Imaging diagnosis and surgical treatment of popliteal artery entrapment syndrome
10.3760/cma.j.issn.1007-631X.2011.07.020
- VernacularTitle:腘动脉陷迫综合征的影像学诊断与手术治疗
- Author:
Maohua WANG
;
Xuejun WU
;
Xing JIN
;
Jingyong ZHANG
;
Hai ZHONG
- Publication Type:Journal Article
- Keywords:
Syndrome;
Vascular surgical procedures;
Diagnosis imaging;
Popliteal artery entrapment syndrome
- From:
Chinese Journal of General Surgery
2011;26(7):593-595
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience on imaging diagnosis and surgical treatment for popliteal artery entrapment syndrome (PAES). Methods From 2004 to 2010, 11 patients (12 limbs) diagnosed as PAES by CTA and MR ( A) underwent surgery. There were 11 patients with a mean age of (28 ±19) years, eight patients were male, three patients were female. Two patients were found to have bilateral involvement. Intermittent claudication was the most frequent presenting symptom. Six limbs were type Ⅰ , three limbs were type Ⅱ , three limbs were type Ⅲ , one limb was type Ⅳ. The preoperative mean ABI was 0.47 ± 0. 27. Results Popliteal artery exploration surgery or peripopliteal artery lysis was performed in 12 limbs, and this procedure was combined with a great saphenous vein bypass graft in seven limb because of arterial occlusion or aneurysm. After a median follow-up of ( 19 ± 20) months (0 month to 6 years) , the mean ABI improved to 0. 81 ±0. 30, which was significantly higher than that of preoperation( P ＜ 0.05),one patient died of pulmonary embolism one day after operation, one patient (one limb) had popliteal artery thrombosis after operation. Intermittent claudication symptoms disappeared in all other patients. Conclusions Timely imaging diagnosis and surgical intervention is very important for patients of PAES.
