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Five Year Outcomes of Surgical Treatment for Popliteal Artery Entrapment Syndrome.
Eur J Vasc Endovasc Surg. 2016 Apr; 51(4):557-64.EJ

Abstract

OBJECTIVE/BACKGROUND

The aim of this study was to evaluate long-term outcomes following surgery for popliteal artery entrapment syndrome.

METHODS

A retrospective study of all patients that underwent surgery for popliteal artery entrapment syndrome between January 2003 and December 2009 was performed. Patient demographic data, clinical features, imaging modalities, and surgical management were recorded. The primary outcome was 5 year patency.

RESULTS

Eighteen patients (25 limbs) underwent surgery. The mean age at the time of surgical procedure was 35 (median 35 years; range 15-49). Presentation was bilateral in seven patients (39%). Diagnosis was made using various imaging modalities, including position stress test, Duplex ultrasonography, computed tomography angiography, magnetic resonance imaging and conventional angiography. In four limbs the popliteal artery was compressed and undamaged (16%), and treatment consisted of musculo-tendinous division alone. In 16 limbs the popliteal artery was damaged with lesions limited to the popliteal artery (64%) where treatment consisted of venous interposition. In five limbs lesions extended beyond the popliteal artery (20%) and procedures included one below knee femoro-popliteal bypass, three femoro-posterior tibial bypasses, and one popliteo-posterior tibial bypass. Musculo-tendinous division was associated with vascular reconstruction in 19 limbs (90%). Mean follow up was 82 months (median 81 months, range 60-120). Five year patency was 84%.

CONCLUSION

Long-term outcomes of surgical procedures performed for popliteal artery entrapment syndrome can be considered satisfactory.

Authors+Show Affiliations

Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France. Electronic address: anne-catherine.lejay@orange.fr.Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France.Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France.Department of Vascular Diseases, Hypertension and Pharmacology, University Hospital of Strasbourg, Strasbourg, France.Department of Radiology, University Hospital of Strasbourg, Strasbourg, France.Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France.Department of Vascular Surgery, Stanford, CT, USA.Department of Physiology, University Hospital of Strasbourg, Strasbourg, France.Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26905622

Citation

Lejay, A, et al. "Five Year Outcomes of Surgical Treatment for Popliteal Artery Entrapment Syndrome." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 51, no. 4, 2016, pp. 557-64.
Lejay A, Delay C, Georg Y, et al. Five Year Outcomes of Surgical Treatment for Popliteal Artery Entrapment Syndrome. Eur J Vasc Endovasc Surg. 2016;51(4):557-64.
Lejay, A., Delay, C., Georg, Y., Gaertner, S., Ohana, M., Thaveau, F., Lee, J. T., Geny, B., & Chakfe, N. (2016). Five Year Outcomes of Surgical Treatment for Popliteal Artery Entrapment Syndrome. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 51(4), 557-64. https://doi.org/10.1016/j.ejvs.2015.12.015
Lejay A, et al. Five Year Outcomes of Surgical Treatment for Popliteal Artery Entrapment Syndrome. Eur J Vasc Endovasc Surg. 2016;51(4):557-64. PubMed PMID: 26905622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Five Year Outcomes of Surgical Treatment for Popliteal Artery Entrapment Syndrome. AU - Lejay,A, AU - Delay,C, AU - Georg,Y, AU - Gaertner,S, AU - Ohana,M, AU - Thaveau,F, AU - Lee,J T, AU - Geny,B, AU - Chakfe,N, Y1 - 2016/02/20/ PY - 2015/06/29/received PY - 2015/12/12/accepted PY - 2016/2/25/entrez PY - 2016/2/26/pubmed PY - 2016/8/9/medline KW - Open surgery KW - Patency KW - Popliteal artery entrapment syndrome SP - 557 EP - 64 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 51 IS - 4 N2 - OBJECTIVE/BACKGROUND: The aim of this study was to evaluate long-term outcomes following surgery for popliteal artery entrapment syndrome. METHODS: A retrospective study of all patients that underwent surgery for popliteal artery entrapment syndrome between January 2003 and December 2009 was performed. Patient demographic data, clinical features, imaging modalities, and surgical management were recorded. The primary outcome was 5 year patency. RESULTS: Eighteen patients (25 limbs) underwent surgery. The mean age at the time of surgical procedure was 35 (median 35 years; range 15-49). Presentation was bilateral in seven patients (39%). Diagnosis was made using various imaging modalities, including position stress test, Duplex ultrasonography, computed tomography angiography, magnetic resonance imaging and conventional angiography. In four limbs the popliteal artery was compressed and undamaged (16%), and treatment consisted of musculo-tendinous division alone. In 16 limbs the popliteal artery was damaged with lesions limited to the popliteal artery (64%) where treatment consisted of venous interposition. In five limbs lesions extended beyond the popliteal artery (20%) and procedures included one below knee femoro-popliteal bypass, three femoro-posterior tibial bypasses, and one popliteo-posterior tibial bypass. Musculo-tendinous division was associated with vascular reconstruction in 19 limbs (90%). Mean follow up was 82 months (median 81 months, range 60-120). Five year patency was 84%. CONCLUSION: Long-term outcomes of surgical procedures performed for popliteal artery entrapment syndrome can be considered satisfactory. SN - 1532-2165 UR - https://www.unboundmedicine.com/medline/citation/26905622/Five_Year_Outcomes_of_Surgical_Treatment_for_Popliteal_Artery_Entrapment_Syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(15)00889-8 DB - PRIME DP - Unbound Medicine ER -