To highlight the importance of surgical expertise and timely diagnosis in managing popliteal artery entrapment syndrome (PAES), emphasizing their interrelation.
Approach:
Key Findings:
Freedom from target lesion revascularization was 92.4%.
Long-term patency outcomes varied significantly between musculotendinous section and arterial reconstruction, reflecting disease stage.
Current guidelines do not provide dedicated PAES-specific recommendations.
Interpretation:
Timely recognition and surgical decompression are crucial for favorable outcomes in PAES, and current evidence should be interpreted with caution due to the lack of dedicated guidelines and the need for stratified reporting.
Limitations:
Observational evidence is largely retrospective and heterogeneous, which may affect the reliability of outcomes.
Absence of dedicated PAES-specific diagnostic and therapeutic algorithms in major guidelines.
Conclusion:
Prompt diagnosis and timely decompression are essential in PAES management, reinforcing the need for careful interpretation of contemporary outcome reporting and the establishment of dedicated guidelines.
