Nationwide study of the outcome of popliteal artery aneurysms treated surgically

Ravn, Hans; Bergqvist, David; Björck, Martin

doi:10.1002/bjs.5755

Cited by 86 publications

(77 citation statements)

References 30 publications

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“…7 Approximately 7% of patients with AAAs and 5% with thoracic aortic aneurysms (TAAs) have a cerebral aneurysm, which suggests only a weak association. 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.…”

Section: Where Do Aneurysms Occur?mentioning

confidence: 99%

Site Specificity of Aneurysmal Disease

2010

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Section: Where Do Aneurysms Occur?mentioning

confidence: 99%

Site Specificity of Aneurysmal Disease

2010

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“…The registry has been extensively validated both internally and externally, showing that core surgery (including AAA repair) is reported in Ͼ90% with great validity of data. [7][8][9][10][11][12][13] Crude survival and relative survival were analyzed separately for patients operated on for iAAA and rAAA. Crude survival was calculated including all deaths.…”

Section: Editorial See P 188 Clinical Perspective On P 211mentioning

confidence: 99%

Improved Long-Term Survival After Abdominal Aortic Aneurysm Repair

et al. 2009

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“…In 571 patients with a unilateral popliteal aneurysm from the national Swedish registry, 28.1% had aortic aneurysms. 3 While atheromatous disease is the most common pathological correlate, other causes include infection and trauma. 4 In younger patients, the differential diagnoses include Behçet's disease and/or vasculitis.…”

Section: Discussionmentioning

confidence: 99%

A combined vascular surgical and clinical genetics approach to diffuse aneurysmal disease

Jones

Choong

Canham

et al. 2015

annals

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We report two patients who presented with extensive aneurysmal disease, in association with minimal external physical signs. Patient 1 remained genetically undiagnosed despite multiple structural, biochemical and genetic investigations. He made a good recovery following surgery for popliteal and left axillary artery aneurysms. Patient 2 was diagnosed with vascular type Ehlers-Danlos syndrome, associated with a high degree of tissue and blood vessel fragility, and is being managed conservatively. Early multidisciplinary assessment of such patients facilitates accurate diagnosis and management. The presence of multiple arterial aneurysms is relatively rarely described, and has been previously reported in association with autoimmune vasculitis, infection and a small number of heritable disorders of connective tissue (HDCTs).1 Vascular type Ehlers-Danlos syndrome (EDS) carries a high risk of morbidity and mortality associated with operative and intravascular procedures. 2 For this reason, the identification of individuals with a potential underlying genetic diagnosis is important for surgical planning. Both patients we present had no prior genetic diagnosis. We outline the differential diagnoses for patients with multiple aneurysms and discuss relevant HDCTs. Case 1A 54-year-old Sri Lankan man presented with painful, pulsatile, bilateral axillary masses. He had last visited a tuberculosis (TB) endemic area 13 years previously and had a prior diagnosis of latent TB, with a positive Mantoux test (22mm) 18 months before his presentation. There was no history of claudication or rest pain. Popliteal aneurysms were palpable but pedal pulses were strong, with no evidence of distal embolism or ischaemia.Computed tomography angiography revealed aneurysms throughout the arterial tree, including both axillary arteries (Fig 1). Diffuse and unexplained aneurysms prompted urgent referral for a genetic and infectious disease review. Inflammatory, infective and autoimmune differential diagnoses were considered but serological and positron emission tomography screening and antineutrophil cytoplasmic antibody serology were negative. Although the patient had raised immunoglobulin E titres, Strongyloides was also excluded. He was negative for human immunodeficiency virus (HIV). He was treated with standard TB therapy (rifampicin, isoniazid) prior to surgery.

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Nationwide study of the outcome of popliteal artery aneurysms treated surgically

Abstract: Multiple aneurysm disease was common when PAs were bilateral. Preoperative thrombolysis of acute thrombosis and the use of vein grafts for bypass improved outcome.

Cited by 86 publications

References 30 publications

Site Specificity of Aneurysmal Disease

Site Specificity of Aneurysmal Disease

Improved Long-Term Survival After Abdominal Aortic Aneurysm Repair

A combined vascular surgical and clinical genetics approach to diffuse aneurysmal disease

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