A new therapeutic approach to popliteal artery entrapment syndrome (PAES)

An alternative therapeutic approach to popliteal artery entrapment syndrome (PAES) with vascular complications. Three male patients (16, 42 and 68 years) with thrombotic and/or embolic obstructions of popliteal or crural vessels as a consequence of popliteal entrapment syndrome. Combined catheter tr...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 1995-08, Vol.10 (2), p.243-247
Main Authors: Steurer, Johann, Hoffmann, Ulrich, Schneider, Ernst, Largiader, Jon, Bollinger, Alfred
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Angioplasty, Balloon
Arterial Occlusive Diseases - etiology
Arterial Occlusive Diseases - therapy
Embolectomy
Humans
Male
Muscles - abnormalities
Percutaneous transluminal thrombolysis
Popliteal Artery
Popliteal entrapment syndrome
Tendons - abnormalities
Thrombectomy
Thrombembolectomy
Thrombolytic Therapy
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Summary:An alternative therapeutic approach to popliteal artery entrapment syndrome (PAES) with vascular complications. Three male patients (16, 42 and 68 years) with thrombotic and/or embolic obstructions of popliteal or crural vessels as a consequence of popliteal entrapment syndrome. Combined catheter treatment consisting of percutaneous transluminal thrombembolectomy (PTEE), local thrombolysis (LTL) and percutaneous transluminal dilatation (PTA) was performed for thrombotic and embolic obstructions of popliteal or crural vessels. The aberrant tendomuscular structures were surgically corrected at a later date. After the procedure systolic ankle/arm pressure ratios in the three patients improved from 0.66 to 1.13, 0.57 to 1.07 and 0.46 to 1.10. Twelve, 8 and 4 months later the patients were asymptomatic. None of the patients showed popliteal artery compression during plantar flexion on Duplex scanning. This new therapeutic approach avoids direct vascular surgery with bypass or patch implantation in patients with PAES who are often young. The long term results remain to be evaluated.
ISSN:1078-5884
1532-2165
DOI:10.1016/S1078-5884(05)80120-0