OBJECTIVES The purpose was to test the durability of the use of the unobstructed popliteal or tibial arteries as alternative inflow sources. MATERIALS We examined 106 such bypasses performed during a 12 year period (1981-93). The indication for surgery was limb salvage in 99.1%. Seventy-five percent of the patients were male, 78% were diabetic and the average age was 59.6 years. The inflow so...

Aneurysm or pseudoaneurysm formation is one of the vascular complications of Behcet disease. At present, the optimal treatment for the disease has not been established.The authors report a case of vasculo-Behcet disease (v-BD) with recurrent pseudoaneurysms in the left infrainguinal arteries (common femoral artery, superficial femoral artery, and popliteal artery), as well as thrombosis in the ...

PURPOSE To evaluate the midterm results of combined directional atherectomy (DA) and drug-eluting balloon (DEB) angioplasty for atherosclerotic lesions of the popliteal artery. METHODS In a single-arm, prospective study, 21 patients (mean age 63±16 years; 16 men) with isolated popliteal artery lesions were enrolled and underwent treatment with combined DA and DEB angioplasty under filter prot...

Despite the large number of gunshot wounds treated in civilian and military practice, embolization of missiles to the pulmonary artery is relatively uncommon. In a review of 7,500 medical reports from casualties from the Vietnam Vascular Registry, only 22 patients with known vascular trauma had missile emboli (0.3%), and of those, only 4 (.0005%) were to the pulmonary artery. Causative agents o...

Scopulariopsis is a genus of mold that is usually associated with onychomycosis and rarely causes complicated infection in immunocompetent persons. We describe a case of an immunocompetent 65-year-old male with a history of mitral valve repair with prosthetic ring placement who developed acute left posterior knee pain. Imaging showed a left popliteal artery aneurysm and thrombus, and further ev...

A 50-year-old man, a professional international alpineskiing coach, presented at the Department of Vascular Surgery with a short history of intermittent ischemic muscle pain of the right lower leg. Reversible claudication typically occurred during physical activity and was relieved after a short rest. At the time point of presentation, the subjective limitations, however, were only low. His med...

OBJECTIVE Autogenous vein is the conduit of choice in patients presenting for infrainguinal arterial reconstruction. Venous conduit may be limited because of inadequacy or prior utilization. Our group and others use prosthetics to maximize limb salvage with moderate results. However, in cases where patients present with an isolated popliteal segment that may extend below the knee, we have perfo...

AIMS The purpose of this prospective clinical investigation was to quantify the degree and range of compressive and bending deformations sustained by self-expanding nitinol stents when implanted into the femoropopliteal arteries of patients with symptomatic peripheral vascular disease (PVD). METHODS AND RESULTS Twenty-three nitinol self-expanding stents (Absolute; Abbott Vascular, Santa Clara...

Popliteal artery injuries are known complications of distal femur fractures, often leading to life-threatening consequences. The authors present a case four-month-old missed popliteal injury complicating nonunion the femur. patient, 28-year-old male, initially sought alternative treatment after bike accident but experienced persistent pain and functional limitations. During our clinical evaluat...