Endovascular stenting for popliteal vascular entrapment is not recommended.
Endovascular techniques are often applied, but they have occasionally been reported in the treatment of popliteal vascular entrapment (PVE). A case of bilateral PVE is presented with an acute occlusion of the right popliteal artery. This was twice unsuccessfully treated with arterial recanalization and stenting at another Institution. The patient required an arterial reconstruction with his reversed saphenous vein, in addition to resection of the medial gastrocnemius muscle laterally inserted on his right limb. The left limb was treated with a simple myotomy. Recanalization and stenting is not recommended for PVE treatment.
di Marzo
Luca
L
Department of Surgery P. Valdoni, Sapienza University of Rome, Rome, Italy. luca.dimarzo@uniroma1.it
Cavallaro
Antonino
A
O'Donnell
Sean D
SD
Shigematsu
Hiroshi
H
Levien
Lewis J
LJ
Rich
Norman M
NM
D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D003251:Constriction, Pathologic; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D017211:Treatment Failure; D058017:Vascular Grafting