Open Repair Versus Endovascular Treatment for Asymptomatic Popliteal Artery Aneurysm: Results of a Prospective Randomized Study

Ten Years' Experience in Endovascular Repair of Popliteal Artery Aneurysm Using the Viabahn Endoprosthesis: A Report from Two Italian Vascular Centers

“…They also underlined the advantages of the endovascular exclusion, such as quicker recovery and shorter hospital stay. 7 In 2013, Pulli et al 8 reported, even in different patients with regard to clinical and anatomical characteristics, similar results: both treatment were judged feasible and safe with satisfactory early and longterm results.…”

“…18 Generally, a diameter of 20 mm is quoted as a threshold value for intervention in asymptomatic PAA. 17 This cutoff was accepted by Ravn et al, 2 Pulli et al, 8 and Antonello et al 7 in their randomized trials; this value was also used in this experience in both centers.…”

“…The use of multiple stent grafts, moreover, has been already recognized as a predictor of complications. 7,8,10 In our experience, the mean discrepancy between the diameters of proximal and distal landing zones was 1.48 mm with a maximum value of 4 mm. We analyzed the results according to the discrepancy and, consequently, to the number of stent grafts implanted, but none of those parameters was found to be related to any difference in outcomes.…”

“…Because Marin et al 6 reported the first successful endoluminal treatment of a PAA with a stent graft in 1994, several single-center studies reported encouraging results. 7,8 In recent years, M€ ollenhoff et al 9 in their review assessed that endovascular repair of PAA with the Hemobahn/Viabahn endografts is a feasible, safe, and effective treatment; similarly, Saunders et al 10 reported similar primary and secondary patency rates of endovascular repair of PAA with respect to the reported rates of outcome of open repair. However, the deployment of a stent graft across a joint undergoing constant flexion increases the risk for graft migration, occlusion, or fracture.…”

Tratamento endovascular de aneurisma de artéria poplítea

“…Over the past years, endovascular surgery has become an alternative to open repair, since it offers some advantages when compared to open surgery: less blood loss, faster recovery and early hospital discharge. 1 This study aimed at assessing use of stent graft in endovascular treatment of PAA.…”