Successful endovascular treatment of popliteal artery entrapment syndrome: a case report with 3-years follow-up

Journal of Thrombosis and Thrombolysis
Xiaodong WangZiying Lu

Abstract

Popliteal artery entrapment syndrome (PAES) is a rare cause of lower extremity arterial ischemia, especially in elder patients. At present, the role of the endovascular technique for PAES is still mainly auxiliary, there is no successful case treated successfully by endovascular treatment without open surgery, and also the long-term follow-up after endovascular treatment are lacking. We successfully treated a 51-year-old man with pale, cold right foot by endovascular therapy only, including percutaneous transluminal angioplasty and catheter directed thrombolysis. After endovascular treatment, the ABI of the right leg increased from 0.41 to 0.85, and the patient return to his life without claudication. Computed tomography angiography demonstrated the diagnosis of PAES. The 3-year follow-up showed a good clinical outcome, suggesting that for certain type of PAES, endovascular treatment alone may achieve good results. However, this result still requires confirmation in a large-sample study.

References

Jul 1, 1981·The British Journal of Surgery·J Bouhoutsos, E Daskalakis
Jul 7, 1999·Journal of Vascular and Interventional Radiology : JVIR·D H RingD L Miller
Jun 12, 2004·Journal of Vascular Surgery·Joshua W BernheimK Craig Kent
May 14, 2010·VASA. Zeitschrift für Gefässkrankheiten·T O MeierB Amann-Vesti
Aug 31, 2010·Annals of Vascular Surgery·Luca di MarzoUNKNOWN Popliteal Vascular Entrapment FORUM
Nov 26, 2011·Journal of Vascular Surgery·Sidhartha SinhaRobert J Hinchliffe
Dec 28, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Erdal SimsekS Fehmi Katircioglu
Feb 26, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A LejayN Chakfe

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