesion in young individuals should raise suspicion for PES.
  • Definitive surgical release is the preferred treatment strategy for popliteal artery entrapment.
  • Accurate diagnosis and appropriate surgical intervention are vital to prevent complications and ensure successful outcomes in PES management.