Popliteal artery entrapment presenting as acute limb ischemia: treatment with intra-arterial thrombolysis. Case report and review of the literature

2012 ◽  
Vol 171 (11) ◽  
pp. 1703-1706 ◽  
Author(s):  
Bedros Taslakian ◽  
Fady Haddad ◽  
Ola Ghaith ◽  
Aghiad Al-Kutoubi
VASA ◽  
2020 ◽  
pp. 1-6 ◽  
Author(s):  
Marina Di Pilla ◽  
Stefano Barco ◽  
Clara Sacco ◽  
Giovanni Barosi ◽  
Corrado Lodigiani

Summary: A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT.


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Gowri M. Ratnayake ◽  
P. N. Weerathunga ◽  
Matharage Shani Apsara Dilrukshi ◽  
E. W. R. Amara Witharana ◽  
Saroj Jayasinghe

2015 ◽  
Vol 62 (3) ◽  
pp. 800-801
Author(s):  
Boyoung Song ◽  
Melissa Obmann ◽  
Shivprasad Nikam ◽  
David Mariner ◽  
Shengfu Wang ◽  
...  

2018 ◽  
Vol 19 ◽  
pp. 29-34 ◽  
Author(s):  
Francisco Cialdine Frota Carneiro Júnior ◽  
Eduardo Nazareno dos Anjos Carrijo ◽  
Samuel Tomaz Araújo ◽  
Luis Carlos Uta Nakano ◽  
Jorge Eduardo de Amorim ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Viktor Labmayr ◽  
Aryan Aliabadi ◽  
Kurt Tiesenhausen ◽  
Marianne Brodmann ◽  
Florian Schmid ◽  
...  

Introduction. Popliteal artery entrapment syndrome (PAES) is caused by compression of the popliteal artery (PA) due to deranged myotendinous structures. It can be asymptomatic or may present with exercise intolerance, claudication, or even limb-threatening ischemia. The clinical picture depends on the anatomy and degree of vascular compromise. Case Description. We report a case of a 17-year-old Caucasian male with PAES Type II presenting with intermittent claudication and progression towards acute limb ischemia. Diagnostics. MRI and MRA helped identifying the aberrant anatomy and thrombotic occlusion. Doppler ultrasound and conventional angiography have also been employed in a stepwise approach. Intervention. The thrombus at the site of occlusion was removed by the use of catheter-directed lysis. Subsequently, popliteal artery release was achieved by myotomy of the aberrant medial head of gastrocnemius muscle (MHGM) and muscle transfer to the medial femoral condyle. A three-month regimen of 60mg edoxaban was recommended after surgery. Outcome. Surgical correction of the anomalous anatomy and postoperative anticoagulation led to freedom of symptoms. Lesson. Clinical presentation of PAES mimicking peripheral artery occlusive disease is very rare but potentially limb-threatening. PAES should be considered in young and otherwise healthy individuals.


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