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Popliteal artery

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https://www.readbyqxmd.com/read/29775656/peripheral-vascular-stent-infection-case-report-and-review-of-literature
#1
Greg H Whitcher, Daniel J Bertges, Mrinal Shukla
We describe a case of an infected popliteal artery stent with septic emboli presenting 6 years after peripheral vascular intervention for intermittent claudication. Management included resection of the stent and popliteal artery and revascularization by femoral-popliteal bypass with autogenous vein. This case demonstrates that peripheral stent infections can develop years after intervention. We performed an English language PUBMED literature review of arterial peripheral vascular stent infections on using the search term, "Non-coronary stent or stent graft infection from 1966 to present...
May 15, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29774189/combined-hawkone-directional-atherectomy-and-paclitaxel-coated-balloon-angioplasty-for-isolated-calcified-popliteal-artery-lesion-a-no-stent-approach-to-lower-extremity-endovascular-revascularization
#2
Romaric Loffroy, Olivier Chevallier, Nicolas Falvo, Sophie Gehin, Marco Midulla, Christophe Galland
No abstract text is available yet for this article.
April 2018: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/29742989/femoral-artery-aneurysm-repair-in-a-patient-with-a-fibrillin-2-mutation
#3
Thomas Ratschiller, Hannes Müller, Thomas Schachner, Franz Fellner, Gregor Sulzbacher, Andreas Zierer
Degenerative femoral artery aneurysms are uncommon and often associated with aneurysm in other distributions. We report a case of a 68-year-old man with multianeurysmal disease involving the aorta, iliac, femoral, and popliteal arteries managed interdisciplinary by stent-graft placement and open surgical repair. Genetic testing revealed a variant in the FBN2 gene encoding fibrillin-2, an important component of microfibrils. We detail arterial reconstruction of the femoral artery and discuss incidence, diagnosis, and therapy of femoral artery aneurysms...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29732358/anatomical-popliteal-artery-entrapment-syndrome
#4
Yong Jae Kwon, Tae-Won Kwon, Jun Gyo Gwon, Yong-Pil Cho, Seung-Jun Hwang, Ki-Young Go
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...
May 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29730377/adventitial-drug-delivery-of-dexamethasone-to-improve-primary-patency-in-the-treatment-of-superficial-femoral-and-popliteal-artery-disease-12-month-results-from-the-dance-clinical-trial
#5
Mahmood K Razavi, Dennis Donohoe, Ralph B D'Agostino, Michael R Jaff, George Adams
OBJECTIVES: This study was designed to evaluate outcomes of adventitial dexamethasone delivery adjunctive to standard endovascular revascularization in femoropopliteal peripheral artery disease. BACKGROUND: Drug-coated balloons and drug-eluting stents improve patency of endovascular interventions with passive diffusion of antiproliferative drugs. Adventitial dexamethasone delivery targets the initial triggers of the inflammatory reaction to injury, thus potentially providing a potent antirestenotic strategy...
April 27, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29721648/comparison-of-adductor-canal-block-and-ipack-block-interspace-between-the-popliteal-artery-and-the-capsule-of-the-posterior-knee-with-adductor-canal-block-alone-after-total-knee-arthroplasty-a-prospective-control-trial-on-pain-and-knee-function-in-immediate
#6
S R Sankineani, A R C Reddy, Krishna Kiran Eachempati, Ajit Jangale, A V Gurava Reddy
BACKGROUND: Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery and the capsule of posterior knee (IPACK) has shown promising results in providing significant posterior knee analgesia without affecting the motor nerves. MATERIALS AND METHODS: A prospective study was conducted from September 2016 to March 2017 in a total of 120 patients undergoing unilateral total knee arthroplasty...
May 2, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29716477/endovascular-repair-of-three-concurrent-mycotic-pseudoaneurysms
#7
Megumi Asai, Olivia Van Houtte, Terry R Sullivan, Mauricio Garrido, Danielle M Pineda
INTRODUCTION: Mycotic pseudoaneurysm has traditionally been repaired surgically with excision of the infected artery and revascularization via extra-anatomical or in situ bypass. There have been reports of endovascular repair for high-risk patients for formal surgical repair. We present a case of a patient with 3 large pseudoaneurysms arising from the right subclavian artery, descending thoracic aorta, and right popliteal artery treated with endovascular and hybrid intervention. CASE: A 74-year-old male with remote history of coronary artery bypass graft and recent sternoclavicular joint abscess developed 3 concurrent pseudoaneurysms arising from the right subclavian artery, distal descending thoracic aorta, and right popliteal artery...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29716476/high-reintervention-and-amputation-rates-after-outpatient-atherectomy-for-claudication
#8
Dipankar Mukherjee, Brian Contos, Erica Emery, Devon T Collins, James H Black
Outpatient use of atherectomy for peripheral arterial disease has grown rapidly and outcomes are poorly understood. We analyzed outcomes of atherectomy done for claudication, comparing office and hospital outpatient settings. Analysis of Medicare Part B claims data was performed for incident femoral-popliteal or tibial-peroneal atherectomy from 2012 to 2014. Longitudinal analysis assessed services 18 months before, during, and up to 18 months after the incident peripheral vascular intervention (PVI). Differences between office-based and hospital outpatient-based settings were assessed using χ2 and Fisher exact tests...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29715714/a-report-of-two-cases-of-adventitial-cystic-disease-of-the-popliteal-artery
#9
Doo Jae Lee, Hyun Oh Park, Ha Nee Jang, Ki Nyun Kim, Jun Ho Yang, Seong Ho Moon, Joung Hun Byun, Sung Hwan Kim, Jun Young Choi, In Seok Jang, Jong Woo Kim, Chung Eun Lee
Two patients were admitted to our department because of recent aggravation of claudication in the leg, which was exacerbated by walking. They were diagnosed as having a Baker cyst or acute thrombosis in the popliteal fossa at another hospital. There was no evidence of ischemia, and the ankle brachial index was normal. Computed tomography and magnetic resonance imaging were performed, revealing a cystic mass of the popliteal artery (PA). Intraoperatively, the cystic lesion was found within the adventitia of the PA; based on the biopsy findings, both patients were diagnosed as having adventitial cystic disease of the PA...
