医学
腘动脉
跛行
病因学
外科
严重肢体缺血
间歇性跛行
血管外科
栓塞
动脉疾病
心脏病学
血管疾病
内科学
心脏外科
作者
Hualong Bai,Haoliang Wu,Zhiwei Wang,Mingxing Li,Qiang Zhang,Yan Song,Tiejun Zhao,Yuanfeng Liu,Tao Bai
标识
DOI:10.1016/j.avsg.2021.07.016
摘要
Peripheral artery disease (PAD) is often caused by atherosclerosis. However, causes other than atherosclerosis is often overlooked. Popliteal artery entrapment syndrome (PAES) and popliteal artery adventitial cystic disease (PACD) are two common nonatheromatous causes of claudication and critical limb ischemia. The purpose of this study is to present early results of treatment of PAES and PACD involving the lower limbs.From December 2019 to February 2021, 10 patients with PAES underwent surgeries, and 1 patient with PAES received conservative treatment. 2 patients with PACD underwent surgery. Patient data including age, gender, etiology of vascular pathology, diseased vessel, surgical method, and hemodynamic status were collected retrospectively.The mean follow-up duration was 5.64 ± 3.72 months (range, 1-12 months). All patients had their symptoms improved or resolved. The success rate of surgery was 100%, the rate of freedom from reintervention for any reason was 100%. There were no death, bleeding, embolism, or skin ulcers during late follow-up.PAES and PACD require early diagnosis and intervention, and early surgery may lead to good early- and mid-term results.
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