Engelhorn Ana Luiza Dias Valiente, de Miranda Anna Luiza Cauduro, Biglia Luiz Eduardo, Castilho Rafaella, Machado Sarah Folly Polonio, Abrão Maurício Henrique, Engelhorn Carlos Alberto
Pontifícia Universidade Católica do Paraná - PUC-PR, Curitiba, PR, Brasil.
Angiolab, Curitiba, PR, Brasil.
J Vasc Bras. 2020 Sep 21;19:e20200026. doi: 10.1590/1677-5449.200026.
Vascular entrapment is rare. In the lower limbs it is generally asymptomatic, but may cause atypical intermittent claudication in young people without risk factors for atherosclerosis and inflammatory diseases. The most common type of compression involves the popliteal artery, causing symptoms in the region of the infra-patellar muscles. When discomfort is more distal, other entrapment points should be considered, such as the anterior tibial artery. This article reports the case of a patient with intermittent claudication in both feet due to extrinsic compression of the anterior tibial artery bilaterally by the extensor retinaculum of the ankle, diagnosed by vascular ultrasonography and angiotomography during plantar flexion maneuvers. The patient was treated surgically, resulting in improvement of clinical symptoms.
血管受压很少见。在下肢，它通常无症状，但可能在没有动脉粥样硬化和炎症性疾病危险因素的年轻人中引起非典型间歇性跛行。最常见的压迫类型涉及腘动脉，导致髌下肌肉区域出现症状。当不适部位更靠远端时，应考虑其他受压点，如胫前动脉。本文报告了一例患者，因双侧踝部伸肌支持带对双侧胫前动脉的外在压迫导致双足间歇性跛行，通过足底屈曲动作时的血管超声和血管造影术确诊。该患者接受了手术治疗，临床症状得到改善。
