Outcomes of endovascular and contemporary open surgical repairs of popliteal artery aneurysm

Abstract

Our study failed to prove the superiority of ER over OR. If anatomy is suitable, ER of PAA in the elderly and high-risk patients is justified. For emergent PAA repairs, MAEs are frequent after both ER and OR; ER has not changed the severe prognosis of acute limb ischemia from PAA. A multicenter randomized controlled trial of PAA patients with acute presentation is warranted.

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

“…As reported by Huang et al, 12 technical success was defined as complete exclusion of the aneurysm with no signs of endoleak after balloon dilatation and preservation of distal runoff. Endoleak was defined as radiographic evidence of blood flow outside the stent graft; types of endoleak were defined as described in the Society for Vascular Surgery practical guidelines.…”

Two Decades of Endovascular Repair of Popliteal Artery Aneurysm—A Meta-analysis

“…25,27e29 Only one cohort study separated outcome measurements of elective and emergency cases. 28 The indications for PAA treatment were identical in all studies. Patients with asymptomatic aneurysms with a diameter >20 mm were treated; in symptomatic patients the indication for surgery was unrelated to the diameter of the aneurysm.…”

“…Different stent grafts were used in each study: in three studies, Hemobahn and Viabahn (Gore, Falstaff, AZ, USA) stent grafts were used 23,25,28 ; in the remaining two, only Viabahn (Gore) stent grafts were implanted into the popliteal artery. 27,29 There were no differences in the operative strategy between the selected studies: the bypass material of choice was the autologous greater saphenous vein; only in rare cases were polytetrafluorethylene grafts used.…”

Rupturiertes Poplitealarterienaneurysma – Ein Fallbericht

“…Hinsichtlich der Therapie eines rupturierten PAA bestehen grundsätzlich die Möglichkeiten sowohl eines operativen als auch eines in neueren Publikationen beschriebenen endovaskulären Vorgehens [5,8,11,12]. In einer neueren Arbeit konnten Huang et al [12] …”