Document Detail


MRI and DSA findings in popliteal artery entrapment syndrome.
MedLine Citation:
PMID:  18553287     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) findings in popliteal artery entrapment syndrome. MATERIALS AND METHODS: Seven limbs of 6 patients (5 men and 1 woman; mean age, 36 +/- 12 years) with popliteal artery entrapment syndrome were evaluated retrospectively. Both MRI and DSA were performed on each affected limb. RESULTS: MRI findings established the diagnosis of type-3 popliteal artery entrapment syndrome in 4 limbs, and type-2 in 3 limbs. Abnormal MRI findings included popliteal artery thrombosis with aneurysm in 2 limbs (29%), popliteal artery thrombosis without aneurysm in 1 limb (14%), aberrant fibrous band in 3 limbs (43%), aberrant thick muscle bundle in 1 limb (14%), insertion anomaly of medial head of the gastrocnemius muscle (MHG) in 3 limbs (43%), lateral deviation of the MHG in 4 limbs (57%), hypertrophy of the MHG in 1 limb (14%), and atrophy of the MHG in 2 limbs (29%). Deviation of the popliteal artery in 4 limbs (57%) and distal crural embolic occlusions in 2 limbs (29%) were detected with both angiography and MRI imaging. DSA was diagnostic in 2 limbs of 1 patient, and MRI was diagnostic in all limbs examined. CONCLUSION: Popliteal artery entrapment syndrome should be considered in patients younger than 50 years of age with isolated popliteal artery stenosis or occlusion. MRI is the preferred imaging modality for diagnosis of entrapment syndrome, and may obviate the use of DSA.
Authors:
Uğur Ozkan; Levent Oğuzkurt; Fahri Tercan; Aysin Pourbagher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  14     ISSN:  1305-3612     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-16     Completed Date:  2008-11-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  106-10     Citation Subset:  IM    
Affiliation:
Department of Radiology, Başkent University School of Medicine, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction / methods*
Arterial Occlusive Diseases / diagnosis*,  radiography,  ultrasonography
Female
Humans
Intermittent Claudication / diagnosis,  etiology
Magnetic Resonance Imaging / methods*
Male
Popliteal Artery / pathology*,  radiography,  ultrasonography
Retrospective Studies
Syndrome

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