Superficial femoral artery autograft reconstruction for complicated popliteal artery entrapment syndrome.
We present an alternative surgical approach to popliteal artery entrapment syndrome with vascular complications in the absence of a suitable saphenous vein. Three patients (29, 35, and 78 years old) with thrombotic and/or aneurysmal lesions of the popliteal artery from popliteal artery entrapment syndrome were treated with superficial femoral artery autograft reconstruction. The procedure was performed through a medial approach. The superficial femoral artery was harvested in the upper third of the thigh and used as the conduit for reconstruction and the harvested segment was replaced by a polytetrafluoroethylene graft. At follow-up, patients were asymptomatic and duplex ultrasound revealed patent reconstruction with no morphological abnormalities.
Paraskevas
Nikolaos
N
Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, Paris, France, Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Paris Cedex 18, France. nikolaos.paraskevas@bch.aphp.fr
Castier
Yves
Y
Fukui
Sumio
S
Alsac
Jean-Marc
JM
Soury
Patrick
P
Laurian
Claude
C
Leseche
Guy
G
D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D003251:Constriction, Pathologic; D005263:Femoral Artery / Q000637:transplantation*; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology / Q000601:surgery; D008297:Male; D011150:Popliteal Artery / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency