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Surgical treatment for popliteal artery entrapment syndrome.
MedLine Citation:
PMID:  24719659     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the long-term outcomes of surgical treatment for popliteal artery entrapment syndrome (PAES).
MATERIALS AND METHODS: This study was undertaken from a retrospective review of case notes of patients treated for PAES between August 1974 and July 2013. We examined patients' characteristics and surgical procedures, and evaluated long-term outcomes including clinical symptoms and graft or native artery patency.
RESULTS: Twenty-nine limbs (24 patients, mean age: 32 years) underwent surgery. Popliteal arteries were occluded (n = 18) stenosed (n = 7) and normal (n = 4). Twenty-five limbs required both revasularization (interposition [n = 24] and bypass surgery [n = 1]) and myotomy. Four limbs were treated solely with myotomy. During the long-term follow-up period, three limbs required reoperation. The overall primary graft and native popliteal artery patency rates at one and 5 years were 96.3% and 91.9%, respectively.
CONCLUSION: The treatment of PAES with myotomy and selective revascularization achieves good short- and long-term outcomes. The use of an interposition vein graft reconstruction is associated with minimal morbidity and good long-term patency.
Authors:
Kimihiro Igari; Norihide Sugano; Toshifumi Kudo; Takahiro Toyofuku; Masatoshi Jibiki; Yoshinori Inoue; Takehisa Iwai
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Publication Detail:
Type:  Journal Article     Date:  2014-02-04
Journal Detail:
Title:  Annals of vascular diseases     Volume:  7     ISSN:  1881-641X     ISO Abbreviation:  Ann Vasc Dis     Publication Date:  2014  
Date Detail:
Created Date:  2014-04-10     Completed Date:  2014-04-10     Revised Date:  2014-04-14    
Medline Journal Info:
Nlm Unique ID:  101471467     Medline TA:  Ann Vasc Dis     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  28-33     Citation Subset:  -    
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