Affiliation:
1. Department of Vascular Surgery, Level 4, Derriford Hospital, Plymouth PL6 8DH, UK
Abstract
Abstract
Background
Popliteal artery entrapment syndrome (PAES) is rare and probably underdiagnosed. This study reviewed a collected experience.
Methods
Patients were identified by the Joint Vascular Research Group (vascular surgeons from ten hospitals serving a population of approximately four million) during 1984–1995. Case notes were reviewed.
Results
Twenty-one legs in 17 patients were identified with PAES. There were 15 men and two women. The median age at presentation was 29 (range 14–45) years. One patient was excluded because no further information was available. PAES was bilateral in four patients in whom three legs were asymptomatic. At presentation, the duration of symptoms ranged from a few hours (acute leg ischaemia) to intermittent claudication of 6 years' duration. Primary investigation included angiography (20 patients), duplex imaging (four), plain radiography (one) and magnetic resonance imaging (one). In two cases, attempted thrombolysis failed. Surgery was carried out on 17 legs but failed in two. No amputations were required. Following surgery, 12 legs were asymptomatic and five had residual symptoms.
Conclusion
PAES should be excluded in young patients with intermittent claudication or acute ischaemia.
Publisher
Oxford University Press (OUP)
Reference19 articles.
1. Note on a variation course popliteal artery;Stuart;Journal of Anatomy and Physiology,1979
2. Obstruction of the popliteal artery at an early age;Hamming;J Cardiovasc Surg,1965
3. Popliteal entrapment syndrome: misdiagnosed as a compartment syndrome;Allen;Eur J Vasc Surg,1993
4. Popliteal entrapment caused by a bony exostosis;Cook;Eur J Vasc Endovasc Surg,1996
5. Popliteal entrapment syndrome;Gibson;Ann Surg,1977
Cited by
17 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献