Superficial Femoral Artery Autograft Reconstruction for Complicated Popliteal Artery Entrapment Syndrome

Paraskevas, Nikolaos; Castier, Yves; Fukui, Sumio; Alsac, Jean-Marc; Soury, Patrick; Laurian, Claude; Lesèche, Guy

doi:10.1177/1538574408326584

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, PAES might still be misdiagnosed, as shown in our case and other reports. 3 , 12 MRI provides better resolution of soft tissues, and it can be helpful for the recognition of abnormal musculotendinous structures and the diagnosis of PAES. 13 Nevertheless, the diagnosis can still be missed by MRI, especially the diagnosis of type IV PAES.…”

Section: Discussionmentioning

confidence: 99%

Popliteal artery entrapment syndrome as a cause of failed treatment of a false popliteal aneurysm

et al. 2019

View full text Add to dashboard Cite

Objective Popliteal artery entrapment syndrome is a rare cause of popliteal artery aneurysms. We present a rare case of a false aneurysm associated with popliteal artery entrapment syndrome that was treated with endovascular repair that initially failed. Case report A 60-year-old man with a false popliteal artery aneurysm and limb ischemia was treated with endovascular repair that initially failed. The popliteal artery was suspected to be compressed by an abnormal bundle of muscle according to the findings of a subsequent magnetic resonance imaging examination. The popliteal artery was entrapped by an abnormal slip of the medial gastrocnemius muscle head. Parts of the popliteus muscle were also involved in compression of the popliteal artery, which was not distinguished on preoperative magnetic resonance imaging. Thus, the patient was diagnosed with a mixed type of popliteal artery entrapment syndrome (types III and IV). Bypass with the small saphenous vein was then performed. The patient was finally discharged with satisfactory relief of his ischemic symptoms. Conclusion Popliteal artery entrapment syndrome should be considered before treating popliteal artery aneurysms, especially atypical pseudoaneurysms without significant atherosclerosis. Definitive surgical management rather than endoluminal treatment is required unless combined with open decompressive surgery to correct the musculotendinous anatomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Popliteal artery entrapment syndrome as a cause of failed treatment of a false popliteal aneurysm

et al. 2019

View full text Add to dashboard Cite

show abstract

Vascular Compression Syndromes

Williams¹,

Harthun²,

Machleder³

et al. 2013

Vascular Medicine: A Companion to Braunwald's Heart Disease

View full text Add to dashboard Cite

Autologous Internal Iliac Artery Graft in a Popliteal Artery Injury Defect in War Surgery

Noorzai¹,

Carpp²,

Ertl³

2015

Military Medicine

View full text Add to dashboard Cite

A 23-year-old Afghan National Policeman sustained a right popliteal artery injury secondary to a ground-based blast. Initial treatment was an application of a tourniquet, and after triage at a local civilian hospital a shunt was placed, 3 hours after the initial injury, and then was transferred to Kabul for definitive care, 24 hours after injury. Extensive trauma to both legs precluded use of greater saphenous vein as a graft. To avoid an above-the-knee amputation, a branch of the internal iliac artery was harvested for grafting. Postoperative computed tomography angiography indicated the presence of excellent flow, and he was discharged fully ambulatory on postoperative day 17. Autologous arterial grafting has only been used infrequently, and in this case represents innovation in a low-resource environment. Surgical training in Afghanistan has seen great strides at the National Hospital. If this patient were treated at any other facility, he likely would have had a high amputation. Without advising or direction of coalition surgeons, the Afghan Trauma Team independently made the decision to harvest the artery and salvage the limb, and this is one example of how coalition support has bolstered the confidence of Afghan surgeons to develop unconventional solutions to conventional problems.

show abstract

Superficial Femoral Artery Autograft Reconstruction for Complicated Popliteal Artery Entrapment Syndrome

Cited by 3 publications

References 9 publications

Popliteal artery entrapment syndrome as a cause of failed treatment of a false popliteal aneurysm

Popliteal artery entrapment syndrome as a cause of failed treatment of a false popliteal aneurysm

Vascular Compression Syndromes

Autologous Internal Iliac Artery Graft in a Popliteal Artery Injury Defect in War Surgery

Contact Info

Product

Resources

About