Treatment of Popliteal Arterial Aneurysm Using a Superficial Femoral Artery Autograft

Reix, Thierry; Rudelli-Szychta, Pascale; Mery, Bertrand; Sevestre-Pietri, M.-A.; Pietri, J

doi:10.1007/s100169910108

Cited by 16 publications

(10 citation statements)

References 16 publications

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“…However, patency rate was improved by the use of autologous venous conduits and the clearance of calf and digital vessels with trifurcation with or without ankle‐level embolectomy, in the presence of emboli. Every effort should be made to use a venous conduit and when lower limb veins are not available, the cephalic or basilic veins can be used 26,27 …”

Section: Management Optionsmentioning

confidence: 99%

Management of Popliteal Artery Aneurysms

Hamish

Lockwood

Cosgrove

et al. 2006

ANZ Journal of Surgery

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1. Although most PAA are of atherosclerotic origin in old patients, trauma, infection and family history are the main causes in young patients. 2. Great vigilance is needed for diagnosis as only approximately five patients are seen each year by a major vascular centre. There is no place for screening programmes to detect PAA. 3. Approximately 45% of patients are asymptomatic at the time of initial diagnosis. Aortic aneurysms are found in 40% and bilateral PAA in 50% of patients. More than 95% of patients are men with a mean age of 65 years and 45% have hypertension. 4. Surgical reconstruction is recommended for all symptomatic and asymptomatic aneurysms larger than 2 cm. Five-year graft patency rates after surgical repair range from 30 to 97%, with 5-year limb salvage ranging from 70 to 98%. Patient survival rates at 5 and 10 years are 75 and 46%, respectively. 5. If carried out carefully, intra-arterial thrombolysis can safely prepare patients presenting with acute ischaemia from occluded PAA, for surgical revascularization to restore distal run-off. 6. Endovascular repair of a PAA is a feasible option, although little evidence is yet available. 7. Lifelong, careful patient surveillance is essential to detect and treat new aneurysms at other sites.

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Section: Management Optionsmentioning

confidence: 99%

Management of Popliteal Artery Aneurysms

Hamish

Lockwood

Cosgrove

et al. 2006

ANZ Journal of Surgery

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“…We, like Reix et al, 19 did not observe any prosthetic infections. Although infection remains a serious risk, it may also occur after surgical in situ reconstruction or with the use of endovascular stent grafts.…”

Section: Discussionmentioning

confidence: 49%

“…No aneurysmal deterioration of the autograft was detected during a mean follow-up of 22 months. The main difference between the technique used by Reix et al 19 and our own is that in six cases a composite grafting technique was performed. An end-to-end anastomosis was performed between the harvested SFA and the PTFE graft, and this composite graft was then placed between the proximal unharvested SFA and the popliteal artery below the aneurysm.…”

Section: Discussionmentioning

confidence: 93%

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Superficial femoral artery autograft reconstruction in the treatment of popliteal artery aneurysm: Long-term outcome

Paraskevas

Castier

Fukui

et al. 2008

Journal of Vascular Surgery

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Objective: This prospective, observational study evaluated the safety and efficacy of superficial femoral artery autograft reconstruction in the treatment of popliteal artery aneurysms in the absence of a suitable saphenous vein. Methods: From March 1997 to April 2007, data from patients with popliteal artery aneurysms treated by superficial femoral artery reconstruction were prospectively collected in two centers. The procedure was performed through a medial approach. The superficial femoral artery was harvested in the upper third of the thigh and used as the conduit for reconstruction, and the harvested segment was replaced by a polytetrafluoroethylene graft. The patients were observed for survival, limb salvage, and reconstruction patency. The results were calculated by the Kaplan-Meier method. Results: During the 10-year study period, 37 popliteal artery aneurysms in 32 patients (all men; median age, 71 years) were treated by reconstruction using the superficial femoral artery. Indications for surgical treatment were symptomatic or complicated aneurysms in 11 (30%). Four (11%) of the 37 popliteal artery aneurysms were thrombosed, and 33 (89%) were patent. At surgery, 35% had a single vessel runoff. Because of acute ischemia, reconstruction was performed as an emergency procedure in three patients (8%). There were no perioperative deaths, early amputations, or early thrombosis. The mean follow-up period was 36 months (range, 7-103 months). Two grafts thrombosed during follow-up. At 3 years, the primary and secondary patency rates were 86% and 96%, and overall limb salvage was 100%. Follow-up duplex ultrasonography did not detect any aneurysmal dilatation of the autograft. Conclusion: Our experience shows that superficial femoral arterial reconstruction is a safe and useful treatment option in patients with popliteal artery aneurysms who lack suitable saphenous veins. This reconstruction seems to be a good alternative to prosthetic bypass crossing the knee joint, and our results suggest that this study should be continued. ( J Vasc Surg 2008;48:311-6.)

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“…Eighteen aneurysms were treated in 12 patients and 100% limb salvage and primary-assisted patency were achieved at 2 years. 8 No aneurysmal deterioration of the autograft was detected during a mean follow-up of 22 months. We recently reported similar results in 32 patients with degenerative popliteal artery aneurysms.…”

Section: Discussionmentioning

confidence: 90%

Superficial Femoral Artery Autograft Reconstruction for Complicated Popliteal Artery Entrapment Syndrome

Paraskevas

Castier

Fukui

et al. 2009

Vasc Endovascular Surg

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We present an alternative surgical approach to popliteal artery entrapment syndrome with vascular complications in the absence of a suitable saphenous vein. Three patients (29, 35, and 78 years old) with thrombotic and/or aneurysmal lesions of the popliteal artery from popliteal artery entrapment syndrome were treated with superficial femoral artery autograft reconstruction. The procedure was performed through a medial approach. The superficial femoral artery was harvested in the upper third of the thigh and used as the conduit for reconstruction and the harvested segment was replaced by a polytetrafluoroethylene graft. At follow-up, patients were asymptomatic and duplex ultrasound revealed patent reconstruction with no morphological abnormalities.

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Treatment of Popliteal Arterial Aneurysm Using a Superficial Femoral Artery Autograft

Cited by 16 publications

References 16 publications

Management of Popliteal Artery Aneurysms

Management of Popliteal Artery Aneurysms

Superficial femoral artery autograft reconstruction in the treatment of popliteal artery aneurysm: Long-term outcome

Superficial Femoral Artery Autograft Reconstruction for Complicated Popliteal Artery Entrapment Syndrome

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