di Marzo Luca, Cavallaro Antonino, O'Donnell Sean D, Shigematsu Hiroshi, Levien Lewis J, Rich Norman M
Department of Surgery P. Valdoni, Sapienza University of Rome, Rome, Italy.
Ann Vasc Surg. 2010 Nov;24(8):1135.e1-3. doi: 10.1016/j.avsg.2010.03.010. Epub 2010 Aug 30.
Endovascular techniques are often applied, but they have occasionally been reported in the treatment of popliteal vascular entrapment (PVE). A case of bilateral PVE is presented with an acute occlusion of the right popliteal artery. This was twice unsuccessfully treated with arterial recanalization and stenting at another Institution. The patient required an arterial reconstruction with his reversed saphenous vein, in addition to resection of the medial gastrocnemius muscle laterally inserted on his right limb. The left limb was treated with a simple myotomy. Recanalization and stenting is not recommended for PVE treatment.
血管内技术经常被应用，但偶尔也有用于治疗腘血管陷迫（PVE）的报道。本文报告一例双侧PVE患者，其右腘动脉急性闭塞。该患者在另一机构接受了两次动脉再通和支架置入治疗，但均未成功。除了切除右侧肢体外侧附着的腓肠肌内侧头外，患者还需要用其大隐静脉进行动脉重建。左侧肢体采用单纯肌切开术治疗。不推荐采用再通和支架置入术治疗PVE。
