scholarly journals Endovascular Repair of Popliteal Artery Aneurysm: A Comparison of Outcomes with Contemporary Open Surgical Repair

2013 ◽  
Vol 58 (5) ◽  
pp. 1431
Author(s):  
Ying Huang ◽  
Peter Gloviczki ◽  
Gustavo S. Oderich ◽  
Audra A. Duncan ◽  
Manju Kalra ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Popliteal Artery ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
Open Surgical Repair ◽  
Popliteal Artery Aneurysm

Successful surgical management of a ruptured popliteal artery aneurysm with acute common peroneal nerve neuropathy: A rare case

Vascular ◽  
2020 ◽  
pp. 170853812095087
Author(s):  
Tiehao Wang ◽  
Jichun Zhao ◽  
Ding Yuan
Keyword(s):  
Popliteal Artery ◽  
Peroneal Nerve ◽  
Surgical Repair ◽  
Surgical Techniques ◽  
Artery Aneurysm ◽  
Common Peroneal Nerve ◽  
Glucocorticoid Therapy ◽  
Foot Drop ◽  
Open Surgical Repair ◽  
Popliteal Artery Aneurysm

Objectives Ruptured popliteal artery aneurysm is a rare entity, which can cause severe nerve neuropathy. Open surgical repair is the preferred treatment for ruptured popliteal artery aneurysm but may aggravate nerve injuries or lead to postoperative aneurysm enlargement. The current surgical techniques for ruptured popliteal artery aneurysm have some deficiencies. Methods We present the case of a 78-year-old woman with sudden swelling of left knee joint and left foot drop, which was caused by the ruptured popliteal artery aneurysm and its compression. A modified open surgical repair was applied in our case, and glucocorticoid therapy was given perioperatively. Results The motor function of left lower limb had rapidly recovered after operation, and six-month follow-up showed patency of prosthetic vessel and significant shrinkage of aneurysm sac. Conclusions Our modified open surgical repair can relieve the compression and prevent possible “type II endoleak” without dissecting in popliteal fossa. Acute common peroneal nerve neuropathy and foot drop are reversible with immediate removal of compression and glucocorticoid therapy for patients with ruptured popliteal artery aneurysm.

scholarly journals Endograft connector technique to treat popliteal artery aneurysm in a morbid obese patient

Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Felice Pecoraro ◽  
Guido Bajardi ◽  
Ettore Dinoto ◽  
Gaetano Vitale ◽  
Mario Bellisi ◽  
...  
Keyword(s):  
Obese Patient ◽  
Popliteal Artery ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
X Rays ◽  
Dacron Graft ◽  
Popliteal Artery Aneurysm ◽  
Bypass Patency ◽  
Morbid Obese ◽  
Tomography Scan

Surgical repair of popliteal artery aneurysm in morbid obese patients poses additional challenges. We report a morbid obese patient who had a 59 mm right popliteal artery aneurysm which was successfully treated with the endograft connector technique. This technique was used to perform the distal anastomosis of the below-knee femoro-popliteal bypass. A 10 mm Dacron graft was used as a main graft bypass and an 11 mm/10 cm stentgraft as endograft connector. Following the respective tunnel of the Dacron graft, an end-to-side proximal anastomosis was performed at distal femoral artery. The aneurysm exclusion was obtained through a proximal and a distal ligation. Postoperative duplex showed adequate bypass patency. Knee x-rays demonstrated no signs of stent kinking/fractures. The postoperative course was uneventful and the patient was discharged home on fourth day post operative. The six-month computed tomography scan and the 12-month duplex control showed a patent bypass with no signs of stenosis.

A Matched Case-Control Study on Open and Endovascular Treatment of Popliteal Artery Aneurysms

2018 ◽  
Vol 107 (3) ◽  
pp. 236-243 ◽  
Author(s):  
W. Dorigo ◽  
A. Fargion ◽  
F. Masciello ◽  
G. Piffaretti ◽  
G. Pratesi ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Popliteal Artery ◽  
Open Repair ◽  
Artery Aneurysm ◽  
Popliteal Artery Aneurysm ◽  
Matched Case ◽  
Repair Group ◽  
Matched Case Control Study ◽  
Control Study

Objective: To compare early and late results of open and endovascular management of popliteal artery aneurysm in a retrospective single-center matched case-control study Methods: From 1981 to 2015, 309 consecutive interventions for popliteal artery aneurysm were performed in our institution, in 59 cases with endovascular repair and in 250 cases with open repair. Endovascular repair was preferred in older asymptomatic patients, while open repair was offered more frequently to patients with a thrombosed popliteal artery aneurysm and a poor run-off status. A one-to-one coarsened exact matching on the basis of the baseline demographic, clinical, and anatomical covariates significantly different between the two treatment options was performed and two equivalent groups of 56 endovascular repairs and open repairs were generated. The two groups were compared in terms of perioperative results with χ2 test and of follow-up outcomes with the Kaplan–Meier curves and log-rank test. Results: There were no differences between the two groups in terms of perioperative outcomes. Median duration of follow-up was 38 months. Five-year survival rates were 94% in endovascular repair group and 89.5% in open repair group (p = 0.4, log-rank 0.6). Primary patency rates at 1, 3, and 5 years were 81%, 78%, and 72% in endovascular repair group and 82.5%, 80%, and 64% in open repair group (p = 0.8, log-rank 0.01). Freedom from reintervention at 5 years was 65.5% in endovascular repair group and 76% in open repair group (p = 0.2, log-rank 1.2). Secondary patency at 1, 3, and 5 years was 94%, 86%, and 74% in endovascular repair group, and 94%, 89%, and 71% in open repair group, respectively (p = 0.9, log-rank 0.01). The rates of limb preservation at 5 years were 94% in endovascular repair group and 86.4% in open repair group (p = 0.3, log-rank 0.8). Conclusion: Open repair and endovascular repair of popliteal artery aneurysms provided in this retrospective single-center experience similar perioperative and follow-up results in equivalent groups of patients.

