Surgical treatment for popliteal artery entrapment syndrome

Purpose: This study was a retrospective review of 11 limbs of 10 patients w ith popliteal artery entrapment syndrome (PAES) treated surgically in a 20- yr period. Methods: The patients were aged 34.7 +/- 17.4 SEM yr. Arteriographic findin gs varied, showing medial deviation in two limbs, poststenotic dilatation i n four limbs and occlusion of the popliteal artery in five limbs. In additi on, computed tomographic (CT) scanning showed positive findings of PAES in all the limbs. Results: The surgical procedures consisted of musculotendonous section (MTS ) with autogenous saphenous vein (ASV) graft in seven limbs, MTS and ASV pa tch angioplasty with or without thromboendarterectomy in three limbs, and M TS alone in one limb. All the ASV grafts were found to be patent during the postoperative follow-up period (10.9 +/-. 4.0 yr). Conclusion: CT scanning was demonstrated to be the most sensitive diagnosti c modality for PAES, and MTS with or without ASV grafting method was consid ered to be the best surgical procedure for PAES. (C) 2001 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.