Correção endovascular do aneurisma de artéria poplítea bilateral

Medeiros, Charles Angotti Furtado de; Gaspar, Ricardo José

doi:10.1590/s1677-54492006000400010

Cited by 6 publications

(8 citation statements)

References 21 publications

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“…Kauffman et al, 8 in two cases treated with the endovascular technique, reported occlusion in both cases, one at 3 and another at 11 months after the treatment; however, both of them had proper circulatory compensation, with no need of additional treatment. In Brazil, Medeiros et al 20 have recently reported endovascular treatment using Hemobanh and Viabanh ® in two patients with bilateral popliteal artery aneurysm, both with present distal pulses at hospital discharge.…”

Section: Discussionmentioning

confidence: 99%

Tratamento endovascular de aneurisma de artéria poplítea

Thomazinho

Silvestre²,

Sardinha³

et al. 2008

J. vasc. bras.

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CONTEXTO: Dos aneurismas periféricos, o da artéria poplítea é o mais freqüente, correspondendo a 70 a 80% dos casos. O tratamento cirúrgico convencional consta de exclusão do aneurisma e interposição de enxerto em ponte ou de ressecção parcial ou total do aneurisma e reconstrução arterial com enxerto em continuidade. O tratamento endovascular surgiu como uma alternativa ao reparo convencional. OBJETIVO: Avaliar o uso de endoprótese para o tratamento endovascular do aneurisma de artéria poplítea. METODOLOGIA: Num total de 17 pacientes, todos do sexo masculino, 11 foram tratados por técnica endovascular, utilizando-se próteses Hemobahn e Viabahn. RESULTADOS: Um paciente apresentou pseudo-aneurisma no pós-operatório imediato. Dentre as complicações tardias, um paciente apresentou endoleak distal da prótese após 7 meses, e houve oclusão da endoprótese em outro. Os nove pacientes restantes apresentaram controle de eco-Doppler satisfatório aos 20 meses, resultando em uma perviedade primária de 90% em um período médio de 27 meses de seguimento. CONCLUSÃO: O tratamento endovascular para aneurisma de artéria poplítea é factível e apresenta algumas vantagens em relação ao tratamento aberto, como menor tempo de internação e de recuperação.

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Section: Discussionmentioning

confidence: 99%

Tratamento endovascular de aneurisma de artéria poplítea

Thomazinho

Silvestre²,

Sardinha³

et al. 2008

J. vasc. bras.

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“…As endovascular techniques develop, new approaches to management of popliteal aneurysms are being studied, in the hope of achieving lower complication rates. 2,10,11 The objective of this study is to describe the last 5 years' experience of repairing PAAs at the vascular and endovascular surgery department of the Hospital das Clínicas de Ribeirão Preto, affiliated to the Universidade de São Paulo (Brazil). These patients were treated using either endovascular or conventional methods, according to criteria for indication that include anatomy and surgical risk.…”

Section: Introductionmentioning

confidence: 99%

Cirurgia aberta e endovascular no tratamento de aneurisma de artéria poplítea: experiência de cinco anos do HCRP-FMRP-USP

et al. 2015

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Background: popliteal artery aneurysms (PAAs) account for 70% of peripheral aneurysms. Surgery is indicated for aneurysms that have diameters greater than 2.0 cm or are symptomatic. Repair can be achieved by conventional surgical techniques or using endovascular methods, which are becoming increasingly popular, but for which there is not yet a consensus on indications. Objective: To describe the experience of treating PAAs at the vascular and endovascular surgery department of the Hospital das Clínicas de Ribeirão Preto, affiliated to the Universidade de São Paulo (Brazil). Method: A review was conducted of cases of conventional and endovascular repair of PAAs over the last 5 years, analyzing demographic data, comorbidities, surgical indications, preoperative and early and late postoperative complications, length of hospital stay and patency, during follow-up of up to 1 year. Results: During the period analyzed, ten endovascular surgeries (ES) and 21 open surgeries (OS) were performed. The ES group exhibited a higher frequency of comorbidities. There was a higher frequency of symptomatic patients in the OS group (85%) than in the ES group (40%). The ES group exhibited a lower number of clinical and surgical complications. There were no statistical differences between the groups in terms of age or length of hospital stay. Primary patency at 1 year was 80% in the ES group and 75% in the OS group. Conclusions: Endovascular treatment for PAAs offers good results in terms of patency, with acceptable complication rates, in patients with high surgical risk and favorable anatomy. Controlled studies are therefore warranted to validate the endovascular technique and afford it the status of an alternative procedure for use in selected cases.

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“…Se ha señalado que el 16% de la población de más de 55 años sufre de esta enfermedad (Medeiros & Gaspar, 2006). Actualmente, el tratamiento de las enfermedades vasculares periféricas es una de las áreas de la medicina con mayor expansión y existe hoy, además del tratamiento con cirugía vascular tradicional, la cirugía endovascular que a través de los stents y de la angioplastia, buscan mejorar el éxito del procedimiento.…”

Section: Introductionunclassified

Estudio Biométrico de la Arterias Femoral, Poplítea y Tibial Posterior en Relación a los Implantes de Stents

Filho

Santos

et al. 2014

Int. J. Morphol.

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RESUMEN: Los aneurismas de la arteria poplítea son los más frecuentes entre los aneurismas periféricos, pudiendo ser tratados con stents a través de cirugía endovascular. Sin embargo, tales stents poseen el mismo diámetro en la parte proximal y distal, no siendo compatible con la anatomía vascular de ese segmento. El objetivo del presente estudio fue determinar la diferencia entre el diámetro del tercio distal de la arteria femoral y el diámetro de la arteria tibial posterior, además de obtener el diámetro de otras arterias del miembro inferior. Se utilizaron 28 cadáveres formolizados de individuos adultos, de ambos sexos, los que fueron disecados en la región correspondiente. Los diámetros registrados fueron los siguientes: en el tercio distal de la arteria femoral (inicio de la arteria poplítea), parte final de la arteria poplítea antes de su bifurcación en arterias tibial anterior y posterior, arterias tibial anterior y posterior (tronco tibiofibular). En el sexo masculino, desde el tercio distal de la arteria femoral hasta la arteria tibial posterior hubo una reducción del diámetro de 27,92% (p<0,0001). En el femenino, la reducción fue de 52,61% (p < que 0,0001). Al comparar el diámetro del tercio distal de la arteria femoral entre ambos sexos, se obtuvo una diferencia estadísticamente significativa (p < 0,0497), así como entre los diámetros de las arterias tibiales posteriores (p< 0,0142). Estos datos son de importancia clínica para los procedimientos de cirugía endovascular, pudiendo reducir las complicaciones en tales procedimientos. Las endoprotésis deberán adaptarse a estas diferencias de diámetro.

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Correção endovascular do aneurisma de artéria poplítea bilateral

Abstract: The first report of a successful endovascular repair of a popliteal artery aneurysm was described in 1994. Since then, few series with not many cases have been published. Next, the authors describe two cases of successful endovascular repair of bilateral popliteal artery aneurysm.

Cited by 6 publications

References 21 publications

Tratamento endovascular de aneurisma de artéria poplítea

Tratamento endovascular de aneurisma de artéria poplítea

Cirurgia aberta e endovascular no tratamento de aneurisma de artéria poplítea: experiência de cinco anos do HCRP-FMRP-USP

Estudio Biométrico de la Arterias Femoral, Poplítea y Tibial Posterior en Relación a los Implantes de Stents

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