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Entrapment of the popliteal artery and its surgical management in a 20-year period.
Br J Surg. 1997 Mar; 84(3):338-41.BJ

Abstract

BACKGROUND

This study was a retrospective review of 19 patients with popliteal artery entrapment syndrome (PAES) treated in a 20-year interval.

METHODS

The Heidelberg classification of PAES was used, which differentiates three categories of entrapment: in type I the popliteal artery has an atypical course, in type II the muscular insertion is atypical, and in type III both conditions are present. Besides decompression of the popliteal artery the commonest operative reconstruction used was resection of the atherosclerotic part of the artery and autologous vein interposition grafting (n = 12). Local thromboendarterectomy was done in seven cases, six with a vein patch angioplasty repair.

RESULTS

Follow-up ranged from 6 months to 20 years (mean 9.5 years). There was no limb loss. The rate of complications was lowest after primary venous interposition (two of 12) compared with five of 11 when venous interposition was not used (P < 0.01).

CONCLUSION

Autologous saphenous vein interposition grafting seems to be the best treatment for PAES.

Authors+Show Affiliations

Department of Surgery, University of Heidelberg, Germany.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9117302

Citation

Hoelting, T, et al. "Entrapment of the Popliteal Artery and Its Surgical Management in a 20-year Period." The British Journal of Surgery, vol. 84, no. 3, 1997, pp. 338-41.
Hoelting T, Schuermann G, Allenberg JR. Entrapment of the popliteal artery and its surgical management in a 20-year period. Br J Surg. 1997;84(3):338-41.
Hoelting, T., Schuermann, G., & Allenberg, J. R. (1997). Entrapment of the popliteal artery and its surgical management in a 20-year period. The British Journal of Surgery, 84(3), 338-41.
Hoelting T, Schuermann G, Allenberg JR. Entrapment of the Popliteal Artery and Its Surgical Management in a 20-year Period. Br J Surg. 1997;84(3):338-41. PubMed PMID: 9117302.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Entrapment of the popliteal artery and its surgical management in a 20-year period. AU - Hoelting,T, AU - Schuermann,G, AU - Allenberg,J R, PY - 1997/3/1/pubmed PY - 1997/3/1/medline PY - 1997/3/1/entrez SP - 338 EP - 41 JF - The British journal of surgery JO - Br J Surg VL - 84 IS - 3 N2 - BACKGROUND: This study was a retrospective review of 19 patients with popliteal artery entrapment syndrome (PAES) treated in a 20-year interval. METHODS: The Heidelberg classification of PAES was used, which differentiates three categories of entrapment: in type I the popliteal artery has an atypical course, in type II the muscular insertion is atypical, and in type III both conditions are present. Besides decompression of the popliteal artery the commonest operative reconstruction used was resection of the atherosclerotic part of the artery and autologous vein interposition grafting (n = 12). Local thromboendarterectomy was done in seven cases, six with a vein patch angioplasty repair. RESULTS: Follow-up ranged from 6 months to 20 years (mean 9.5 years). There was no limb loss. The rate of complications was lowest after primary venous interposition (two of 12) compared with five of 11 when venous interposition was not used (P < 0.01). CONCLUSION: Autologous saphenous vein interposition grafting seems to be the best treatment for PAES. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/9117302/Entrapment_of_the_popliteal_artery_and_its_surgical_management_in_a_20_year_period_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0007-1323&amp;date=1997&amp;volume=84&amp;issue=3&amp;spage=338 DB - PRIME DP - Unbound Medicine ER -