Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome

Functional popliteal artery entrapment syndrome can be difficult to diagnose, as the imaging modalities presently employed are designed to detect anatomic entrapment. We describe a novel imaging technique to aid in diagnosis in this cohort. A 22-year-old cyclist presented with exercise-limiting clau...

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Main Authors:	Anna E. Boniakowski, MD, Frank Davis, MD, Dani Campbell, MD, Minhajuddin Khaja, MD, Katherine A. Gallagher, MD
Format:	Article
Language:	English
Published:	Elsevier 2017-06-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428717300138

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spelling	doaj-059d5f2a07614e73bdafc143c861473f2020-11-24T23:59:45ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872017-06-0132747810.1016/j.jvscit.2017.02.006Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndromeAnna E. Boniakowski, MD0Frank Davis, MD1Dani Campbell, MD2Minhajuddin Khaja, MD3Katherine A. Gallagher, MD4Department of Surgery, Section of Vascular Surgery, University of Michigan, Ann Arbor, MichDepartment of Surgery, Section of Vascular Surgery, University of Michigan, Ann Arbor, MichVascular Surgery, St. Vincent Medical Group, Indianapolis, IndDepartment of Interventional Radiology, University of Michigan, Ann Arbor, MichDepartment of Surgery, Section of Vascular Surgery, University of Michigan, Ann Arbor, MichFunctional popliteal artery entrapment syndrome can be difficult to diagnose, as the imaging modalities presently employed are designed to detect anatomic entrapment. We describe a novel imaging technique to aid in diagnosis in this cohort. A 22-year-old cyclist presented with exercise-limiting claudication. Magnetic resonance angiography with provocative maneuvers was nondiagnostic. Digital subtraction angiography revealed long-segment occlusion of the popliteal artery with plantar flexion; however, the specific site of compression remained unclear. Intravascular ultrasound allowed specific localization of compression and further confirmed the diagnosis. Thus, we report this as an adjunctive imaging modality to definitively diagnose functional popliteal artery entrapment syndrome and to assist in operative planning.http://www.sciencedirect.com/science/article/pii/S2468428717300138
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Anna E. Boniakowski, MD Frank Davis, MD Dani Campbell, MD Minhajuddin Khaja, MD Katherine A. Gallagher, MD
spellingShingle	Anna E. Boniakowski, MD Frank Davis, MD Dani Campbell, MD Minhajuddin Khaja, MD Katherine A. Gallagher, MD Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Anna E. Boniakowski, MD Frank Davis, MD Dani Campbell, MD Minhajuddin Khaja, MD Katherine A. Gallagher, MD
author_sort	Anna E. Boniakowski, MD
title	Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome
title_short	Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome
title_full	Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome
title_fullStr	Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome
title_full_unstemmed	Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome
title_sort	intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2017-06-01
description	Functional popliteal artery entrapment syndrome can be difficult to diagnose, as the imaging modalities presently employed are designed to detect anatomic entrapment. We describe a novel imaging technique to aid in diagnosis in this cohort. A 22-year-old cyclist presented with exercise-limiting claudication. Magnetic resonance angiography with provocative maneuvers was nondiagnostic. Digital subtraction angiography revealed long-segment occlusion of the popliteal artery with plantar flexion; however, the specific site of compression remained unclear. Intravascular ultrasound allowed specific localization of compression and further confirmed the diagnosis. Thus, we report this as an adjunctive imaging modality to definitively diagnose functional popliteal artery entrapment syndrome and to assist in operative planning.
url	http://www.sciencedirect.com/science/article/pii/S2468428717300138
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Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome

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