April 30, 2018: Knee Surgery & related Research
https://www.readbyqxmd.com/read/29704953/risk-factors-associated-with-amputation-in-civilian-popliteal-artery-trauma
#10
Michael J Ramdass, Alyssa Muddeen, Patrick Harnarayan, Richard Spence, David Milne
Popliteal artery trauma is uncommon but is associated with a high risk of limb loss depending on the scenario involving blunt or penetrating trauma as well as the severity and extent of injury that has occurred. In our setting there is a significant amount of gang and civilian warfare resulting in Vascular Trauma. There were 32 patients over a decade who sustained traumatic injury to the popliteal artery consisting of 30 males (94%) and 2 females with an age range 16-59 years with a mean of 32. There were 20 cases of penetrating trauma (63%) and 12 cases of blunt trauma (37%)...
April 24, 2018: Injury
https://www.readbyqxmd.com/read/29701415/antiphospholipid-syndrome-and-acute-postpartum-limb-ischemia
#11
Inês Antunes, Carlos Pereira, Rui Machado, Duarte Rego, Vitor Ferreira, João Gonçalves, Gabriela Teixeira, Carlos Veiga, Daniel Mendes, Rui Almeida
INTRODUCTION: The diagnosis of Antiphospholipid syndrome (APS) implies the identification of antiphospoholipid antibodies and arterial/venous thrombosis or pregnancy loss. During pregnancy, there is an increased risk of thrombotic complications. METHODS: Present a case of acute lower limb ischemia in a patient with APS during postpartum period Materials/ Methods: review of a clinical case and available literature Results: Patient diagnosed with APS (triple antibody positive and antecedent of 3 previous abortions) underwent cesarean at 29 weeks of gestation...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29701412/functional-popliteal-artery-entrapment-syndrome
#12
Luis Gamas, João Rocha Neves, Luís Machado, Ricardo Ferreira, Pedro Paz Dias, José Teixeira
INTRODUCTION: Popliteal artery entrapment is an uncommon syndrome, caused by extrinsic compression of the popliteal artery by muscular or tendinous structures. It occurs mainly in young individuals, with no atherosclerostic risk factors, and a mean age of presentation of 20 to 40 years, and has higher prevalence in males (83% of patients). Clinical presentation depends on the degree of arterial lesion, the most common being intermittent claudication, with critical ischemia being frequent...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29701341/outcomes-after-catheter-direct-thrombolysis-for-acute-limb-ischaemia-single-center-experience
#13
Tiago Soares, João Rocha Neves, Ricardo Castro Ferreira, Pedro Almeida, Paulo Dias, Sérgio Sampaio, José Fernando Teixeira
INTRODUCTION: The aim of this study is to evaluate the outcome of catheter directed thrombolysis (CDT) in acute lower limb ischaemia depending on the underlying etiology. METHODS: Retrospective single center analysis of electronic clinical data on patients with acute lower limb ischaemia treated with CDT. Between January 2011 and September 2017, 128 procedures in 106 patients were included. The etiology of ischaemia was native artery thrombosis in 39 procedures (30,5%), PTFE graft thrombosis in 56 (43,8%), intra-stent thrombosis in 11 (8,6%), emboly in 9 (7%), popliteal aneurysm thrombosis in 9 (7%), vein graft thrombosis in 2 (1,6%) and popliteal artery entrapment in 2 (1,6%)...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29697685/-ruptures-of-popliteal-artery-aneurysms
#14
I P Mikhaylov, V N Lavrenov, G A Isaev, L S Kokov, E Yu Trofimova
AIM: To improve diagnosis and surgical outcomes in patients with ruptured popliteal artery aneurysm. MATERIAL AND METHODS: Eight patients with ruptured popliteal artery aneurysm have undergone surgery for the period from 1999 to 2015 at the Vascular Surgery Department of Sklifosovsky Research Institute for Emergency Care. Incidence of rupture was 2.9% from total number of popliteal artery aneurysm. 7 patients with rupture had signs of lower limb ischemia (acute form grade I in 2 (25%) cases, grade IIA in 1 (12...
