| Occult popliteal artery stenosis masquerading as atheroemboli in a patient with previous knee replacement. | |
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MedLine Citation:
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PMID: 16331668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this article is to report the unusual presentation of a 63-year-old patient with Rutherford grade 2, category 5 tissue ischemic changes involving the right foot secondary to an occult popliteal stenosis that was obscured behind a prosthetic knee on diagnostic angiograms. Conventional abdominal angiography with bilateral lower extremity runoff showed no evidence of significant disease and the patient was misdiagnosed with atheroemboli syndrome secondary to ipsilateral common femoral access following recent catheterization. Ultimately, a meticulous physical examination disclosed a bruit in the right popliteal fossa and selective right leg angiography with oblique views confirmed eccentric complex luminal encroachment in the right popliteal artery that was eclipsed by a prosthetic knee on antecedent nonselective angiography. The lesion responded favorably to endovascular treatment with durable clinical improvement. This case illustrates the importance of a meticulous physical examination and noninvasive studies prior to angiography in patients with ischemic tissue changes and emphasizes the importance of oblique views to image any vessel that may be obscured by a metal prosthesis. |
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Authors:
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Mark C Bates; Bradley H Crotty |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 67 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2006 Jan |
Date Detail:
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Created Date: 2005-12-27 Completed Date: 2006-07-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 151-4 Citation Subset: IM |
Affiliation:
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Cardiovascular Research, Camcare Health Education and Research Institute, Charleston, West Virginia, USA. mbates@camcare.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arthroplasty, Replacement, Knee Balloon Dilatation Constriction, Pathologic Embolism, Cholesterol / diagnosis* Female Humans Ischemia / diagnosis*, therapy Knee Prosthesis* Leg / blood supply* Middle Aged Popliteal Artery / pathology*, radiography Radiography, Interventional Stents |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2006 Jan;67(1):155-7
[PMID:
16331667
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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