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      Uncommon Diseases of The Popliteal Artery: A Pictorial Review

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          Abstract

          Uncommon diseases of the popliteal artery include cystic adventitial disease, popliteal artery entrapment syndrome (PAES) and popliteal artery aneurysm (PAA). Because all of these conditions may present with pain or intermittent claudication, imaging is crucial for differentiating them and directing management. Delayed diagnosis can lead to major complications, including acute limb ischemia. Our aim is to provide an illustrative overview of these conditions in order to make radiologists aware of them and avoid misdiagnosis for timely appropriate management.

          Teaching Points

          • Cystic adventitial disease diagnosis is based on evidence of cysts within artery walls.

          • A variety of anatomic variations may result in PAES.

          • PAES may be bilateral.

          • PAA is most commonly encountered in men.

          • Acute complications of PAA include acute thrombosis and distal embolization.

          Electronic supplementary material

          The online version of this article (doi:10.1007/s13244-016-0513-6) contains supplementary material, which is available to authorized users.

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          Accessory muscles: anatomy, symptoms, and radiologic evaluation.

          Paul A Sookur, Ali Naraghi, Robert R Bleakney … (2015)
          A wide array of supernumerary and accessory musculature has been described in the anatomic, surgical, and radiology literature. In the vast majority of cases, accessory muscles are asymptomatic and represent incidental findings at surgery or imaging. In some cases, however, accessory muscles may produce clinical symptoms. These symptoms may be related to a palpable swelling or may be the result of mass effect on neurovascular structures, typically in fibro-osseous tunnels. In cases in which an obvious cause for such symptoms is not evident, recognition and careful evaluation of accessory muscles may aid in diagnosis and treatment. (c) RSNA, 2008
          Article 0 comments Cited 27 times – based on 0 reviews     Review now
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            Summary of cases of adventitial cystic disease of the popliteal artery.

            S Burnham, J Goodreau, D Flanigan … (1979)
            Adventitial cystic disease of the popliteal artery is explored. The results of correspondence with authors reporting this condition are elaborated upon. This has provided an opportunity to discuss the history of the condition, the findings in 115 cases which have come to the attention of the Correspondence Office dealing with this entity, and the results of treatment. A discussion of the suspected etiology of the condition is presented. The condition remains one of unknown etiology which can be treated by cyst evacuation or aspiration when the popliteal artery is patent and which is best treated by arterial reconstruction when the artery is occluded. The results of such treatment are good but are dependent upon technical excellence of the operative procedure.
            Article 0 comments Cited 25 times – based on 0 reviews     Review now
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              Popliteal artery disease: diagnosis and treatment.

              Lonnie B Wright, W Jean Matchett, Carlos P Cruz … (2015)
              The popliteal artery is a relatively short vascular segment but is affected by a unique set of pathologic conditions. These conditions, which may be common throughout the arterial system or exclusive to the popliteal artery, include atherosclerosis, popliteal artery aneurysm, arterial embolus, trauma, popliteal artery entrapment syndrome, and cystic adventitial disease. The clinical manifestations, imaging appearances, and treatment options associated with these pathologic conditions differ significantly. Consequently, the radiologist should be familiar with these conditions to direct imaging for accurate diagnosis and treatment and to prevent loss of limb. Copyright RSNA, 2004
              Article 0 comments Cited 23 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Mohamed Jarraya:
                ORCID: http://orcid.org/0000-0002-8095-0174
                mohamedjarraya@gmail.com
                Journal
                Journal ID (nlm-ta): Insights Imaging
                Journal ID (iso-abbrev): Insights Imaging
                Title: Insights into Imaging
                Publisher: Springer Berlin Heidelberg (Berlin/Heidelberg )
                ISSN (Electronic): 1869-4101
                Publication date (Electronic): 15 August 2016
                Publication date PMC-release: 15 August 2016
                Publication date Collection: October 2016
                Volume: 7
                Issue: 5
                Pages: 679-688
                Affiliations
                [1 ]Department of Radiology, Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, 19023 PA USA
                [2 ]Division of Vascular and Endovascular Surgery, Boston University Medical Center, Boston, MA USA
                [3 ]Department of Radiology, Musculoskeletal Unit, Boston University Medical Center, Boston, MA USA
                [4 ]Department of Radiology, Hôpital Avicenne, AP-HP, Bobigny, France
                Author information
                http://orcid.org/0000-0002-8095-0174
                Article
                Publisher ID: 513
                DOI: 10.1007/s13244-016-0513-6
                PMC ID: 5028342
                PubMed ID: 27525419
                SO-VID: f70424dc-7ef7-4abc-a083-d4b704a28a4f
                Copyright © © The Author(s) 2016
                License:

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                Date received : 6 April 2016
                Date revision received : 6 July 2016
                Date accepted : 19 July 2016
                Categories
                Subject: Pictorial Review
                Custom metadata
                issue-copyright-statement © The Author(s) 2016

                ScienceOpen disciplines: Radiology & Imaging
                Keywords: popliteal artery,aneurysm,magnetic resonance imaging,angiography,ultrasonography
                Data availability:
                ScienceOpen disciplines: Radiology & Imaging
                Keywords: popliteal artery, aneurysm, magnetic resonance imaging, angiography, ultrasonography

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