Transfemoral endoluminal stented graft repair of a popliteal artery aneurysm

Marin, Michael L.; Veith, Frank J.; Panetta, Thomas F.; Cynamon, Jacob; Bakal, Curtis W.; Suggs, William D.; Wengerter, Kurt R.; Barone, Héctor D.; Schönholz, Claudio; Parodi, Juan C.

doi:10.1016/s0741-5214(94)70052-4

Cited by 205 publications

(104 citation statements)

References 14 publications

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“…True aneurysms have historically been treated surgically with either exclusion of the aneurysm and subsequent arterial bypass or resection of the aneurysmal segment with an interposition bypass. Open surgical repair with general or regional anaesthesia ay poses a high risk for these patients and as such endoluminal stent grafting has become an alternative to surgical treatment [9,[22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Infra-Inguinal Aneurysms – Threat to Life and Limb?

Moussa¹

2016

Int J Vasc Surg Med

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Section: Discussionmentioning

confidence: 99%

Infra-Inguinal Aneurysms – Threat to Life and Limb?

Moussa¹

2016

Int J Vasc Surg Med

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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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“…Rupture of a PAA occurs in 0.5 to 7% of cases. 7,9,10 Up to 40 percent of patients can require lower limb amputation and life-threatening events occur in 5% of cases. 7 Treatment consists of excluding the aneurysm in cases where diameter is greater than 2 cm, there is mural thrombus or torsion exceeds 45 o .…”

Section: 4-6mentioning

confidence: 99%

Case report: rupture of popliteal artery aneurysm

et al. 2015

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An 83-year-old female patient with a history of prior endovascular treatment to repair an abdominal aortic aneurysm presented with intense pain and edema in the left leg, with hyperemia and localized temperature increase. Doppler ultrasonography revealed a voluminous aneurysm of the popliteal artery with a contained rupture, and hematoma involving the popliteal fossa and the medial and anterior surfaces of the knee causing compression of the popliteal vein. Endovascular repair was accomplished with covered stents and the rupture was confirmed. during the procedure The aneurysm was excluded and the signs and symptoms it had caused resolved completely, but during the postoperative period the patient developed sepsis of pulmonary origin and died.

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Transfemoral endoluminal stented graft repair of a popliteal artery aneurysm

Cited by 205 publications

References 14 publications

Infra-Inguinal Aneurysms – Threat to Life and Limb?

Infra-Inguinal Aneurysms – Threat to Life and Limb?

Outcome of surgical and endovascular treatment of popliteal artery aneurysms

Case report: rupture of popliteal artery aneurysm

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