Steurer J, Hoffmann U, Schneider E, Largiader J, Bollinger A
Department of Internal Medicine, University Hospital of Zurich, Switzerland.
Eur J Vasc Endovasc Surg. 1995 Aug;10(2):243-7. doi: 10.1016/s1078-5884(05)80120-0.
An alternative therapeutic approach to popliteal artery entrapment syndrome (PAES) with vascular complications.
Three male patients (16, 42 and 68 years) with thrombotic and/or embolic obstructions of popliteal or crural vessels as a consequence of popliteal entrapment syndrome.
Combined catheter treatment consisting of percutaneous transluminal thrombembolectomy (PTEE), local thrombolysis (LTL) and percutaneous transluminal dilatation (PTA) was performed for thrombotic and embolic obstructions of popliteal or crural vessels. The aberrant tendomuscular structures were surgically corrected at a later date.
After the procedure systolic ankle/arm pressure ratios in the three patients improved from 0.66 to 1.13, 0.57 to 1.07 and 0.46 to 1.10. Twelve, 8 and 4 months later the patients were asymptomatic. None of the patients showed popliteal artery compression during plantar flexion on Duplex scanning.
This new therapeutic approach avoids direct vascular surgery with bypass or patch implantation in patients with PAES who are often young. The long term results remain to be evaluated.
针对伴有血管并发症的腘动脉压迫综合征（PAES）的一种替代性治疗方法。
三名男性患者（年龄分别为16岁、42岁和68岁），因腘动脉压迫综合征导致腘动脉或小腿血管出现血栓形成和/或栓塞性阻塞。
对腘动脉或小腿血管的血栓形成和栓塞性阻塞采用经皮腔内血栓切除术（PTEE）、局部溶栓（LTL）和经皮腔内血管成形术（PTA）相结合的导管治疗方法。异常的肌腱肌肉结构随后通过手术进行矫正。
术后，三名患者的收缩期踝/臂压比分别从0.66提高到1.13、从0.57提高到1.07以及从0.46提高到1.10。12个月、8个月和4个月后，患者均无症状。在双功超声扫描中，没有患者在跖屈时出现腘动脉受压情况。
这种新的治疗方法避免了对通常较为年轻的PAES患者进行直接的血管搭桥手术或补片植入手术。长期效果仍有待评估。