2018: Khirurgiia
https://www.readbyqxmd.com/read/29694643/quantitative-analysis-of-the-perimeniscal-position-of-the-inferior-lateral-genicular-artery-ilga-magnetic-resonance-imaging-study
#15
Jiwon Park, Sang Soo Lee, Tae Woo Kim
PURPOSE: The inferior lateral genicular artery (ILGA) passes around the lateral knee joint, adjacent to the lateral meniscus (LM). ILGA injuries in total knee arthroplasty or arthroscopic surgery can result in recurrent hemarthrosis or painful pseudoaneurysms. Detailed information about the perimeniscal position of the ILGA relative to the LM is necessary to avoid these complications. METHODS: 3-T MR images of 100 knees (mean age 36.3 ± 11.2 years) were retrospectively reviewed...
April 24, 2018: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29691970/scai-consensus-guidelines-for-device-selection-in-femoral-popliteal-arterial-interventions
#16
Dmitriy N Feldman, Ehrin J Armstrong, Herbert D Aronow, Osvaldo S Gigliotti, Michael R Jaff, Andrew J Klein, Sahil A Parikh, Anand Prasad, Kenneth Rosenfield, Mehdi H Shishehbor, Rajesh V Swaminathan, Christopher J White
No abstract text is available yet for this article.
April 24, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29690818/in-situ-popliteal-tibial-bypass-with-the-short-saphenous-vein-through-a-posterior-approach-for-limb-salvage
#17
Sosei Kuma, Kohichi Morisaki, Jin Okazaki, Shinsuke Mii
A 69-year-old female patient was admitted to our hospital with gangrene of her left first and second digits. Angiography showed a diffuse occlusive lesion from the external iliac artery to the crural arteries. Endovascular therapy to the external iliac artery, above-knee femoropopliteal bypass with a polytetrafluoroethylene graft, and popliteal-tibial bypass through a posterior approach with the short saphenous vein graft were performed in 3 stages because the length of the great saphenous vein that was suitable for grafting was insufficient...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29688737/endovascular-procedures-in-treatment-of-infrapopliteal-arterial-occlusive-disease-single-center-experience-with-69-infrapopliteal-procedures
#18
Pasternak J Janko, Budakov B Nebojsa, Petres V Andrej
BACKGROUND: Peripheral arterial occlusive disease (PAD) includes acute and chronic disorders of the blood supply as a result of obstruction of blood flow in the arteries of the limb. Treatment of PAD can be conservative, surgical and endovascular. Percutaneous transluminal angioplasty with or without stenting has become a recognized method, which is increasingly used in treatment of arterial occlusive disease. This study aimed to determine early results of endovascular treatment of critical limb ischemia (CLI) patients with infrapopliteal lesions...
March 1, 2018: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29671330/achieving-canadian-physical-activity-guidelines-is-associated-with-better-vascular-function-independent-of-aerobic-fitness-and-sedentary-time-in-older-adults
#19
Myles W O'Brien, Susan A Robinson, Ryan J Frayne, Said Mekary, Jonathon R Fowles, Derek S Kimmerly
Canadian physical activity guidelines recommend older adults accumulate 150 minutes of weekly moderate-vigorous physical activity (MVPA). Older adults who are insufficiently active may have reduced blood vessel health and an increased risk of cardiovascular disease. We tested this hypothesis in 11 older adults who did (7♀; 65±5 years; MVPA=239±81 minutes/week) and 10 older adults who did not (7♀; 68±9 years; MVPA=95±33 minutes/week) meet MVPA guidelines. Flow-mediated dilation (FMD) in the brachial (BA) and popliteal (POP) arteries, as well as, nitroglycerin-mediated dilation (NMD; endothelial-independent dilation) in the POP were assessed via ultrasonography...
April 19, 2018: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/29665749/early-and-mid-term-results-in-the-endovascular-treatment-of-popliteal-aneurysms-with-the-multilayer-flow-modulator
#20
Alessandro Ucci, Ruggiero Curci, Matteo Azzarone, Claudio Bianchini Massoni, Antonio Bozzani, Carla Marcato, Enrico Maria Marone, Paolo Perini, Tiziano Tecchio, Antonio Freyrie, Angelo Argenteri
Background The endovascular approach became an alternative to open surgical treatment of popliteal artery aneurysm over the last few years. Heparin-bonded stent-grafts have been employed for endovascular popliteal artery aneurysm repair, showing good and stable results. Only few reports about the use of multilayer flow modulator are available in literature, providing small patient series and short follow-up. The aim of this study is to report the outcomes of patients with popliteal artery aneurysm treated with the multilayer flow modulator in three Italian centres...
January 1, 2018: Vascular
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