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Superficial Femoral Artery Autograft Reconstruction for Complicated Popliteal Artery Entrapment Syndrome

Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, Paris, France, Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Paris Cedex 18, France, nikolaos.paraskevas{at}bch.aphp.fr, Assistance Publique des Hôpitaux de Paris, Université Paris 7, Paris, France

Yves Castier, MD, PhD

Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Paris Cedex 18, France, Assistance Publique des Hôpitaux de Paris, Université Paris 7, Paris, France

Sumio Fukui, MD

Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, Paris, France

Jean-Marc Alsac, MD

Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Paris Cedex 18, France, Assistance Publique des Hôpitaux de Paris, Université Paris 7, Paris, France

Patrick Soury, MD

Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, Paris, France

Claude Laurian, MD

Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, Paris, France

Guy Leseche, MD

Service de Chirurgie Vasculaire et Thoracique, Hôpital Bichat, Paris Cedex 18, France, Assistance Publique des Hôpitaux de Paris, Université Paris 7, Paris, France

We present an alternative surgical approach to popliteal artery entrapment syndrome with vascular complications in the absence of a suitable saphenous vein. Three patients (29, 35, and 78 years old) with thrombotic and/or aneurysmal lesions of the popliteal artery from popliteal artery entrapment syndrome were treated with superficial femoral artery autograft reconstruction. The procedure was performed through a medial approach. The superficial femoral artery was harvested in the upper third of the thigh and used as the conduit for reconstruction and the harvested segment was replaced by a polytetrafluoroethylene graft. At follow-up, patients were asymptomatic and duplex ultrasound revealed patent reconstruction with no morphological abnormalities.

Key Words: popliteal artery entrapment syndrome—femoral autograft

This version was published on April 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 2, 165-169 (2009)
DOI: 10.1177/1538574408326584


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