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May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
Statement of the Problem:
Intermittent claudication is not a
common presentation in young people as they are rarely suffering
from chronic lower limb ischemia. Popliteal artery entrapment
syndrome (PAES) is one of the main known causes of intermittent
claudication and should be considered among this young age
group. Most of the reported cases are males and usually present
before the age of 45. Different anatomical variations found to
explain the abnormal compression on the artery in the popliteal
fossa. These include variant medial head of gastrocnemius
muscle, muscular slip, popliteus muscle or plantaris muscle as a
constricting agent. It can be bilateral up to 34%of cases. Repeated
trauma may damage the popliteal artery and lead to stenosis,
thrombotic occlusion or post stenotic aneurysmal dilatation. Lack
of awareness could lead to delay in diagnosis and complications.
Methodology:
The data of this study has been retrospectively
collected with review of patients undergoing operative treatment
of popliteal artery entrapment syndrome (PAES). Eight patients
(11 limbs) presented, diagnosed and surgically treated. All of
them were males. Six limbs had PAES on the left side. The age
ranged from 21 to 47 years with median age of 31 years. Only
one patient was diabetic and two were smokers. Out of the 11
limbs included in our study, three patients had bilateral PAES with
unilateral symptoms. The mean duration of symptoms was 12
months and ranged between 3 and 24 months.
Conclusion & Significance:
Diagnosing PAES is mainly based
on clinical assessment with support of duplex scanning; ankle
brachial index (ABI) drop during muscular stress is a good
predictor to identify patients benefit fromsurgical decompression
and keeping high threshold to offer surgery for PAES will save
patients from inadequate outcome.
Recent Publications
1. Jarraya M, Simmons S, Farber A, Teytelboym O, Naggara
N and Guermazi A (2016) Uncommon diseases of the
popliteal artery: a pictorial review. Insights into Imaging
7(5):679-688.
2. Lejay A, Delay C, Georg Y, Gaertner S, Ohana M, Thaveau
F, Lee JT, Geny B and Chakfe N (2016) Five year outcome
of surgical treatment for popliteal artery entrapment
syndrome. Eur J Vasc Endovasc Surg. 51(4):557-64.
3. Bonasia D E, Rosso F, Cottino U and Rossi R (2015)
Exercise-induced leg pain. Asia-Pacific Journal of Sports
Medicine, Arthroscopy, Rehabilitation and Technology.
2(3):73-84.
4. Kim S Y, Min S K, Ahn S, Min S I, Ha J and Kim S J
(2012) Long-term outcomes after revascularization for
advanced popliteal artery entrapment syndrome with
segmental arterial occlusion. J Vasc Surg. 55(1):90-7.
5. Sinha S, Houghton J, Holt P J, Thompson M M, Loftus
I M and Hinchliffe R J (2012) Popliteal entrapment
syndrome. J Vasc Surg. 55(1):252-262.
Biography
Hussien Rabee, MBBch, MSc,FRCS, PHD. Consultant Vascular Surgery in
Countess of Chester Hospital (2015-2018). Associate Professor & Consul-
tant Vascular Surgery, College of Medicine, Riyadh, Saudi Arabia (1998-2014).
Founder of Vascular Surgery Training Program, Head of Vascular Surgery unit
& Animal Lab. Author and Co-author in different researches in Vascular Sur-
gery.
h.rabee@nhs.netDrop of ankle brachial index predicting outcome in treatment
of popliteal artery entrapment syndrome
Hussien Rabee, R Makar, D Oloujugba
and
K Al Omar
Countess of Chester Hospital, UK
Hussien Rabee et al., J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002
Figure 1:
Schematic representation of the different SNPs in TLR genes.