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Doppler Ultrasound Evaluation of Patients with Popliteal Vascular Entrapment Syndrome
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  • Hai Zhong,
  • Guangrui Shao,
  • Hengtao Qi,
  • Yuan Zhao,
  • Maohua Wang,
  • Wubo Yang
Hai Zhong
Second Hospital of Shandong University
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Guangrui Shao
Second Hospital of Shandong University
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Hengtao Qi
Shandong Medical Imaging Research Institute
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Yuan Zhao
Shandong University of Traditional Chinese Medicine
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Maohua Wang
Shandong Provincial Hospital
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Abstract

Introduction:To retrospectively evaluate Doppler ultrasound findings for patients with popliteal vascular entrapment syndrome (PVES).Methods:Twenty-four patients (30legs) who underwent surgical intervention for PVES were included in this study.The popliteal artery, popliteal vein, and surrounding musculotendinous structures were explored in all symptomatic lower extremities using ultrasound. Intraoperative findings served as the gold standard. In the absence of popliteal artery occlusion, popliteal arteries were examined using Doppler ultrasound at rest and during a provocative maneuver.Results:Ultrasonography in 25 cases (25/30,83%) showed that gastrocnemius medial head or popliteal vascular anomalies were consistent with surgical photography results.The classic type I was found in five limbs, type II in twelve limbs, type III in seven limbs, and type V in one limb.In the remaining five cases (5/30,17%), no anatomical abnormalities of the popliteal fossa were discovered by the ultrasound examination.Among these, two cases (2/30,7%) were misdiagnosed as lower extremity atherosclerosis and popliteal vascular depression was not found. In addition, increasing blood flow velocity was found in three cases (3/30,10%) of compressed popliteal arteries using Duplex scanning during active plantar flexion, with decreasing flow at the distal end.Color Doppler ultrasound of the affected popliteal vessels showed varied degrees of vascular structure pathology, including arterial stenosis in ten limbs, occlusion in fifteen limbs, and aneurysm in two limbs.Conclusion:Conclusion: Doppler ultrasound may have a high diagnostic rate in PVES. Due to its simplicity, repeatability, functional evaluation of blood flow, and non-invasiveness, it can be used as a primary screening examination modality in PVES.Provocative maneuvers could help clinicians diagnose PVES