Similarly, during operation, knowledge of the anatomic relationship between popliteal artery
or other anomalous vessels (eg, anterior tibial artery in our case) and the tibial plateau can reduce the incidence of arterial injury during orthopedic surgery.
In our patient, Fogarty catheter failed to pass beyond the proximally popliteal artery
segment due to a possible chronic atherosclerotic occlusion that may have also caused thrombus.
Even in patient without aberrations in proximal gastrocnemius anatomy, this provocative position will cause some proximal compression of the popliteal artery
resulting in a positive examination finding and possibly even a reproduction of the patient's leg pain.
Adventitial cystic disease of the popliteal artery
: treatment by cyst removal.
In 2 of these cases, although the guidewire was passed to the popliteal artery
with a retrograde approach, it could not be advanced distally from the entry site with an antegrade approach.
The patient who had an IV substance abuse history of 22 years was admitted to emergency unit two years ago due to blood overflow after IV injection in the popliteal artery
. Lower extremity arterial Doppler ultrasound showed a popliteal artery
pseudoaneurysm which was operated.
There are studies in the literature regarding the anatomy of the source vessel and the perforator of the MSAP flap. MSA originates from the popliteal artery
. After running for a distance of 3-6 cm, the artery typically divides into two branches (medial and lateral) within the substance of the medial gastrocnemius muscle.
Chronic total occlusion of the popliteal artery
and proximal trifurcation vessels 4
In our study, popliteal artery
was the most commonly injured artery (37.75%) followed by brachial artery (26.53%).
There are still delays in the diagnosis and treatment, so we present a case of a pseudoaneurysm with slow progression caused by a disease of unknown etiology, and large nonpulsatile tumor mass that has not been recorded so far, with successful treatment of a large pseudoaneurysm of the second segment of the popliteal artery
of the left leg.
The popliteal artery
in the knee joint is another location that used to be considered unsuitable for stenting for the same reason.
Shah et al., "Popliteal artery
embolism of bullet after abdominal gunshot wound," Radiology Case Reports, vol.