Incidence, diagnosis and treatment of popliteal artery entrapment syndrome in current vascular practice in Japan

Naoki Fujimura, Kyousuke Hosokawa, Hideaki Obara, Kimihiro Igari, Daijirou Akamatsu, Hidetoshi Matsumoto, Atsunori Asami, Shintaro Shibutani, Takurin Akiyoshi, Masao Nunokawa, Hirohisa Harada, Kyozo Inoue, Atsuhiro Koya, Tadashi Furuyama, Daisuke Sagara, Tsunehiro Shintani, Terutoshi Yamaoka, Yoshinobu Akiyama, Yoshinori Inoue, Katsuyuki Hoshina

研究成果: Article査読

抄録

Few data regarding popliteal artery entrapment syndrome (PAES) is available in Japan. In this study, we investigated incidence, diagnosis and treatment of PAES in current vascular practice. A retrospective analysis of all patients with PAES visiting 31 participating institutes between 2003 and 2015 was conducted. Thirty-five limbs (28 patients) were identified during the 13-year study period, and the incidence of PAES was 0.12% of all peripheral artery disease cases revascularized. Mean age was 32.0 ± 16.9 years old, and 60 and more years old was 10.7%. Also, 92.9% were male and 39.3% were athletes. Most frequent initial symptoms were intermittent claudication in 23 limbs (65.7%); 4 limbs (11.4%) had chronic limb-threatening ischemia. CT scan was most frequently (94.3%) used for the diagnostic imaging followed by MRI (45.7%) and duplex ultrasound (45.7%). Stress test such as dorsal flexion during duplex ultrasound was used only in 28.6%. Thirty-two limbs (91.4%) received surgical treatment, including 23 arterial reconstructions (71.9%); there were no major perioperative complications. All patients achieved improvement of their symptoms, and the average ankle brachial index increased from 0.69 ± 0.22 to 1.00 ± 0.14 post-surgery. The average postoperative follow-up period was 26.0 months with only one reintervention during the follow-up. In conclusion, PAES was a rare condition and traditional surgical treatment was solid. However, given a broad spectrum of clinical feature of PAES and less usage of diagnostic duplex ultrasound with stress test, there might be a miss- or delayed diagnosis of PAES even in the current vascular practice.

本文言語English
ページ(範囲)506-513
ページ数8
ジャーナルCardiovascular Intervention and Therapeutics
36
4
DOI
出版ステータスPublished - 2021 10

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング
  • 循環器および心血管医学

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