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In Patients with Popliteal Entrapment Syndrome, Does Surgery Improve Quality of Life?

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Difficult Decisions in Vascular Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

Popliteal entrapment syndrome (PES) is a rare disorder characterized by popliteal artery compression and symptoms of lower extremity ischemia. It is divided into two main subgroups – anatomic and functional popliteal entrapment. Anatomic popliteal entrapment was first described in the 1870s and is caused by abnormal anatomic development of the popliteal artery and/or gastrocnemius muscle. Functional PES is caused by hypertrophy of the gastrocnemius/soleus complex in anatomically normal subjects. Patients typically present in the second to third decades of life, are physically active and may be professional athletes, and have no other cardiovascular risk factors for the development of vascular disease. Surgical intervention via myotomy of the medial head of the gastrocnemius or myotomy plus interposition vein or prosthetic graft for more advanced disease remains the cornerstone of therapy for these patients; however long-term quality of life data is limited to retrospective reviews.

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References

  1. Gibson MHL, Mills JG, Johnson GE, Downs AR, Lansing E. Popliteal entrapment syndrome. Ann Surg. 1977;185:341–8.

    Google Scholar 

  2. Di Marzo L, Venturini L. Contemporary treatment of popliteal artery entrapment syndrome. Rev Vasc Med. 2014;2(2):73–6. doi:10.1016/j.rvm.2014.01.001.

    Article  Google Scholar 

  3. Landry GJ, Edwards JM. Popliteal entrapment syndrome. In: Moore WS, University of C-LA, editors. Vascular and endovascular surgery: a comprehensive review. 8th ed. Philadelphia: Elsevier Inc.; 2013. p. 123–4.

    Google Scholar 

  4. O’Leary DP, O’Brien G, Fulton G. Popliteal artery entrapment syndrome. Int J Surg Case Rep. 2010;1(2):13–5. doi:10.1016/j.ijscr.2010.07.003.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Stuart TPA. Note on a variation in the course of the popliteal. Artery. 1879;64. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1309875/pdf/janatphys00164-0040.pdf.

  6. Causey MW, Singh N, Miller S, Quan R, Curry T, Andersen C. Intraoperative duplex and functional popliteal entrapment syndrome: strategy for effective treatment. Ann Vasc Surg. 2010;24(4):556–61. doi:10.1016/j.avsg.2009.07.036.

    Article  PubMed  Google Scholar 

  7. Sinha S, Houghton J, Holt PJ, Thompson MM, Loftus IM, Hinchliffe RJ. Popliteal entrapment syndrome. J Vasc Surg. 2012;55(1):252–62.e30. doi:10.1016/j.jvs.2011.08.050.

  8. Liu Y, Sun Y, He X, et al. Imaging diagnosis and surgical treatment of popliteal artery entrapment syndrome: a single-center experience. Ann Vasc Surg. 2014;28(2):330–7. doi:10.1016/j.avsg.2013.01.021.

    Article  PubMed  Google Scholar 

  9. Pillai J. A current interpretation of popliteal vascular entrapment. J Vasc Surg. 2008;48(6 Suppl):61S-5S; discussion 65S. doi:10.1016/j.jvs.2008.09.049.

  10. Lane R, Nguyen T, Cuzzilla M, Oomens D, Mohabbat W, Hazelton S. Functional popliteal entrapment syndrome in the sportsperson. Eur J Vasc Endovasc Surg. 2012;43(1):81–7. doi:10.1016/j.ejvs.2011.10.013.

    Article  CAS  PubMed  Google Scholar 

  11. Di Marzo L. Diagnosis of popliteal artery entrapment syndrome: the role of duplex scanning. J Vasc Surg. 1991;13(3):434–8. Available at: http://www.jvascsurg.org/article/0741-5214(91)​70048-C/abstract?showall=true.

  12. Turnipseed WD. Functional popliteal artery entrapment syndrome: a poorly understood and often missed diagnosis that is frequently mistreated. J Vasc Surg. 2009;49(5):1189–95. doi:10.1016/j.jvs.2008.12.005.

