Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014;7(1):28-33.
doi: 10.3400/avd.oa.13-00081. Epub 2014 Feb 4.

Surgical treatment for popliteal artery entrapment syndrome

Kimihiro Igari  1 , Norihide Sugano  2 , Toshifumi Kudo  1 , Takahiro Toyofuku  1 , Masatoshi Jibiki  1 , Yoshinori Inoue  1 , Takehisa Iwai  3
Affiliations

Surgical treatment for popliteal artery entrapment syndrome

Kimihiro Igari et al. Ann Vasc Dis. 2014.

Abstract

Objective: To evaluate the long-term outcomes of surgical treatment for popliteal artery entrapment syndrome (PAES).

Materials and methods: This study was undertaken from a retrospective review of case notes of patients treated for PAES between August 1974 and July 2013. We examined patients' characteristics and surgical procedures, and evaluated long-term outcomes including clinical symptoms and graft or native artery patency.

Results: Twenty-nine limbs (24 patients, mean age: 32 years) underwent surgery. Popliteal arteries were occluded (n = 18) stenosed (n = 7) and normal (n = 4). Twenty-five limbs required both revasularization (interposition [n = 24] and bypass surgery [n = 1]) and myotomy. Four limbs were treated solely with myotomy. During the long-term follow-up period, three limbs required reoperation. The overall primary graft and native popliteal artery patency rates at one and 5 years were 96.3% and 91.9%, respectively.

Conclusion: The treatment of PAES with myotomy and selective revascularization achieves good short- and long-term outcomes. The use of an interposition vein graft reconstruction is associated with minimal morbidity and good long-term patency.

Keywords: autogenous vein graft; intermittent claudication; medial head of the gastrocnemius muscle; popliteal artery entrapment syndrome.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Primary graft or native popliteal artery patency rates. There are 96.3% and 91.9% at 1 and 5 years, respectively. SE: standard error.
See this image and copyright information in PMC

References

    1. Stuart TP. Note on a Variation in the Course of the Popliteal Artery. J Anat Physiol 1879; 13: 162 - PMC - PubMed
    1. Molinaro V, Pagilasso E, Varetto G, et al. Popliteal artery entrapment syndrome in a young girl: case report of a rare finding. Ann Vasc Surg 2012; 26: 572.e5-9 - PubMed
    1. Collins PS, McDonald PT, Lim RC. Popliteal artery entrapment: an evolving syndrome. J Vasc Surg 1989; 10: 484-9; discussion 489-90 - PubMed
    1. Iwai T, Konno S, Soga K, et al. Diagnostic and pathological considerations in the popliteal artery entrapment syndrome. J Cardiovasc Surg (Torino) 1983; 24: 243-9 - PubMed
    1. López Garcia D, Arranz MA, Tagarro S, et al. Bilateral popliteal aneurysm as a result of vascular type IV entrapment in a young patient: a report of an exceptional case. J Vasc Surg 2007; 46: 1047-50 - PubMed

LinkOut - more resources