Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome Anna E. Boniakowski,

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Intravascular ultrasound as a novel tool for the diagnosis and targeted treatment of functional popliteal artery entrapment syndrome Anna E. Boniakowski, MD, Frank Davis, MD, Dani Campbell, MD, Minhajuddin Khaja, MD, Katherine A. Gallagher, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 3, Issue 2, Pages 74-78 (June 2017) DOI: 10.1016/j.jvscit.2017.02.006 Copyright © 2017 The Authors Terms and Conditions

Fig 1 Magnetic resonance imaging (MRI) T1-weighted echo image after contrast enhancement revealing patent popliteal arteries bilaterally (arrows) and normal anatomic location of the medial head of the gastrocnemius muscle (arrowheads). Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 74-78DOI: (10.1016/j.jvscit.2017.02.006) Copyright © 2017 The Authors Terms and Conditions

Fig 2 A and B, Digital subtraction arteriogram of the right popliteal artery revealing patency in neutral position (A) and long-segment occlusion on active plantar flexion (B); the arrow denotes the area of occlusion. C and D, Intravascular ultrasound (IVUS) images of both compression on active plantar flexion (C) and resolution of compression on neutral positioning (D); the arrow denotes the popliteal artery, and the arrowheads denote medial head of gastrocnemius muscle. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 74-78DOI: (10.1016/j.jvscit.2017.02.006) Copyright © 2017 The Authors Terms and Conditions

Fig 3 A, Digital subtraction arteriogram after surgical release revealing resolution of compression with active plantar flexion. B, Digital subtraction arteriogram in neutral position pictured for comparison. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 74-78DOI: (10.1016/j.jvscit.2017.02.006) Copyright © 2017 The Authors Terms and Conditions