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The popliteal artery entrapment syndrome (PAES) is an uncommon pathology that occurs when the popliteal artery is compressed by the surrounding popliteal fossa myofascial structures. [1] This results in claudication and chronic leg ischemia .
Smaller arteries carry blood supply from the popliteal artery to the calf and into the foot. [4] Blockages caused by plaque build-up or atherosclerosis in any of these arteries can reduce leg blood circulation, causing leg pain that may interfere with daily life. [4] Standard popliteal bypass surgery involves the bypass of the popliteal artery. [5]
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle , where it branches into the anterior and posterior tibial arteries.
Peripheral artery disease (PAD), or limb ischemia, affects the femoral, popliteal, or iliac arteries. [17] PAD is caused by atherosclerotic plaques that occlude blood flow to extremities. [ 5 ] Once blood flow is impeded, ischemic muscle cells switch from aerobic to anaerobic metabolism to cope with oxygen scarcity.
A popliteal artery aneurysm (PAA) is a bulging of the popliteal artery. [1] A PAA is diagnosed when a focal dilation greater than 50% of the normal vessel diameter is found (the normal diameter of a popliteal artery is 0.7-1.1 cm). PAAs are the most common aneurysm of the peripheral vascular system, accounting for 85% of all cases.
The location of the pain is a clue on which artery’s involved—if it’s the hips and the buttocks, think lower aorta or iliac, if it’s the thigh, think iliac or common femoral artery, for the upper ⅔ of the calf, the superficial femoral artery, the lower 1/3—the popliteal artery, and finally for the foot—think tibial or peroneal artery.
Adventitial cystic disease (also known as cystic adventitial disease CAD) is a rare type of non-atherosclerotic peripheral artery disease. [1] It can present as claudication, critical limb ischemia or acute limb ischemia. The most commonly affected vessel is the popliteal artery. [2] The cause is unknown.
CT angiogram 3D reconstruction, posterior view showing a normal artery on the left, and occlusion to right popliteal artery as a result of a knee dislocation [10] Symptoms include knee pain. [2] The joint may also have lost its normal shape and contour. [2] A joint effusion may, or may not, be present. [2]