Abstract
Popliteal artery entrapment syndrome (PAES) is a relatively rare condition, which occurs predominantly in active young adults who lack atherogenic risk factors. It has been rarely reported in patients under the age of 18 years. The most common presentation in the early stages is intermittent claudication; however, in the later stages of undiagnosed PAES, acute ischemia can occur as a result of complete arterial occlusion or embolism. We present a 14-year-old boy, who presented with acute limb ischemia which was managed with a multidisciplinary approach.
References
Anil G, Tay KH, Howe TC, Tan BS (2011) Dynamic computed tomography angiography: role in the evaluation of popliteal artery entrapment syndrome. Cardiovasc Intervent Radiol 34:259–270
Bouhoutsos J, Daskalakis E (1981) Muscular abnormalities affecting the popliteal vessels. Br J Surg 68:501–506
Cohn SL, Taylor WC (1990) Vascular problems of the lower extremity in athletes. Clin Sports Med 9:449–70
Gibson MH, Mills JG, Johnson GE, Downs AR (1977) Popliteal entrapment syndrome. Ann Surg 185:341–348
Henry M, Amor M, Henry I, Klonaris C, Tzvetanov K, Buniet JM, Amicabile C, Drawin T (2000) Percutaneous endovascular treatment of peripheral aneurysms. J Cardiovasc Surg (Torino) 41(6):871–83
Kim SY, Min SK, Ahn S, Min SI, Ha J, Kim SJ (2012) Long-term outcomes after revascularization for advanced popliteal artery entrapment syndrome with segmental arterial occlusion. J Vasc Surg 55(1):90–7
Ohara N, Miyata T, Oshiro H, Shigematsu H (2001) Surgical treatment for popliteal artery entrapment syndrome. Cardiovasc Surg 9:141–4
Radonic V, Koplic S, Giunio L, Bozic I, Maskovic J, Buca A (2000) Popliteal artery entrapment syndrome: diagnosis and management, with report of three cases. Tex Heart Inst J 27(1):3–13
Rajan DK, Patel NH, Valji K, Cardella JF, Brown DB, Brountzos EN, Clark TW, Grassi CJ, Meranze SG, Miller DL, Neithamer CD, Rholl K, Roberts A, Schwartzberg MS, Swan TT, Thorpe PE, Towbin RB, Sacks D (2009) Quality improvement guidelines for percutaneous management of acute limb ischemia. J Vasc Interv Radiol 20(7 Suppl):S208–18
Ring DH, Haines GA, Miller DL (1999) Popliteal artery entrapment syndrome: arteriographic findings and thrombolytic therapy. J Vasc Interv Radiol 10(6):713–21
Rosset E, Hartung O, Brunet C, Roche PH, Magnan PE, Mathieu JP, Branchereau A, Farisse J (1995) Popliteal artery entrapment syndrome. Anatomic and embryologic bases, diagnostic and therapeutic considerations following a series of 15 cases with a review of the literature. Surg Radiol Anat 17:161–169
Sinha S, Houghton J, Holt PJ, Thompson MM, Loftus IM, Hinchliffe RJ (2012) Popliteal entrapment syndrome. J Vasc Surg 55(1):252–262.e30
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Taslakian, B., Haddad, F., Ghaith, O. et al. Popliteal artery entrapment presenting as acute limb ischemia: treatment with intra-arterial thrombolysis. Case report and review of the literature. Eur J Pediatr 171, 1703–1706 (2012). https://doi.org/10.1007/s00431-012-1810-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-012-1810-9