Document Detail


Arteriographic evidence of pseudoocclusion of the popliteal artery: don't be fooled.
MedLine Citation:
PMID:  16741991     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Individuals with chronic lower extremity pain or lifestyle limiting claudication often undergo angiography prior to intervention. Occasionally initial angiographic findings are not indicative of a true pathologic process. Described below are two such cases. Both of the patients described had iliofemoral atherosclerotic disease with arteriographic suggestion of popliteal artery occlusion. However, their medical histories, noninvasive vascular studies, and arteriograms were not consistent with chronic popliteal artery occlusion. On subsequent arteriogram with knee flexion, the occlusions were found to be positional or pseudooccluded. Pseudoocclusion of the popliteal artery (POPA) does not require intervention, and therefore it is necessary to differentiate it from other pathologic processes. Discrimination of POPA from atherosclerotic occlusion, popliteal artery entrapment syndrome, cystic adventitial disease, and vasculitis is possible through history and exam. Arteriography is helpful because a lack of contralateral disease or collateral circulation may indicate a positional occlusion.
Authors:
W Tracey Jones; Bruce H Gray
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  68     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-02     Completed Date:  2006-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  522-5     Citation Subset:  IM    
Affiliation:
Department of Surgical Education, Division of Vascular Surgery, Greenville Hospital System University Medical Center, Greenville, South Carolina 29605, USA.
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MeSH Terms
Descriptor/Qualifier:
Angiography / methods*
Arterial Occlusive Diseases / etiology*,  radiography*
Diagnosis, Differential
Female
Humans
Male
Middle Aged
Popliteal Artery*
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2006 Oct;68(4):526-7   [PMID:  16969855 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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