Rupture Of A Popliteal Artery Aneurysm 10 Years After Surgical Repair

Vascular ◽  
2006 ◽  
Vol 14 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Hjalmar C. van Santvoort ◽  
Jean-Paul P.M. de Vries ◽  
Rob van de Mortel ◽  
Jan Wille ◽  
Eric D.W.M. van de Pavoordt
Keyword(s):  
Popliteal Artery ◽  
Posterior Approach ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
Usual Method ◽  
Ruptured Aneurysm ◽  
Bypass Grafting ◽  
Medial Approach ◽  
Popliteal Artery Aneurysm ◽  
Advantages And Disadvantages

The usual method for popliteal artery aneurysm exclusion is distal and proximal ligation followed by bypass grafting via a medial approach. This technique preserves collaterals to the aneurysm, which might cause back-bleeding and symptomatic enlargement. We report the eighth case in the literature of a ruptured popliteal artery aneurysm after previous ligation and bypass grafting. The ruptured aneurysm was successfully excluded via a posterior approach. The advantage of this approach over the medial approach is the possibility of opening the aneurysm sac to oversew patent side branches, thereby excluding back-bleeding. We review the advantages and disadvantages of both the medial and the dorsal technique to treat popliteal aneurysms.

Long-term Outcome of Endovascular Repair of Popliteal Artery Aneurysm Presents a Credible Alternative to Open Surgery

2013 ◽  
Vol 37 (4) ◽  
pp. 914-919 ◽  
Author(s):  
John H. Saunders ◽  
Said Abisi ◽  
Nishath Altaf ◽  
Yao Yong ◽  
Shane T. MacSweeney ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Popliteal Artery ◽  
Open Surgery ◽  
Artery Aneurysm ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Popliteal Artery Aneurysm

scholarly journals Long-term Results of Surgical Repair of Popliteal Artery Aneurysm

2007 ◽  
Vol 34 (6) ◽  
pp. 714-718 ◽  
Author(s):  
R.S.M. Davies ◽  
M. Wall ◽  
S. Rai ◽  
M.H. Simms ◽  
R.K. Vohra ◽  
...  
Keyword(s):  
Popliteal Artery ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
Long Term Results ◽  
Popliteal Artery Aneurysm

Adherence to instruction for use after endovascular repair of popliteal artery aneurysm

Vascular ◽  
2021 ◽  
pp. 170853812110073
Author(s):  
Axel Wrede ◽  
Leena Lehti ◽  
Jonas Peter Eiberg ◽  
Stefan Acosta
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Popliteal Artery ◽  
Artery Aneurysm ◽  
Primary Patency ◽  
Size Difference ◽  
Stent Grafts ◽  
Popliteal Artery Aneurysm ◽  
One Year

Objectives Endovascular repair (ER) of popliteal artery aneurysm (PAA) is an alternative to open repair. However, there is no standardized protocol for when to opt for ER and the decision is therefore at the discretion of the clinician. This study aims to evaluate the adherence to the Instruction For Use (IFU) in patients undergoing ER for PAA and factors associated with stent graft patency at one year. Methods The adherence to IFU provided by the manufacturer in 55 patients treated with Gore Viabahn® Endoprosthesis with Heparin Bioactive Surface for PAA between 2009 and 2019 were retrospectively analyzed. Duplex follow-up was performed at 30 days and one year. Results The two groups of patients treated within ( n = 10) and not within ( n = 45) IFU did not differ in patient demographics, diagnostic assessment, treatment or outcome. Forty-five patients (81.8%) received stent graft placement with at least one deviation according to IFU. Distal oversizing >20% was the most frequent deviation against IFU ( n = 22, 40.0%). Primary patency at one year was 72%. Diameter size difference >1 mm between overlapping stent grafts (6/14 [43%], p = 0.013) and renal insufficiency (5/12 [42%], p = 0.0086) were associated with lower primary patency at one year. Age-adjusted analysis of tortuosity index (HR 1.78/SD, 95% CI 1.17–2.71; p = 0.0071) and maximal PAA angle (HR 1.73/SD, 95% CI 1.018–2.95; p = 0.043) were associated with major amputation/mortality at end of follow-up. Conclusion The majority of patients undergoing ER for PAA were not treated within IFU. Diameter size difference >1 mm between overlapping stent grafts was associated with a higher loss of primary patency at one year. Multi-center studies with larger sample size and long-term follow up of patency are warranted.

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