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Seshadri Raju, MD, Peter Neglen, MD, PhD  Journal of Vascular Surgery 

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Presentation on theme: "Seshadri Raju, MD, Peter Neglen, MD, PhD  Journal of Vascular Surgery "— Presentation transcript:

1 Popliteal vein entrapment: A benign venographic feature or a pathologic entity? 
Seshadri Raju, MD, Peter Neglen, MD, PhD  Journal of Vascular Surgery  Volume 31, Issue 4, Pages (April 2000) DOI: /mva Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Popliteal entrapment seen on routine ascending phlebography with plantar flexion of the foot. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Simultaneous pressure tracings in the dorsal foot vein (top ) and popliteal vein (bottom ) with calf exercise. Note the elevation in popliteal pressure and decrease in foot venous pressure after exercise. Popliteal pressure elevation persists for 100 seconds after cessation of exercise before slowly declining to baseline. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Entrapment lysis through the medial approach. The medial head of the gastrocnemius has been taken down, and the vein has been cleared of branches and perivenous fascia for a length of approximately 5 to 7 cm. The diagram depicts a sclerotic vein segment at the entrapment point while the vein below is dilated. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Examples of prestenotic and poststenotic dilatation of the popliteal vein adjacent to the compression point. A, The poststenotic dilatation is saccular. B, The prestenotic dilatation is tubular and is seen as a second bulge impinging the dilated valve station immediately adjacent. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Sclerotic vein segment (arrow ) at the compression point. It overlies the medial head of the gastrocnemius muscle (M ) that has been released. The view is slightly angled toward the foot. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 6 Examples of high, middle, and low popliteal venous constriction with ankle movements. Vein compression may be localized or diffuse. An example of diffuse compression is depicted in Fig 1. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 7 Change of popliteal vein and simultaneously measured dorsal foot vein pressures in limbs preoperatively (9) and postoperatively (6). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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