Two Cases of Mis-diagnosed Popliteal Artery Entrapment Syndrome

Lamb, Carla; Davies, C.G.; Whitbread, T.

doi:10.1016/j.ejvsextra.2010.05.003

Cited by 8 publications

(5 citation statements)

References 6 publications

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“…No accurate diagnosis is made and inappropriate treatment is conducted for some patients. 10) As findings, the attenuation or disappearance of arterial pulsation or Doppler sounds related to passive dorsiflexion and active plantar flexion of the ankle is observed in the phase of initial arterial compression alone. Diagnostic imaging procedures include echography, magnetic resonance angiography (MRA), CT, and angiography.…”

Section: Discussionmentioning

confidence: 72%

Popliteal Artery Entrapment Syndrome in Siblings

Orimoto

Mitsuoka

Imaeda

et al. 2020

Annals of Vascular Diseases

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Popliteal artery entrapment syndrome (PAES) is a rare disease. We treated siblings with this disease. An 18-year-old male consulted our hospital for intermittent claudication of the left lower limb. Contrast-enhanced computed tomography led to a diagnosis of type II PAES. After transection of the medial head of the gastrocnemius muscle, popliteal artery bypass was performed. His younger brother (6 years younger) was also diagnosed with type II PAES, and similar surgery was performed at the age of 19. These cases suggested the involvement of genetic factors in PAES in addition to embryological factors.

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Section: Discussionmentioning

confidence: 72%

Popliteal Artery Entrapment Syndrome in Siblings

Orimoto

Mitsuoka

Imaeda

et al. 2020

Annals of Vascular Diseases

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“…Sinha et al (2) reported a median of 12 months from symptom onset to diagnosis. Case reports have described PAES misdiagnosed as CECS and treated with fasciotomy; accurate diagnosis took up to 16 years after symptoms started (10). Unrecognized, this disease may lead to progressive chronic vascular changes, as evidenced in the case from McAree et al Thus, early identification and accurate diagnosis of PAES is crucial to connect patients with appropriate management (9,11,12).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Diagnostic Challenges in an Athlete with Popliteal Artery Entrapment Syndrome: A Case Report

Burnham

Poudel

2023

Curr Sports Med Rep

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“…Multiple case reports have described individuals who were initially treated for CECS, often surgically, who experienced persistent or progressive symptoms, and were eventually diagnosed with PAES months to years after their initial presentation. 1,3,10,11 In a study by Turnipseed et al, 5 51% of patients diagnosed and surgically treated for PAES had undergone compartment release procedures before or after surgery for PAES. The same group also demonstrated that 23% to 30% of all patients treated for CECS at their institution had positive PAE studies.…”

Section: Discussionmentioning

confidence: 99%

Radiological Prevalence of Popliteal Artery Entrapment in Individuals With Anterior Leg Compartment Chronic Exertional Compartment Syndrome

Johnson

Finnoff

Amrami

et al. 2020

Clinical Journal of Sport Medicine

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Objective:Determine the radiological prevalence of popliteal artery entrapment (PAE) in subjects with anterior leg compartment chronic exertional compartment syndrome (CECS).Design:Retrospective review.Setting:Tertiary care center.Patients:Of 71 patients diagnosed with anterior leg compartment CECS using an in-scanner exercise-based magnetic resonance imaging (MRI), 64 also completed Fast Imaging Employing Steady-State Acquisition (FIESTA) imaging.Interventions:Electronic health records of patients diagnosed with anterior leg compartment CECS using an in-scanner exercise-based MRI between 2009 and 2018 were reviewed.Main Outcome Measures:Demographics, symptom laterality, and results of vascular work-up.Results:Magnetic resonance imaging was positive for PAE in 33 of 64 (51.6%). Vascular evaluation was performed in 30 of 33 (90.9%). Of these 30, ankle-brachial indices (ABIs) with PAE maneuvers were performed in 29 (96.7%) and positive in 25 (86.2%). Pre-exercise and post-exercise ABIs were performed in 29 (96.7%) and abnormal in 20 (69.0%). Thirteen arterial duplex ultrasounds were performed; 10 were consistent with PAE (76.9%). An MR angiogram was performed in 8 (26.7%) and consistent with PAE in all. One computed tomography angiogram (3.3%) was completed and was normal. Overall, one or more tests were positive for PAE in all 30 with vascular evaluation.Conclusions:The radiological prevalence of PAE and anterior leg CECS was 51.6%. All subjects with vascular studies (90.9%) had one or more tests confirming radiological PAE. These findings suggest that the coexistence of PAE and CECS is common, and the PAE protocol used has a high correlation with vascular studies.

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Two Cases of Mis-diagnosed Popliteal Artery Entrapment Syndrome

Cited by 8 publications

References 6 publications

Popliteal Artery Entrapment Syndrome in Siblings

Popliteal Artery Entrapment Syndrome in Siblings

Diagnostic Challenges in an Athlete with Popliteal Artery Entrapment Syndrome: A Case Report

Radiological Prevalence of Popliteal Artery Entrapment in Individuals With Anterior Leg Compartment Chronic Exertional Compartment Syndrome

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