DOI: 10.1097/md.0000000000050892 ISSN: 0025-7974
Power Doppler ultrasonography for positional graft compression after femoral artery reconstruction
Taisuke Furuta, Mitsuo Ochi, Tomohiko Sakuda, Yuko Nakashima, Rikuo Shinomiya, Nobuo AdachiRationale:
Vascular reconstruction with autologous vein grafts in musculoskeletal tumors poses biomechanical challenges.
Patient concerns:
A 35-year-old man developed pain and numbness during deep knee flexion 3.5 years after femoral artery reconstruction using the great saphenous vein.
Diagnoses:
Power Doppler ultrasonography revealed positional vascular compromise in the reconstructed graft.
Interventions:
Conservative management with activity modification.
Outcomes:
Symptoms improved with avoidance of deep flexion; no further progression was noted.
Lessons:
Dynamic Doppler ultrasonography is a simple, noninvasive method for diagnosing mechanical graft compression after vascular reconstruction.