Interventional Radiology of Peripheral Vascular Diseases

Zeitler, E.; Hildebrandt, R.; Romaniuk, P; Fritzsche, Thomas; Baumgart, Dietrich

doi:10.1007/978-3-642-56956-2_5

Cited by 2 publications

(2 citation statements)

References 156 publications

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“…Ipak posljednji izvještaji u literaturi navode da poslije uspješne ugradnje premosnice i ligature aneurizme češće dolazi do pojave problema nego što se prije mislilo. Pojava protoka krvi kroz aneurizmu koja je prethodno isključena iz cirkulacije opisana je u nekim studijama u čak i do jedne trećine slučajeva 1, [23][24][25] . Ako se i pojavi protok kroz aneurizmu, on uglavnom nije toliko snažan i voluman te se klinički teško zamjećuje.…”

Section: Rizici Operativne Metodeunclassified

Outcome of surgical and endovascular treatment of popliteal artery aneurysms

Roth¹,

Oljača²,

Kovačević

2017

Med. flum.

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Sažetak. Aneurizma poplitealne arterije lokalizirano je proširenje lumena poplitealne arterije koje najčešće nastaje kao posljedica ateroskleroze. Epidemiološka istraživanja pokazuju da su ovo najčešće aneurizme perifernih arterija s incidencijom od 0,1 do 2,8/100.000 ljudi koje uglavnom zahvaćaju mušku populaciju. U približno 50 % pacijenata aneurizme se nalaze bilateralno, a u 78 % slučajeva pacijenti ih imaju i na drugim arterijama, posebno na abdominalnoj aorti i ilijačnim krvnim žilama (64 %). U samom početku bolest je asimptomatska, a kasnije se može prezentirati bolovima, kompresijom, rijetko rupturom. Ako dođe do embolizacije tromba, koji potom distalno uzrokuje akutnu ishemiju ekstremiteta, očituje se plavim nožnim prstima, bljedilom, ulceracijama, gangrenom te u najgorem slučaju završava amputacijom uda. Osnova dijagnostike je višeslojna kompjutorska tomografija (MSCT) angiografija koja predstavlja zlatni standard, a ponekad je dovoljna i palpacija poplitealne jame iza koljenog zgloba. Temelj liječenja je operativni zahvat koji se sastoji od podvezivanja i isključivanja aneurizme iz krvotoka te formiranja i zaobilaženja aneurizme premosnicom. Druga opcija je endovaskularno liječenje, pri čemu se ugrađuje stent unutar aneurizme kako bi se ona isključila iz krvotoka. Prednosti ovog tipa zahvata su brz oporavak i kratko vrijeme hospitalizacije, a pogodna je u pacijenata s visokim operativnim rizikom. Ipak, veliki nedostaci su veća učestalost rane tromboze i začepljenja te veći broj komplikacija u odnosu na operativnu metodu. Operacija medijalnim pristupom najčešća je operativna metoda današnjice u liječenju aneurizmi poplitealnih arterija. Najbitnije prednosti su njeni odlični dugoročni rezultati, odsutnost komplikacija, jednostavnost i kratko trajanje zahvata, zbog čega predstavlja standard i prvu opciju kod liječenja aneurizmi poplitealnih arterija.Ključne riječi: aneurizma; ligatura; poplitealna arterija; stent; tromboza Abstract. Popliteal artery aneurysm is a localized enlargement of lumen of popliteal artery due to atherosclerosis. With incidence of 0.1 -2.8/100,000 people they are the most common aneurysms of peripheral arteries, affecting mostly male population. In about 50 % of patients aneurysms are found bilaterally and in 78 % of cases patients have them on other arteries, mostly (64 %) on abdominal aorta and iliac arteries. At the beginning, disease is asymptomatic and later it can be presented with pain, compression, rarely rupture and, if embolization of the thrombus occurs distal part of the limb will be ischemic, pale, with blue toes, ulcerations, gangrene and in worse case it will end with amputation. Diagnosis is based on multislice computed tomography (MSCT) angiography but sometimes even palpation of popliteal fossa behind knee articulation is enough. Surgical treatment consists of ligation and bypassing the aneurysm to exclude it from the blood flow. Other option is endovascular treatment in which stent is being embedded inside of the aneurism. The advantages of this treatment are qu...

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Section: Rizici Operativne Metodeunclassified

Outcome of surgical and endovascular treatment of popliteal artery aneurysms

Roth¹,

Oljača²,

Kovačević

2017

Med. flum.

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“…When intervention is required, the endovascular approach is preferred over surgery due to its less invasive nature and successful results. The strategy used to treat subclavian stenosis is heavily influenced by the anatomy of the lesion, but it also varies considerably among operators (1,2). In our clinic, we prefer to use a catheter-based system for subclavian stenosis and to stent the lesion wherever possible.…”

Section: Introductionmentioning

confidence: 99%

An Entrapped Subclavian Stent and its Successful Management

Kasapkara¹,

Aslan²,

Ayhan³

et al. 2016

Erciyes Med J

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Subclavian artery angioplasty with or without stenting is a well-accepted, less invasive alternative to surgical revascularization for symptomatic proximal subclavian artery stenosis. Stenting of subclavian artery lesions result in the immediate resolution of patients' symptoms with durable mid-term effects and few complications in a larger patient group with serious co-morbid conditions. However, it can also result in some complications. In addition to procedural complications, there could be technical failure of materials, such as incomplete expansion of the stent during deployment. Our case serves to highlight this complication of the endovascular procedure and provides a successful management strategy.

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Interventional Radiology of Peripheral Vascular Diseases

Cited by 2 publications

References 156 publications

Outcome of surgical and endovascular treatment of popliteal artery aneurysms

Outcome of surgical and endovascular treatment of popliteal artery aneurysms

An Entrapped Subclavian Stent and its Successful Management

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