Diagnose and treatment for popliteal artery entrapment syndrome in young people:A repont of 17 cases                       ZHANG Jing-yong， WANG Mao-hua，JIN Xing，et al. Department of Vascular Surgery，Provincial Hospital Affiliated to Shandong University，Jinan 250021，China
Corresponding author：JIN Xing，E-mail：zhangjingyongys@163.com
Abstract    Objective    To summarize experience of imaging diagnosis and surgical treatment in popliteal artery entrapment syndrome (PAES) in young people. Methods    From July 2003 to February 2012，17 patients (18 lower extremities) with PAES were performed doppler ultrasonography，CTA and MR before surgery and then performed surgery in Provincial Hospital Affiliated to Shandong University.  Ankle brachial indexes (ABI) of all patients were contrasted before and after operation. Tenolysis of malformed muscle round of popliteal artery was performed in 13 lower extremities，in addition，bypass in 5 lower extremities with artery occlusion，endarterectomy and artery autoplasty in 4 lower extremities with artery stenosis and simple femoral-popleteal bypass with great saphenous veins in 4 lower extremities. Results    The average time of follow up was（30.88±19.88）months (6 months—6 years). Symptom of intermittent claudication was disappeared in all patients. ABI ascended from（0.47±0.09）before operation to（0.96±0.07） after operation with significant difference (P＜0.01). One patient died of pulmonary embolism 1 day after surgery. Conclusion    PAES is an important cause of arterial ischemia of the lower extremity. Imaging diagnosis is very important. It will have a favourable prognosis with active surgery in early time.