Korngold Ethan C, Jaff Michael R
Section of Vascular Medicine, Division of Cardiovascular Medicine, Massachusetts General Hospital, 55 Fruit Street, Gray-Bigelow 832, Boston, MA 02114, USA.
Curr Treat Options Cardiovasc Med. 2009 Apr;11(2):156-66. doi: 10.1007/s11936-009-0016-6.
In the general population, vascular causes of exercise-induced limb discomfort are most often the result of peripheral artery disease (PAD) due to atherosclerosis. However, several other clinical entities can often mimic the symptoms of atherosclerotic PAD of the lower extremities, particularly among younger patients with fewer risk factors for atherosclerosis, who often are more athletically fit than patients with PAD. Treatment for these entities often requires percutaneous or surgical intervention. This article reviews four uncommon vascular causes of exercise-induced limb discomfort: popliteal artery entrapment syndrome, cystic adventitial disease of the popliteal artery, fibromuscular dysplasia of the lower-extremity arteries, and endofibrosis of the iliac artery.
在普通人群中，运动诱发肢体不适的血管原因通常是动脉粥样硬化所致的外周动脉疾病（PAD）。然而，其他几种临床情况常常可模拟下肢动脉粥样硬化性PAD的症状，尤其是在动脉粥样硬化危险因素较少的年轻患者中，这些患者通常比PAD患者更具运动能力。对这些情况的治疗通常需要经皮或手术干预。本文综述了运动诱发肢体不适的四种不常见血管原因：腘动脉受压综合征、腘动脉囊性外膜疾病、下肢动脉纤维肌发育异常和髂动脉内膜纤维化。
