The Experts below are selected from a list of 102 Experts worldwide ranked by ideXlab platform
Niten Singh - One of the best experts on this subject based on the ideXlab platform.
-
in patients with Popliteal Entrapment Syndrome does surgery improve quality of life
2017Co-Authors: Rachel E Heneghan, Niten SinghAbstract:Popliteal Entrapment Syndrome (PES) is a rare disorder characterized by Popliteal artery compression and symptoms of lower extremity ischemia. It is divided into two main subgroups – anatomic and functional Popliteal Entrapment. Anatomic Popliteal Entrapment was first described in the 1870s and is caused by abnormal anatomic development of the Popliteal artery and/or gastrocnemius muscle. Functional PES is caused by hypertrophy of the gastrocnemius/soleus complex in anatomically normal subjects. Patients typically present in the second to third decades of life, are physically active and may be professional athletes, and have no other cardiovascular risk factors for the development of vascular disease. Surgical intervention via myotomy of the medial head of the gastrocnemius or myotomy plus interposition vein or prosthetic graft for more advanced disease remains the cornerstone of therapy for these patients; however long-term quality of life data is limited to retrospective reviews.
-
ultrasound is a critical adjunct in the diagnosis and treatment of Popliteal Entrapment Syndrome
Journal of Vascular Surgery, 2013Co-Authors: Marlin Wayne Causey, Thomas K Curry, Reagan W Quan, Niten SinghAbstract:This article describes our approach and evidence-based evaluation of Popliteal Entrapment Syndrome. Included is a technical description of our use of preoperative intravascular ultrasound for diagnosis and operative planning in combination with our utilization of intraoperative duplex ultrasound. This evidence-based, methodical approach enables not only the correct diagnosis of the type of Popliteal Entrapment, but more importantly, identifies irreparable injury to the Popliteal artery that would necessitate operative arterial reconstruction prior to surgery.
-
intraoperative duplex and functional Popliteal Entrapment Syndrome strategy for effective treatment
Annals of Vascular Surgery, 2010Co-Authors: Marlin Wayne Causey, Niten Singh, Seth Miller, Reagan Quan, Thomas K Curry, Charles A AndersenAbstract:Functional Popliteal Entrapment Syndrome (FPES) was first described by Rignault and colleagues in 1985 (Int. Angiol. 1985;4:341-343). This Syndrome results from compression of the Popliteal artery by a hypertrophied medial head of the gastrocnemius muscle with no other identifiable anatomical abnormality. The incidence, significance, natural history, and appropriate treatment of this Syndrome remain controversial. We present three cases of FPES where intraoperative positional duplex scans guided gastrocnemius muscle resection and confirmed appropriate resection. Additionally, B-mode duplex obtained during one of the cases demonstrated intimal changes consistent with repetitive vessel trauma. All patients had resolution of their claudication and normal physiological testing postoperatively.
Simova Iana - One of the best experts on this subject based on the ideXlab platform.
-
Focus on echovascular imaging assessment of arterial disease: complement to the ESC guidelines (PARTIM 1) in collaboration with the Working Group on Aorta and Peripheral Vascular Diseases
Oxford UP, 2018Co-Authors: Sprynger Muriel, Rigo Fausto, Moonen Marie, Aboyans Victor, Edvardsen Thor, Brodmann Marianne, Kownator Serge, De Alcantara Monica, Naka Katerina, Simova IanaAbstract:International audienceThe main goal of the present document is to provide a set of practical recommendations for ultrasound imagers who are interested in artery diseases or for physicians who intend to undertake vascular procedures. This is the first part of the work. It is dedicated to general principles of ultrasonography, cervicoencephalic, subclavian, aortoiliac and lower extremity arteries, abdominal aorta, and Popliteal aneurysms. It also discusses miscellaneous items such as medial arterial calcinosis, arterial embolism, arteritis, arterial stents and bypasses, false aneurysms, aortic dissection, Popliteal Entrapment Syndrome, and iliac endofibrosis
-
Focus on echovascular imaging assessment of arterial disease: complement to the ESC guidelines (PARTIM 1) in collaboration with the Working Group on Aorta and Peripheral Vascular Diseases.
2018Co-Authors: Sprynger Muriel, Rigo Fausto, Moonen Marie, Aboyans Victor, Edvardsen Thor, De Alcantara, Monica L., Brodmann Marianne, Naka, Katerina K., Kownator Serge, Simova IanaAbstract:The main goal of the present document is to provide a set of practical recommendations for ultrasound imagers who are interested in artery diseases or for physicians who intend to undertake vascular procedures. This is the first part of the work. It is dedicated to general principles of ultrasonography, cervicoencephalic, subclavian, aortoiliac and lower extremity arteries, abdominal aorta, and Popliteal aneurysms. It also discusses miscellaneous items such as medial arterial calcinosis, arterial embolism, arteritis, arterial stents and bypasses, false aneurysms, aortic dissection, Popliteal Entrapment Syndrome, and iliac endofibrosis.Peer reviewe
Roman Jaworski - One of the best experts on this subject based on the ideXlab platform.
