title: Imaging diagnosis and surgical treatment of popliteal artery entrapment syndrome: a single-center experience.
abstract: BACKGROUND
  In this study we report our experience with the diagnosis and surgical treatment of popliteal entrapment syndrome (PAES) over a 10-year period.
  
  
  METHODS
  Between 2002 and 2011, PAES was diagnosed in 27 limbs of 24 patients (19 males and 5 females), based on clinical symptoms and imaging examinations. The mean age of the patients was 30.4 years (range 8-69 years). All patients underwent surgical decompression of the entrapment mechanism and selective vascular reconstruction. Oral aspirin and warfarin therapy was administered after discharge.
  
  
  RESULTS
  All patients underwent successful surgical treatment. No perioperative complications occurred. Clinical symptoms either disappeared or exhibited obvious improvement in all patients after surgery. No patient presented with recurrent symptoms after discharge. Doppler ultrasound during follow-up revealed the patency of the popliteal artery and saphenous vein grafts.
  
  
  CONCLUSIONS
  PAES is an unusual but major cause of peripheral arterial insufficiency, particularly in patients lacking risk factors for atherosclerosis. A combination of imaging examinations is required for an early and accurate diagnosis. Surgical decompression and selective vascular reconstruction is recommended for both anatomic and symptomatic functional entrapment.
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Xiangyu
authors.initials: X
authors.lastname: He
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Qianxiang
authors.initials: Q
authors.lastname: Kong
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Yishi
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
authors.forename: Junxue
authors.initials: J
authors.lastname: Wu
authors.affiliation: Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China. Electronic address: jinxing_888@126.com.
authors.forename: Xing
authors.initials: X
authors.lastname: Jin
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage; D001157:Arterial Occlusive Diseases / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D001241:Aspirin / Q000008:administration & dosage; D002648:Child; D003251:Constriction, Pathologic; D019299:Decompression, Surgical / Q000009:adverse effects; D003952:Diagnostic Imaging / Q000379:methods; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011237:Predictive Value of Tests; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D013577:Syndrome; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000009:adverse effects; D014859:Warfarin / Q000008:administration & dosage; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D001241:Aspirin