Popliteal Artery Aneurysms

Davidović, Lazar; Lotina, S; Kostić, Dušan; Činara, Ilijas; Cvetković, Slobodan; Marković, Dragan; Vojnovic, B.

doi:10.1007/s002689900475

Cited by 38 publications

(37 citation statements)

References 17 publications

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“…Eleven studies described a median proportion of 11% of limbs (range, 5%-67%) presenting with acute ischemia. 24,26,27,30,33,36,37,41,42,45,49 A median proportion of 38.25% of patients (range, 0%-100%) diagnosed with bilateral PAES was described in 26 studies. In 12 of 30 studies, a median proprtion of 17.5% of limbs (range, 6%-31%) diagnosed with PAES were asymptomatic, whereas this proportion was unclear in seven studies.…”

Section: Patient Demographics and Disease Presentationmentioning

confidence: 96%

Popliteal entrapment syndrome

Sinha¹,

Houghton²,

Holt³

et al. 2012

Journal of Vascular Surgery

149

152

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A large volume of predominantly retrospective clinical data exists on PES. A subset of studies describe a significant failure rate after surgery, but study quality is insufficient to derive robust conclusions allowing recommendation of any one particular diagnostic modality or operative procedure over another. Improvements in management of this condition are unlikely to result from publication of further retrospective case series, and clinicians should concentrate on prospectively collected data with predefined inclusion criteria, outcome measures, follow-up protocols, and transparent standardized reporting criteria.

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Section: Patient Demographics and Disease Presentationmentioning

confidence: 96%

Popliteal entrapment syndrome

Sinha¹,

Houghton²,

Holt³

et al. 2012

Journal of Vascular Surgery

149

152

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“…4,5 For this reason, elective surgical management of asymptomatic aneurysms larger than 20 mm has been advocated by several authors. 6,7 Results of open repair of PAAs are good, particularly in the elective setting, with high rates of graft patency and freedom from amputation during follow-up. 8e10 In recent years, in the era of large spreading of endovascular treatment in different vascular fields, PAA exclusion with stentegraft has been emerging as a possible alternative to open surgery, particularly in high-risk patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Early and Midterm Results of Open and Endovascular Treatment of Popliteal Artery Aneurysms

Pulli¹,

Dorigo²,

Fargion³

et al. 2012

Annals of Vascular Surgery

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Background: Aim of this study was to retrospectively compare perioperative (<30 days) and 2-year results of open and endovascular management of popliteal artery aneurysms (PAAs) in a single-center experience. Methods: From January 2005 to December 2010, 64 PAAs in 59 consecutive patients were operated on at our institution; in 43 cases, open repair was performed (group 1), whereas the remaining 21 cases had an endovascular procedure (group 2). Data from all the interventions were prospectively collected in a dedicated database, which included main preoperative, intraoperative, and postoperative parameters. Early results in terms of mortality, graft thrombosis, and amputation rates were analyzed and compared by c 2 text or Fisher exact text. The surveillance program consisted of clinical and ultrasonographic examinations at 1, 6, and 12 months and yearly thereafter. Follow-up results (survival, primary and secondary patency, limb salvage) were analyzed by KaplaneMeier curves, and differences in the two groups were assessed by log-rank test. Results: There were no differences between the two groups in terms of sex, age, risk factors for atherosclerosis, and comorbidities; PAAs were symptomatic in 48% of cases in group 1 and in 29% in group 2 (P ¼ 0.1). Fifteen patients with mild-to-moderate acute ischemia due to PAA thrombosis underwent preoperative intra-arterial thrombolysis, 13 in group 1 and 2 in group 2. In open surgery group, nine cases were treated with aneurysmectomy and prosthetic graft interposition, and in seven cases, the aneurysm was opened and a prosthetic graft was placed inside the aneurysm. In 27 cases, ligation of the aneurysm with bypass grafting (21 prosthetic grafts and 6 autologous veins) was carried out. In group 2, 20 patients had endoprosthesis placement, whereas in the remaining patient, a multilayer nitinol stent was used. There was one perioperative death in a patient of group 2 who underwent concomitant endovascular aneurysm repair and PAA endografting. Cumulative 30-day death and amputation rate was 4.5% in group 1 and 4.7% in group 2 (P ¼ 0.9). Follow-up was available in 61 interventions (96%) with a mean follow-up period of 22.5 months (range: 1e60). Estimated primary patency rates at 24 months were 78.1% in group 1 and 59.4% in group 2 (P ¼ 0.1). Freedom from reintervention rates at 24 months were 79% in group 1 and 61.5% in group 2 (P ¼ 0.2); estimated 24-month secondary patency rates were 81.6% in group 1 and 78.4% in group 2 (P ¼ 0.9), and freedom from amputation rates were 92.7% and 95%, respectively (P ¼ 0.7). Conclusions: Endovascular treatment of PAAs provided, in our initial experience, satisfactory perioperative and 1-year results, not significantly different from those obtained with prosthetic

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“…11 The method involves percutaneous injection of adhesive components using ultrasound and screening control, following successful occlusion of the aneurysm neck by angioplasty balloon. 11 The epidemiology and clinical manifestations of popliteal aneurysms were reviewed by Davidovic et al 12 They reviewed 59 patients with 76 popliteal aneurysms in a 36-year period. This study included 50 male patients (85%) and 9 female patients (15%), with an average age of 61 years.…”

Section: Discussionmentioning

confidence: 99%

Popliteal Aneurysm as a Cause of Leg Pain in a Geriatric Patient

Kaufman¹

2004

Journal of Manipulative and Physiological Therapeutics

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Popliteal Artery Aneurysms

Cited by 38 publications

References 17 publications

Popliteal entrapment syndrome

Popliteal entrapment syndrome

Comparison of Early and Midterm Results of Open and Endovascular Treatment of Popliteal Artery Aneurysms

Popliteal Aneurysm as a Cause of Leg Pain in a Geriatric Patient

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