Evolving treatment of popliteal artery aneurysms

Stone, Patrick A.; Jagannath, Priyanka; Thompson, Stephanie; Campbell, John E.; Mousa, Albeir Y.; Knackstedt, Kimball; Hass, Stephen M.; AbuRahma, Ali F.

doi:10.1016/j.jvs.2012.10.122

Cited by 43 publications

(61 citation statements)

References 10 publications

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“…First, the distribution of female patients (26%) were more frequent than other reported studies, ranged from 3% to 5.8%. [12][13][14] However, these reported studies have been derived from the population of Europe North America. Even though our results were due to the regional difference for the occurrence of PAAs or bias of treated patients, original articles concerning of PAAs have been never reported from Asian countries.…”

Section: Discussionmentioning

confidence: 99%

“…[12][13][14] This result also might be due to the regional difference; however, it is difficult to verify this hypothesis without original articles from Asian countries, including Japan. Furthermore, 10 patients (29%) with PAA had at least one remote aneurysm in addition to PAA; however, it seems to be relatively fewer than reported study (56.8%).…”

Section: Years)mentioning

confidence: 98%

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Long-Term Results of Surgical Treatment of Popliteal Artery Aneurysms

Igari

Kudo

Toyofuku

et al. 2016

International Surgery

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Abstract:Purpose:The aim of this study was to evaluate the long-term outcomes of the surgical repair of popliteal artery aneurysms (PAAs), and to analyze the factors associated with graft patency. Methods: Between January 1980 and December 2013, forty-five limbs were subjected to open surgical repair at Tokyo Medical and Dental Hospital. We retrospectively examined the patients' clinical characteristics, clinical symptoms, and aneurysm-related anatomy. Surgical procedures were performed through a posterior or medial approach with using autologous vein or prosthetic graft. Surgical outcomes were evaluated by postoperative-mortality, postoperative-morbidity, graft patency, and limb salvage. Results: During the study period, forty-five limbs [35 patients, mean age: 60 years] were subjected to open surgical repair. 25 limbs were treated through a posterior approach with using 23 autologous vein grafts (AVGs), and 2 expanded polytetrafluoroethylene (ePTFE) grafts. The other 20 limbs were treated through a medial approach with using 13 AVGs, and 7 ePTFE grafts. During the mean follow-up period of 65 months, the primary patency rates at one, three and five years were 88.0%, 75.7% and 75.7%, respectively, and the limb salvage rates at one, three and five years were 97.1%, 91.4% and 91.4%, respectively. In the univariate analysis, the ligation and bypass grafting affected the primary patency rate significantly, and the ePTFE graft was associated with a poor primary patency in the multivariate analysis (hazard ratio: 17.8). Conclusion:The use of resection or endoaneurysmorrhaphy for PAAs and graft interposition with an AVG might be more effective for the open repair of PAAs.

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Section: Discussionmentioning

confidence: 99%

Section: Years)mentioning

confidence: 98%

Long-Term Results of Surgical Treatment of Popliteal Artery Aneurysms

Igari

Kudo

Toyofuku

et al. 2016

International Surgery

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“…9,10,15,19,[35][36][37][38][39][40] Several studies have reported complications including thrombosis, endoleaks, stent migration and stent fractures, which can be as high as 9.60% in the case of type 2 endoleaks, although the great majority are self-limiting and do not lead to expansion of the aneurysm sac. 24,39,41 Previous studies have reported higher rates of reintervention after ES, which was not the case in our series, 9 probably because of the small number of ES and the short follow-up.…”

Section: Discussionmentioning

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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“…25 Stone et al also published two studies, one in 2005 and one in 2013. 26,27 The first dealt with patient records from 1995 to 2004, 26 and the second with data from 2001 to 2011. 27 The first series of studies was excluded 22,24,26 ; only the most recent studies with the lengthiest follow up data were selected for this analysis.…”

Section: Study Selection and Study Characteristicsmentioning

confidence: 99%

“…27,29 There were no differences in the operative strategy between the selected studies: the bypass material of choice was the autologous greater saphenous vein; only in rare cases were polytetrafluorethylene grafts used.…”

Section: Study Selection and Study Characteristicsmentioning

confidence: 99%