    Article  PubMed  Google Scholar 

  13. Di Marzo L, Cavallaro A, O’Donnell SD, Shigematsu H, Levien LJ, Rich NM. Endovascular stenting for popliteal vascular entrapment is not recommended. Ann Vasc Surg. 2010;24(8):1135.e1–3. doi:10.1016/j.avsg.2010.03.010.

  14. Zayed M, Fredericson M, Fleischmann D, Lee JT. PS154. Debulking of the anterolateral quadrant of the medial gastrocnemius for functional popliteal entrapment syndrome in high-performance athletes. J Vasc Surg. 2014;59(6):71S. doi:10.1016/j.jvs.2014.03.158.

  15. Igari K, Sugano N, Kudo T, et al. Surgical treatment for popliteal artery entrapment syndrome. Ann Vasc Dis. 2014;7(1):28–33. doi:10.3400/avd.oa.13-00081.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Radowsky J, Patel B, Fox CJ. Delayed presentations of popliteal artery entrapment syndrome in a middle-aged military population. Ann Vasc Surg. 2013;27(8):1184.e1–6. doi:10.1016/j.avsg.2012.11.012.

  17. Kim S-Y, Min S-K, Ahn S, Min S-I, Ha J, Kim SJ. Long-term outcomes after revascularization for advanced popliteal artery entrapment syndrome with segmental arterial occlusion. J Vasc Surg. 2012;55(1):90–7. doi:10.1016/j.jvs.2011.06.107.

    Article  PubMed  Google Scholar 

  18. Bustabad MR, Ysa A, Pérez E, et al. Popliteal artery entrapment: eight years experience. EJVES Extra. 2006;12(4):43–51. doi:10.1016/j.ejvsextra.2006.05.003.

    Article  Google Scholar 

  19. Turnipseed WD. Popliteal entrapment syndrome. J Vasc Surg. 2002;35(5):910–5. doi:10.1067/mva.2002.123752.

    Article  PubMed  Google Scholar 

  20. Ohara N. Surgical treatment for popliteal artery entrapment syndrome. Cardiovasc Surg. 2001;9(2):141–4. doi:10.1016/S0967-2109(00)00110-1.

    Article  CAS  PubMed  Google Scholar 

  21. Levien LJ, Veller MG. Popliteal artery entrapment syndrome: more common than previously recognized. J Vasc Surg. 1999;30(4):587–98. doi:10.1016/S0741-5214(99)70098-4.

    Article  CAS  PubMed  Google Scholar 

  22. Di Marzo L, Cavallaro A, Mingoli A, Sapienza P, Tedesco M, Stipa S. Popliteal artery entrapment syndrome: the role of early diagnosis and treatment. Surgery. 1997;122(1):26–31. doi:10.1016/S0039-6060(97)90260-9.

    Article  CAS  PubMed  Google Scholar 

  23. McMurrich’s JP. The development of the human body; a manual of human embryology. Philadelphia: P. Blakiston's Son & Co.; 1907.

    Google Scholar 

  24. Rich NM, Collins Jr G, McDonald PT, et al. Popliteal vascular entrapment: its increasing interest. Arch Surg. 1979;114:1377–84.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Vascular Surgery, University of Washington, Seattle, WA, USA

    Rachel E. Heneghan MD & Niten Singh MD, FACS

Authors
  1. Rachel E. Heneghan MD
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  2. Niten Singh MD, FACS
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Correspondence to Rachel E. Heneghan MD .

Editor information

Editors and Affiliations

  1. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Christopher L. Skelly

  2. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Ross Milner

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Heneghan, R.E., Singh, N. (2017). In Patients with Popliteal Entrapment Syndrome, Does Surgery Improve Quality of Life?. In: Skelly, C., Milner, R. (eds) Difficult Decisions in Vascular Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-33293-2_18

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  • DOI: https://doi.org/10.1007/978-3-319-33293-2_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33291-8

  • Online ISBN: 978-3-319-33293-2

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