Abstract
Popliteal vascular entrapment syndrome is caused by aberrations or hypertrophy of the gastrocnemius muscles, which compress the neurovascular structures of the popliteal fossa, leading to symptoms of vascular and degeneration as well as aneurysm formation. Imaging of popliteal vascular entrapment may be performed with ultrasound, magnetic resonance imaging (MRI), computed tomography angiography, and conventional angiography. The use of blood-pool contrast agents in MRI when popliteal vascular entrapment is suspected offers the possibility to perform vascular imaging with first-pass magnetic resonance angiographic, high-resolution, steady-state imaging and allows functional tests all within one examination with a single dose of contrast agent. We present imaging findings in a case of symptomatic popliteal vein entrapment diagnosed by the use of blood pool contrast-enhanced MRI.
Similar content being viewed by others
References
Stuart TP (1879) Note on a variation in the course of the popliteal artery. J Anat Physiol 13(Pt 2):162–165
Rich NM, Collins GJ Jr, McDonald PT, Kozloff L, Clagett GP, Collins JT (1979) Popliteal vascular entrapment. Its increasing interest. Arch Surg 114:1377–1384
Bremerich J, Bilecen D, Reimer P (2007) MR angiography with blood pool contrast agents. Eur Radiol 17:3017–3024
Levien LJ, Veller MG (1999) Popliteal artery entrapment syndrome: more common than previously recognized. J Vasc Surg 30:587–598
Housseini AM, Maged IM, Abdel-Gawad EA, Hagspiel KD (2009) Popliteal artery entrapment syndrome. J Vasc Surg 49:1056
McAree BJ, O’Donnell ME, Davison GW, Boyd C, Lee B, Soong CV (2008) Bilateral popliteal artery occlusion in a competitive bike rider: case report and clinical review. Vasc Endovasc Surg 42:380–385
Tercan F, Oguzkurt L, Kizilkilic O, Yeniocak A, Gulcan O (2005) Popliteal artery entrapment syndrome. Diagn Interv Radiol 11:222–224
Fong H, Downs AR (1989) Popliteal artery entrapment syndrome with distal embolization. A report of two cases. J Cardiovasc Surg (Torino) 30:85–88
Pfister K, Topel I, Steinbauer M, Stehr A, Kasprzak PM (2005) Popliteal vein entrapment in patients with unspecific symptoms of venous insufficiency. Chirurg 76:404–410
Hai Z, Guangrui S, Yuan Z et al (2008) CT angiography and MRI in patients with popliteal artery entrapment syndrome. AJR Am J Roentgenol 191:1760–1766
Oztoprak I, Gumus C, Egilmez H, Manduz S, Oztoprak B, Emrecan B (2008) Multidetector computed tomographic angiography findings in a rare case of popliteal artery entrapment syndrome. Ann Vasc Surg 22:130–133
Nikolaou K, Kramer H, Grosse C et al (2006) High-spatial-resolution multistation MR angiography with parallel imaging and blood pool contrast agent: initial experience. Radiology 241:861–872
Kim HK, Shin MJ, Kim SM, Lee SH, Hong HJ (2006) Popliteal artery entrapment syndrome: morphological classification utilizing MR imaging. Skeletal Radiol 35:648–658
Lakshminarayan R, Simpson JO, Ettles DF (2009) Magnetic resonance angiography: current status in the planning and follow-up of endovascular treatment in lower-limb arterial disease. Cardiovasc Intervent Radiol 32:397–405
Koelemay MJ, Lijmer JG, Stoker J, Legemate DA, Bossuyt PM (2001) Magnetic resonance angiography for the evaluation of lower extremity arterial disease: a meta-analysis. JAMA 285:1338–1345
Wright LB, Matchett WJ, Cruz CP et al (2004) Popliteal artery disease: diagnosis and treatment. Radiographics 24:467–479
Du J, Thornton FJ, Mistretta CA, Grist TM (2006) Dynamic MR venography: an intrinsic benefit of time-resolved MR angiography. J Magn Reson Imaging 24:922–927
Hadizadeh DR, Gieseke J, Lohmaier SH et al (2008) Peripheral MR angiography with blood pool contrast agent: prospective intraindividual comparative study of high-spatial-resolution steady-state MR angiography versus standard-resolution first-pass MR angiography and DSA. Radiology 249:701–711
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Beitzke, D., Wolf, F., Juelg, G. et al. Diagnosis of Popliteal Venous Entrapment Syndrome by Magnetic Resonance Imaging Using Blood-Pool Contrast Agents. Cardiovasc Intervent Radiol 34 (Suppl 2), 12–16 (2011). https://doi.org/10.1007/s00270-009-9702-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-009-9702-8