Is Assessment of Popliteal Artery Diameter in Patients Undergoing Screening for Abdominal Aortic Aneurysms a Worthwhile Procedure

Morris‐Stiff, Gareth; Haynes, Michael L; Ogunbiyi, Samuel; Townsend, Elaine; Shetty, Sanjay K.; Winter, R.; Lewis, M. H.

doi:10.1016/j.ejvs.2005.02.046

Cited by 31 publications

(26 citation statements)

References 16 publications

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“…2,10,[19][20][21]23,24,28,29 Since the definition of 10.5 mm has not been commonly used, and could be controversial, we defined a PAA as ⩾ 12 mm. 19,20,30 Our study shows a higher prevalence than the few previous reports within the field; however, if nonexamined patients are included in the nominator, the prevalence decreases. 2,12,30 Claridge et al 2 presented a prevalence of 2.7%, corresponding to 7.6% in our dataset (Table 1).…”

Section: Discussioncontrasting

confidence: 78%

Patients with abdominal aortic aneurysm have a high prevalence of popliteal artery aneurysms

2016

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Patients with abdominal aortic aneurysms (AAA) are more prone to develop popliteal artery aneurysms (PAA), but the prevalence is not well known. Our aim was to investigate the prevalence of PAA in patients with AAA, and to determine whether a certain risk factor profile is more commonly found in patients with concurrent aneurysms. All AAA patients (ICD code I71.3, I71.4) attending the outpatient clinic at the Karolinska University Hospital between 2011 and 2013 were included in the study cohort (n=465); 48% (225) had been subjected to an ultrasound or computed tomography scan of their popliteal arteries. In these patients, three definitions of PAA were considered (⩾ 10.5, ⩾ 12, ⩾ 15 mm), although the overall analysis is based on PAA ⩾ 12 mm. The mean age was 70.7 years (SD 7.5), 89% were men, and the mean AAA diameter was 47 mm (SD 14). The prevalence of PAA was 19% (n=43) by definition ⩾ 12 mm, and 11% (n=25) with 15 mm. Claudication was more frequently found in AAA patients with PAA than patients without PAA. Sensitivity between clinical examination and radiology was 26%, and the specificity for clinical examination was 90%. In conclusion, owing to the high prevalence of PAA in AAA patients, described by us and others, the low cost and risks associated with ultrasound and the poor sensitivity at clinical examination, all women and men with AAA should undergo one radiological examination of their popliteal arteries.

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Section: Discussioncontrasting

confidence: 78%

Patients with abdominal aortic aneurysm have a high prevalence of popliteal artery aneurysms

2016

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“…7,8 Although 30% of patients with popliteal artery aneurysms have an AAA, 9 relatively few patients (particularly women) with AAA have popliteal aneurysms. 10 Approximately 18% of patients with AAA have evidence of coronary artery ectasia or aneurysm formation. 11 Aneurysms in most other arteries are either rare (eg, splenic or pulmonary arteries) or exceedingly rare (eg, upperlimb arteries), with little known about their prevalence, although they do not appear to be associated with the more common aneurysms seen in larger elastic arteries.…”

Section: Where Do Aneurysms Occur?mentioning

confidence: 99%

Site Specificity of Aneurysmal Disease

2010

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“…Screening ultrasonography of popliteal arteries in patients undergoing screening for abdominal aortic aneurysms has not been shown to be worthwhile. 13 Downing et al found that only 29% of 40 patients with 62 popliteal artery aneurysms reported pain or mass-related symptoms in the affected leg. Thirty-one percent of the aneurysms in these patients caused intermittent claudication or rest pain and only 9 aneurysms were found to be thrombosed.…”

Section: Diagnosismentioning

confidence: 98%

A Contemporary Review of Popliteal Artery Aneurysms

Wain

Hines²

2007

Cardiology in Review

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Popliteal artery aneurysms account for 85% of all peripheral aneurysms and are frequently associated with abdominal aortic aneurysms. Up to 75% of all popliteal artery aneurysms are discovered in symptomatic patients who present with arterial insufficiency, leg swelling, or pain. Popliteal artery aneurysms can be diagnosed with duplex ultrasonography. Aneurysm repair should be considered for all symptomatic patients with rest pain or limb-threatening symptoms. Asymptomatic aneurysms larger than 2 cm should also be treated to prevent the development of limb-threatening ischemia and assure better surgical bypass graft patency and longer freedom from amputation. Conventional aneurysm repair consists of either opening the aneurysm sac and interposing a bypass graft or aneurysm ligation combined with bypass grafting. If the aneurysm sac is left intact, side branch perfusion may persist and the aneurysm may continue to enlarge and can rupture. Endovascular popliteal aneurysm repair has not demonstrated clinical equipoise to standard surgery but may be advantageous in select high-risk patients.

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Is Assessment of Popliteal Artery Diameter in Patients Undergoing Screening for Abdominal Aortic Aneurysms a Worthwhile Procedure

Cited by 31 publications

References 16 publications

Patients with abdominal aortic aneurysm have a high prevalence of popliteal artery aneurysms

Patients with abdominal aortic aneurysm have a high prevalence of popliteal artery aneurysms

Site Specificity of Aneurysmal Disease

A Contemporary Review of Popliteal Artery Aneurysms

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