Surgical Management of Peripheral Artery Disease

Glaser, Julia; Damrauer, Scott M.

doi:10.1002/9781118775998.ch8

Cited by 1 publication

(1 citation statement)

References 39 publications

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“…32 PA stent implantation is rarely used to treat PAES given that these stents are unlikely to resolve the underlying structural abnormalities and due to the fact that most patients affected by this condition are relatively young. 33 In our opinion, the preventative surgical treatment of asymptomatic PAES is not required. While asymptomatic PAES does, by definition, correspond to some abnormal relationship between the PA and surrounding structures, patients may live a normal life without experiencing limb ischemia in the absence of predisposing factors.…”

Section: Discussionmentioning

confidence: 89%

The treatment of bilateral popliteal artery entrapment syndrome with nonuniform symptoms: A case report and literature review

Yan

Guo

2023

Vascular

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Popliteal artery entrapment syndrome (PAES) is a rare vascular disease, and cases of bilateral PAES associated with distinct symptoms in each of the affected legs are very rare. In an effort to improve current understanding regarding the presentation and treatment of this condition, a case of bilateral PAES is herein described with a corresponding review of the associated literature. The overall process of diagnosing and treating one patient affected by bilateral PAES was retrospectively assessed to provide comprehensive insight regarding this disease. This patient was diagnosed via contrast-enhanced computed tomography (CT), and right-sided symptomatic PAES was successfully treated via autogenous saphenous venous graft arterial bypass surgery. In contrast, the asymptomatic left-sided PAES in this patient was subject to close follow-up monitoring. Over a 2-year postoperative follow-up period, this patient did not experience any symptoms or complications. As such, autogenous saphenous venous graft arterial bypass surgery represents a safe and efficacious means of treating PAES, whereas surgery may not be required for cases of asymptomatic PAES even in patients with a bilateral presentation.

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Section: Discussionmentioning

confidence: 89%