지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.5
- 발행연도
- 2018.5
- 수록면
- 262 - 269 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to analyze anatomical popliteal artery entrapment syndrome (PAES) and to individualize the treatment of this condition according to the anatomical status of the artery and the adjacent structure.
Methods: A total of 35 anatomical PAES legs in 23 consecutive patients treated within the Asan Medical Center, Seoul, Korea between 1995 and 2011 were analyzed retrospectively. Anatomical PAES was diagnosed by MRI and/or CT scans of the knee joint, and CT or conventional transfemoral arteriography of the lower extremities.
Results: We noted a type II gastrocnemius medial head (GNM) anomaly, a type III GNM anomaly, or an aberrant plantaris muscle in 51.4%, 20%, and 28.6% of PAES legs, respectively. In assessments of the arterial lesions, popliteal or tibial artery occlusion was noted in 19 of 26 symptomatic PAES legs. For cases without popliteal artery lesions, myotomy of the anatomically deranged muscle was performed in 5 of 7 symptomatic and 4 of 9 asymptomatic PAES legs. For occluded popliteal arteries, we performed ten direct repairs of the pathological popliteal artery and 4 femoro-below the knee popliteal bypass surgeries. As a result of the arterial Surgery, 9 direct procedures with myotomy yielded a patent artery, while 3 graft failures were noted in the bypass group. The median follow-up period was 84 months (range, 12–206 months).
Conclusion: We recommend that treatment of PAES should be individualized based on pathology, symptoms, and various imaging studies.
Methods: A total of 35 anatomical PAES legs in 23 consecutive patients treated within the Asan Medical Center, Seoul, Korea between 1995 and 2011 were analyzed retrospectively. Anatomical PAES was diagnosed by MRI and/or CT scans of the knee joint, and CT or conventional transfemoral arteriography of the lower extremities.
Results: We noted a type II gastrocnemius medial head (GNM) anomaly, a type III GNM anomaly, or an aberrant plantaris muscle in 51.4%, 20%, and 28.6% of PAES legs, respectively. In assessments of the arterial lesions, popliteal or tibial artery occlusion was noted in 19 of 26 symptomatic PAES legs. For cases without popliteal artery lesions, myotomy of the anatomically deranged muscle was performed in 5 of 7 symptomatic and 4 of 9 asymptomatic PAES legs. For occluded popliteal arteries, we performed ten direct repairs of the pathological popliteal artery and 4 femoro-below the knee popliteal bypass surgeries. As a result of the arterial Surgery, 9 direct procedures with myotomy yielded a patent artery, while 3 graft failures were noted in the bypass group. The median follow-up period was 84 months (range, 12–206 months).
Conclusion: We recommend that treatment of PAES should be individualized based on pathology, symptoms, and various imaging studies.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
[학술지(정기간행물)] - Insua JA / 1970 / Popliteal artery entrapment syndrome / Arch Surg 101 : 771 ~ 775
[학술지(정기간행물)] - Delaney TA / 1971 / Occlusion of popliteal artery due to muscular entrapment / Surgery 69 : 97 ~ 101
[학술지(정기간행물)] - Rich NM / 1979 / Popliteal vascular entrapment. Its increasing interest / Arch Surg 114 : 1377 ~ 1384
[학술지(정기간행물)] - di Marzo L / 1991 / Surgical treatment of popliteal artery entrapment syndrome: a ten-year experience / Eur J Vasc Surg 5 : 59 ~ 64
[학술지(정기간행물)] - Turnipseed WD / 2002 / Popliteal entrapment syndrome / J Vasc Surg 35 : 910 ~ 915
[학술지(정기간행물)] - Delaney TA / 1971 / Occlusion of popliteal artery due to muscular entrapment / Surgery 69 : 97 ~ 101
[학술지(정기간행물)] - Rich NM / 1979 / Popliteal vascular entrapment. Its increasing interest / Arch Surg 114 : 1377 ~ 1384
[학술지(정기간행물)] - di Marzo L / 1991 / Surgical treatment of popliteal artery entrapment syndrome: a ten-year experience / Eur J Vasc Surg 5 : 59 ~ 64
[학술지(정기간행물)] - Turnipseed WD / 2002 / Popliteal entrapment syndrome / J Vasc Surg 35 : 910 ~ 915
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