-
Popliteal Entrapment Syndrome a case report of anterior tibial artery Entrapment
Vascular Surgery, 1995Co-Authors: Roman JaworskiAbstract:A case of concomitant anterior tibial artery Entrapment and Popliteal artery Entrapment is reported. This is believed to be the first report of a case of anterior tibial artery Entrapment.
Craig K Kent - One of the best experts on this subject based on the ideXlab platform.
-
acute lower extremity ischemia in a 7 year old boy an unusual case of Popliteal Entrapment Syndrome
Journal of Vascular Surgery, 2004Co-Authors: Joshua Bernheim, Judith Hansen, Peter L Faries, Sashi Kilaru, Pricella Winchester, Albeir Y Mousa, David Trost, Craig K KentAbstract:Popliteal artery Entrapment Syndrome is a rare cause of acute limb ischemia that most commonly is seen in young adults. The most significant complications associated with Popliteal Entrapment include aneurysm formation and acute thrombosis. This case presents the youngest patient ever reported with this Syndrome and highlights the advantages of multimodal treatment including thrombolysis, Popliteal aneurysm resection, and revascularization. Although a significant body of literature exists on Popliteal Entrapment Syndrome in teenagers and young adults, it has not been reported previously in a patient younger than 11 years. Limb salvage was achieved in this patient with a combination of endovascular and surgical techniques.
Jason T Lee - One of the best experts on this subject based on the ideXlab platform.
-
surgical management of functional Popliteal Entrapment Syndrome in athletes
Journal of Vascular Surgery, 2019Co-Authors: Kedar S Lavingia, Anahita Dua, Kara A Rothenberg, Michael Fredericson, Jason T LeeAbstract:Abstract Background Functional Popliteal artery Entrapment Syndrome (FPAES) is a rare disorder described in young, physically active adults that can be limb or performance threatening if untreated. We used provocative computed tomography angiography (CTA) in these patients to guide partial debulking of the anterolateral quadrant of the medial head of the gastrocnemius muscle for FPAES and reviewed the outcomes of this technique in this highly specialized cohort. Methods Athletes referred with symptoms of FPAES underwent a CTA protocol with provocative plantarflexion and dorsiflexion to confirm compression and were offered surgery. All patients underwent posterior approach operative exposure of the Popliteal artery, adhesiolysis, side branch ligation, and partial excision of the gastrocnemius muscle with or without fasciotomies. Preoperative imaging, operative findings, and midterm follow-up, including return to baseline function and return to competitive function, as well as symptom recurrence, were retrospectively reviewed. Results Thirty-six athletes had a total of 56 limbs treated. The average patient age was 26.9 years and the majority were female (56%). Thirty-one percent of patients were referred after already having undergone prior fasciotomies. Sports involved included track and field or running (47%), soccer (25%), water sports (8%), basketball (6%), lacrosse (6%), climbing (3%), skiing (3%), and gymnastics (3%). Of the patients, 27 (75%) had bilateral symptoms and evidence of Entrapment; however, only 20 of the 36 (56%) underwent bilateral surgical treatment for symptom resolution. The mean amount of gastrocnemius muscle removed was 7.6 cm 3 . Nine percent of limbs underwent a bypass along with debulking owing to arterial occlusion at presentation. Postoperatively, there were no nerve or vascular complications noted, although two patients had wound/seroma complications (6%). At the first follow-up, all patients reported mild symptom improvement, but at the midterm follow-up (mean follow-up time, 16 months), six (17%) reported mild to moderate recurrence of symptoms. Of the patients, 78% were able to fully return to their previous competitive levels of sports. All patients were able to resume their athletic endeavor at a recreational level. Conclusions More than three-fourths of athletes limited by FPAES demonstrate full return to prior competitive levels with fasciotomy and surgical debulking of the anterolateral quadrant of the medial gastrocnemius muscle. Provocative CTA protocols can help to guide the location of muscle debulking to alleviate the functional Entrapment that occurs in these athletes with exercise. This technique is a viable option in athletes with FPAES looking to return to competitive athletics.
-
Popliteal artery Entrapment Syndrome
Journal of Cardiovascular Surgery, 2014Co-Authors: A Lejay, Jason T Lee, Mickael Ohana, Yannick Georg, C Delay, Benoit Lucereau, Fabien Thaveau, S Gaertner, Nabil ChakfeAbstract:Intermittent claudication is frequently encountered in vascular surgical practice in atherosclerotic patients. However, it may also be observed in a younger subset of patients without any cardiovascular risk factors and can represent a challenging diagnosis. Popliteal artery Entrapment Syndrome is rare but can cause intermittent claudication in young people. There is a lack of consensus about optimal strategies or diagnosis and management, particularly for variants such as functional Popliteal Entrapment. Since the first description in 1959, knowledge of the pathology and the underlying anatomic abnormalities was advanced through sporadic publications of case reports and small case series, but Popliteal artery Entrapment Syndrome still remains a rare anatomic abnormality. It can be difficult to differentiate from other causes of lower limb pain in young patients, and diagnosis can be challenging. We propose to review clinical symptomatology, classification, radiological diagnosis and treatment of Popliteal Entrapment Syndrome.