Division of Vascular Surgery, Department of Surgery, University of Maryland, Baltimore, MD, USA.
Vasc Endovascular Surg. 2025 Jan;59(1):84-88. doi: 10.1177/15385744241276689. Epub 2024 Aug 23.
Popliteal entrapment syndrome (PES) describes a cluster of symptoms related to the compression of the neurovascular bundle in the popliteal fossa, most commonly involving the popliteal artery. In approximately 10-15% of the cases of popliteal entrapment syndrome, the popliteal vein is compressed. Symptoms of popliteal vein entrapment can mimic venous insufficiency or deep venous thrombosis, causing the diagnosis to be missed or delayed. Diagnosis of popliteal vein entrapment can be done with duplex imaging with flexion and extension maneuvers; however, venography is the gold standard for diagnosis. While popliteal vein entrapment is commonly associated with younger individuals, it may also be an underdiagnosed condition in older patients. We describe two cases of successful diagnosis and treatment of late-onset presentation of popliteal vein entrapment.
腘窝血管受压综合征（PES）描述了一组与神经血管束在腘窝受压相关的症状，最常见的是涉及腘动脉。在大约 10-15%的腘窝血管受压综合征病例中，腘静脉受压。腘静脉受压的症状可能类似于静脉功能不全或深静脉血栓形成，导致诊断被遗漏或延迟。通过屈伸动作的双功能超声成像可以进行腘静脉受压的诊断；然而，静脉造影是诊断的金标准。虽然腘窝静脉受压常见于年轻个体，但在老年患者中也可能是一种未被充分诊断的情况。我们描述了两例迟发性腘窝静脉受压的成功诊断和治疗病例。
