Endovascular Treatment of Popliteal Artery Aneurysms: Results of a Prospective Cohort Study

Tielliu, I.F.; Verhoeven, Eric; Zeebregts, Clark J.

doi:10.1016/j.accreview.2005.08.085

Cited by 25 publications

(56 citation statements)

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“…Therefore, according to the current literature, 27 there is no evidence suggesting oral anticoagulation in all patients treated for PAAs by endovascular means.…”

Section: Discussionmentioning

confidence: 93%

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

Speziale

Sirignano

Menna

et al. 2015

Annals of Vascular Surgery

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“…Therefore, according to the current literature, 27 there is no evidence suggesting oral anticoagulation in all patients treated for PAAs by endovascular means.…”

Section: Discussionmentioning

confidence: 93%

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

Speziale

Sirignano

Menna

et al. 2015

Annals of Vascular Surgery

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“…Howell et al 21 reported stent graft thrombosis in 31% at 12 months in a total of 13 aneurysms treated by Wallgraft stents (Boston Scientific, Natick, Mass). 4 Tielliu et al 22 found primary and secondary patency rates of 77 and 87% at 2 years when assessing 57 cases treated by Viabanh, a slightly inferior result compared to open repair. Antonelo et al, 1 in a comparative study with conventional treatment, found primary and secondary patency of 87 and 100%, respectively, for endovascular repair, at 24 months, with limb salvage rate of 100%.…”

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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“…Secondly, the proximal and distal neck of the aneurysm need to provide a secure site for ixation of the stent graft. Thirdly, embolisation of signi icant collateral vessels needs to prevent enlargement of the aneurysmal sac [17,[20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

“…This risk can be decreased by careful patient selection based on strict anatomic criteria and by improvement in stentgraft design and lexibility. Also migration, stenosis at the border of the stent, continuous sac enlargement and breakage of the stent material are possible complications [17,[20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

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Management of Popliteal Artery aneurysms: Experience in our center

Philippe¹

2018

Arch Vas Med

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Background: Popliteal artery aneurysms (PAAs) are rare, but the diagnosis should not be missed because of the limb and life threatening complications. The purpose of this study was to reach a consensus about the management of PAA based on our own experience and the available literature. Materials and Methods: This is a retrospective analysis of all patients who underwent an open surgical PAA repair at our institution from January 2015 to December 2016. Demographic data, risk factors, clinical presentation, aneurysm characteristics, type of repair and results were reviewed. Results include patency and major complications. Results: Seven patients underwent an open surgical PAA repair (six men). Median age was 72 years. A posterior approach (PA) was chosen four times and a medial approach (MA) was chosen three times. We performed six resections with interposition of a graft and only one ligation with a bypass. Five patients recovered well, did not develop any complication and did not need a second intervention to guarantee patency. These patients underwent a resection of the aneurysm and interposition of a graft (four via a PA and one via a MA). One patient treated by resection and interposition of a Dacron graft via a MA underwent an above-the-knee amputation at postoperative day 14. This patient had a preoperatively dysfunctional leg since several months with no patent outfl ow vessels. Our patient treated by ligation and bypass via a MA, developed an acute ischemia four months postoperatively because of an extreme fl exion of the knee during several hours while watching TV. After unsuccessful trombolysis, he underwent a femorotibial bypass and a partial forefoot amputation. No longterm results are yet available. Conclusions: In our opinion, open surgical repair of PAAs by resection of the aneurysm and interposition of a venous graft has the best results. Depending on the relation to the knee joint and thus the accessibility of the aneurysm, a posterior approach is preferred. We are not convinced of endovascular techniques in the treatment of popliteal artery aneurysms.

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Endovascular Treatment of Popliteal Artery Aneurysms: Results of a Prospective Cohort Study

Cited by 25 publications

References 0 publications

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

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

Tratamento endovascular de aneurisma de artéria poplítea

Management of Popliteal Artery aneurysms: Experience in our center

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