Popliteal-Artery Entrapment

Chavatzas, Demetrios; Barabas, A. P.; Martin, Peter

doi:10.1016/s0140-6736(73)93009-2

Cited by 29 publications

(3 citation statements)

References 8 publications

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“…Only for 20 patients (23 limbs) is a follow-up of one year or more reported 11,15,16,17,20,24,33,36,43,50,57,59,61,65,75,77,79 Theories on Etiopathogenesis of Popliteal Artery Entrapment Syndrome All the speculative studies point at a developmental &dquo;error&dquo; in the stage of the embryonic life between 14 and 22 mm, consisting of an abnormal migration of the medial gastrocnemius, which does not complete its medially and cranially directed course, or it &dquo;catches&dquo; the popliteal artery, which sweeps along medially with it. Developmental anomalies of the popliteal artery, with persistence of its ventral component, could account for the rare occasions of entrapment by the popliteus muscle.…”

Section: Treatment and Resultsmentioning

confidence: 99%

Popliteal Artery Entrapment. Analysis of the Literature and Report of Personal Experience

Cavallaro¹,

Marzo²,

Gallo³

et al. 1986

Vascular Surgery

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A review has been made of 210 cases of popliteal artery entrapment syndrome, submitted to direct surgical therapy, from 1959 (first case reported by Hamming) through 1983. A personal experience of 14 operative procedures on 14 limbs of 11 patients is reported.Eighteen anatomical variants producing entrapment have been identified; however, in more than 80% of the cases, the medial gastrocnemius was involved. About two-thirds of the patients were operated on with an already occluded popliteal artery, and this implied the need for some kind of reconstructive procedure. No reliable data on the true incidence of the disease are yet available; however, it is certainly higher than previously suspected, as witnessed by the growing number of reported cases. Extensive screening procedures could allow identification of probable cases, but a reliable diagnosis cannot be made without angiography. Surgery should be performed as a preventive measure or in case of embolic lesions such as stenosis or aneurysm. If the artery is already occluded, an efficient collateral network may develop and surgery should be limited to patients not improving with time or at risk of limb loss.

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Section: Treatment and Resultsmentioning

confidence: 99%

Popliteal Artery Entrapment. Analysis of the Literature and Report of Personal Experience

Cavallaro¹,

Marzo²,

Gallo³

et al. 1986

Vascular Surgery

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“…After the first description of a clinical case by Hamming 2 in 1958, various isolated cases were reported. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] In the mid 1960s, the term popliteal artery entrapment syndrome was introduced. 4, 7 Servello 20 was the first to draw attention to the reduction in palpable distal pulses usually observed with forced plantar flexion or dorsiflexion in patients with this syndrome.…”

Section: Original Clinical Science Studiesmentioning

confidence: 99%

Popliteal artery entrapment syndrome: More common than previously recognized

Levien

Veller

1999

Journal of Vascular Surgery

197

217

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The popliteal entrapment syndrome is more prevalent than has formerly been appreciated. On the basis of observations made in this series and in the surgical literature, we advise surgical correction in all cases of types I, II, III, and IV entrapment at the time of diagnosis to avoid occlusion as a result of continued arterial wall degeneration. In contrast, decompression is only advised in those patients with "functional entrapment" if they have discrete and typical symptoms because up to 50% of the normal population may display transient popliteal artery compression with extremes of plantar flexion or dorsiflexion. On the basis of the severe histologic changes found in those popliteal arteries that had undergone occlusion at the time of presentation, it is advised that the popliteal artery should be completely replaced, ideally with a vein graft, when significant degeneration or occlusion of the popliteal artery is noted at the time of operation.

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“…40), ή οποία ευνοείται έκ τής απουσίας εκφυλιστικής νόσου κατά τό λοιπόν άρτηριακόν δίκτυον. Τοιουτοτρόπως είς τάς περι πτώσεις ημών μετά θρομβώσεως τής ίγνυακής αρτηρίας, ή ηύξημένη αιματική ροή τοπικώς διά μέσου του αναπτυχθέντος πλουσίου παραπλεύρου αρτηριακού δικτύου προεκάλεσεν αϋξησιν τής θερ μοκρασίας περί τό γόνυ καί κατέστησε σαφώς άντιληπτόν τό «σημεΐον του θερμού γόνατος» (Chavatzas 1973(Chavatzas , Μπουχούτσος 1976, τό όποιον έθοήθησε κατά πολύ είς τήν διάγνωσιν τής παθήσεως.…”

Section: αποτελεσματαunclassified

Παγιδευσις Ιγνυακων Αγγειων Υπο Ανωμαλου Εσω Κεφαλης Γαστροκνημιου Μυος

Παπαδιαμαντοπουλοσ¹

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Popliteal-Artery Entrapment

Cited by 29 publications

References 8 publications

Popliteal Artery Entrapment. Analysis of the Literature and Report of Personal Experience

Popliteal Artery Entrapment. Analysis of the Literature and Report of Personal Experience

Popliteal artery entrapment syndrome: More common than previously recognized

Παγιδευσις Ιγνυακων Αγγειων Υπο Ανωμαλου Εσω Κεφαλης Γαστροκνημιου Μυος

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