Popliteal vascular compression in a normal population

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Presentation transcript:

Popliteal vascular compression in a normal population Luke S. Erdoes, MD, Jenifer J. Devine, RN, RVT, Victor M. Bernhard, MD, Michael R. Baker, MD, Scott S. Berman, MD, RVT, Glenn C. Hunter, MD  Journal of Vascular Surgery  Volume 20, Issue 6, Pages 978-986 (December 1994) DOI: 10.1016/0741-5214(94)90236-4 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 (A) Doppler ultrasound waveforms of posterior tibial artery at rest (B) and with active knee extension and active plantar flexion of foot. Positional occlusion of artery is demonstrated. Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 (A) Doppler ultrasound waveforms of posterior tibial artery at rest (B) and with active knee extension and active plantar flexion of foot. Positional occlusion of artery is demonstrated. Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Color flow duplex images in longitudinal (left), and transverse (right) planes demonstrate normal popliteal artery on upper frames, and positional popliteal artery occlusion in lower frames. Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Color-flow duplex images demonstrate positional stenosis of popliteal artery (lower images), compared with normal resting images (upper images). Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A, MRI in transverse plane demonstrates normal popliteal arterial flow and cross-sectional anatomy. B, MRI in same patient demonstrates positional arterial occlusion at level of soleal sling (arrow). Artery shows bright white.C, Reformatted MRA shows normal popliteal artery. D, Images in same patient demonstrate occlusion of popliteal artery with positioning (arrow). Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A, MRI in transverse plane demonstrates normal popliteal arterial flow and cross-sectional anatomy. B, MRI in same patient demonstrates positional arterial occlusion at level of soleal sling (arrow). Artery shows bright white.C, Reformatted MRA shows normal popliteal artery. D, Images in same patient demonstrate occlusion of popliteal artery with positioning (arrow). Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A, MRI in transverse plane demonstrates normal popliteal arterial flow and cross-sectional anatomy. B, MRI in same patient demonstrates positional arterial occlusion at level of soleal sling (arrow). Artery shows bright white.C, Reformatted MRA shows normal popliteal artery. D, Images in same patient demonstrate occlusion of popliteal artery with positioning (arrow). Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 A, MRI in transverse plane demonstrates normal popliteal arterial flow and cross-sectional anatomy. B, MRI in same patient demonstrates positional arterial occlusion at level of soleal sling (arrow). Artery shows bright white.C, Reformatted MRA shows normal popliteal artery. D, Images in same patient demonstrate occlusion of popliteal artery with positioning (arrow). Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 A, Anatomic relationships at level of soleal sling. B, Positional compression of neurovascular bundle resulting from muscular contraction. Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 A, Anatomic relationships at level of soleal sling. B, Positional compression of neurovascular bundle resulting from muscular contraction. Journal of Vascular Surgery 1994 20, 978-986DOI: (10.1016/0741-5214(94)90236-4) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions