Gourgiotis Stavros, Aggelakas John, Salemis Nikolaos, Elias Charalabos, Georgiou Charalabos
Second Surgical Department, 401 General Army Hospital of Athens, Greece.
Vasc Health Risk Manag. 2008;4(1):83-8. doi: 10.2147/vhrm.2008.04.01.83.
Popliteal artery entrapment syndrome (PAES) is a rare but potentially limb threatening peripheral vascular disease occurring predominantly in young adults. This study is a retrospective review of 49 limbs in 38 patients with PAES treated surgically over an 8-year period.
From 1995 to 2002, 38 patients with a mean age of 21 years (range, 18-29 years) underwent surgery for PAES at a single institution. The patients' demographic data and clinical features are recorded. The preoperative diagnosis of PAES was made based on various combinations of investigations including positional stress test, duplex ultrasonography, computed tomography, computed tomographic angiography, and angiography.
Nine, 33, and 7 patients had Delaney's type I, II, and III PAES respectively. The surgical procedures consisted of simple release of the popliteal artery in 33 limbs (67.3%), autogenous saphenous vein (ASV) patch angioplasty with or without thromboendarterectomy (TEA) in 5 limbs (10.2%) and ASV graft interposition or bypass in 11 limbs (22.5%). At a median follow up of 34 months (range, 8-42 months), there were no postoperative complications and all the patients were cured of their symptoms.
PAES is an unusual but important cause of peripheral vascular insufficiency especially in young patients. Early diagnosis through a combined approach is necessary for exact diagnosis. Popliteal artery release alone or with vein bypass is the treatment of choice when intervention is indicated for good operative outcome and to prevent limb loss.
腘动脉压迫综合征（PAES）是一种罕见但可能危及肢体的周围血管疾病，主要发生于年轻人。本研究是对38例接受手术治疗的PAES患者的49条肢体进行的为期8年的回顾性分析。
1995年至2002年，38例平均年龄21岁（范围18 - 29岁）的患者在单一机构接受了PAES手术。记录了患者的人口统计学数据和临床特征。PAES的术前诊断基于多种检查方法的联合应用，包括体位应激试验、双功超声、计算机断层扫描、计算机断层血管造影和血管造影。
分别有9例、33例和7例患者患有Delaney I型、II型和III型PAES。手术方式包括33条肢体（67.3%）单纯松解腘动脉，5条肢体（10.2%）采用自体大隐静脉（ASV）补片血管成形术并伴有或不伴有血栓内膜切除术（TEA），11条肢体（22.5%）采用ASV移植血管置入或搭桥术。中位随访34个月（范围8 - 42个月），无术后并发症，所有患者症状均治愈。
PAES是周围血管功能不全的一个不常见但重要的原因，尤其是在年轻患者中。通过联合方法进行早期诊断对于准确诊断是必要的。当需要进行干预以获得良好的手术效果并防止肢体丧失时，单纯腘动脉松解或联合静脉搭桥是首选的治疗方法。
