Popliteal Artery Aneurysm Treated with a Minimally Invasive Endovascular Approach: An Initial Report

Purpose: To report a minimally invasive approach to popliteal artery aneurysm (PAA) treatment. Methods and Results: A 48-year-old male with a 3-cm PAA was treated electively with an endovascular in situ saphenous vein bypass and transluminal antegrade coil embolization of the PAA prior to completion of the proximal anastomosis. Two short incisions at the anastomosis sites resulted in no wound complications, and the patient was discharged after 2 days. After 14 months of follow-up, the patient is asymptomatic with continued patency of the in situ bypass and occlusion of the PAA. Conclusions: This endovascular approach for minimally invasive femoropopliteal in situ saphenous vein bypass grafting appears feasible for treatment of PAAs. This method may reduce the rate of wound complications attending classic open in situ bypass grafts.

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Popliteoperoneal In Situ Bypass Using the Small Saphenous Vein Enables Revascularization With Low Trauma

International Surgery ◽

10.9738/cc39.1 ◽

2011 ◽

Vol 96 (4) ◽

pp. 326-330

Author(s):

Thomas G. Lesser ◽

Hans-Joachim Frisch ◽

Siegfried Freitag ◽

Sabine Venth

Keyword(s):

Saphenous Vein ◽

Popliteal Artery ◽

Peroneal Artery ◽

Flexor Hallucis Longus ◽

Dorsal Approach ◽

Patients With Diabetes ◽

Vein Bypass ◽

In Situ Bypass ◽

Posterolateral Margin

Abstract In patients with diabetes, a popliteocrural vein bypass frequently must be linked to the distal peroneal artery. To reduce trauma to the ischemically damaged tissue, we used a dorsal approach to the peroneal artery. With the patient prone, a incision parallel to the posterolateral margin of the Achilles tendon is made. After the deep crural fascia and flexor hallucis longus are split, access to the peroneal artery is easily obtained. The second segment of the popliteal artery is exposed in the popliteal cavity. The small saphenous vein is left in situ and anastomosed with the arteries after proximal and distal preparation and valvulotomy.

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Popliteal Artery Aneurysm Treated With a Minimally Invasive Endovascular Approach: An Initial Report

Journal of Endovascular Surgery ◽

10.1583/1074-6218(1998)005<0060:paatwa>2.0.co;2 ◽

1998 ◽

Vol 5 (1) ◽

pp. 60-63 ◽

Cited By ~ 7

Author(s):

David Rosenthal ◽

Colby P. Atkins ◽

Frederick W. Shuler ◽

Hilde S. Jerius ◽

Michael D. Clark ◽

...

Keyword(s):

Minimally Invasive ◽

Popliteal Artery ◽

Artery Aneurysm ◽

Initial Report ◽

Popliteal Artery Aneurysm ◽

Endovascular Approach

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Citrobacter koseri Surgical Site Infection after Femoropopliteal Vein Bypass for Popliteal Artery Aneurysm Treated with a Graft Preserving Strategy

Surgical Infections ◽

10.1089/sur.2021.167 ◽

2021 ◽

Author(s):

Mohamad A. Chahrour ◽

Jamal J. Hoballah

Keyword(s):

Surgical Site Infection ◽

Popliteal Artery ◽

Artery Aneurysm ◽

Site Infection ◽

Popliteal Artery Aneurysm ◽

Vein Bypass

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Ruptured Popliteal Artery Aneurysm

Aorta ◽

10.1055/s-0041-1739484 ◽

2021 ◽

Vol 09 (06) ◽

pp. 233-234

Author(s):

Umberto G. Rossi ◽

Francesco Petrocelli ◽

Maurizio Cariati

Keyword(s):

Computed Tomography ◽

Multidetector Computed Tomography ◽

Popliteal Artery ◽

Artery Aneurysm ◽

Popliteal Artery Aneurysm ◽

Uncommon Disease ◽

Endovascular Approach

AbstractRupture of a popliteal artery aneurysm is an uncommon event in an uncommon disease. We present the case of an 88-year-old female with a ruptured popliteal artery aneurysm that was diagnosed by multidetector computed tomography and treated by an endovascular approach.

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Wound complications of the in situ saphenous vein bypass technique

Journal of Vascular Surgery ◽

10.1067/mva.1992.36658 ◽

1992 ◽

Vol 15 (5) ◽

pp. 0843-0850 ◽

Cited By ~ 7

Author(s):

Harvey S. Feigenbaum ◽

Thomas S. Reifsnyder ◽

Dennis S. Bandyk ◽

Gary S. Seabrook ◽

Edward S. Kinney

Keyword(s):

Saphenous Vein ◽

Wound Complications ◽

Saphenous Vein Bypass ◽

Vein Bypass ◽

Bypass Technique

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Successful Endovascular Repair of a Ruptured Popliteal Artery Aneurysm: A Case Report and Literature Review

Case Reports in Vascular Medicine ◽

10.1155/2020/8745780 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Duncan Muir ◽

Sachin R. Kulkarni

Keyword(s):

Case Report ◽

Literature Review ◽

Stent Graft ◽

Popliteal Artery ◽

Case Reports ◽

Artery Aneurysm ◽

Popliteal Artery Aneurysm ◽

Ct Angiogram ◽

Endovascular Approach

Introduction. It is rare for a popliteal artery aneurysm (PAA) to present with rupture. This case reports a longer-term success in the management of a large ruptured popliteal artery aneurysm with an endovascular approach, with a literature review of management of such cases. Case Report. An 80-year-old man presented to the accident and emergency department with pain and swelling behind the left knee and at the back of the thigh. An ultrasound scan and subsequent CT angiogram revealed a large 9.4 cm ruptured PAA. The patient had significant comorbidities deeming him unfit for a major surgical intervention of drainage of haematoma and exclusion bypass. Therefore, he underwent urgent endovascular treatment of the ruptured PAA with a covered stent graft. A follow-up duplex scan at 1 year showed a patent stent with no evidence of endoleak, and the patient remained asymptomatic. A clinical follow-up at 18- and 24-month postprocedure showed a patent stent graft and complete resolution of haematoma. Conclusion. Whilst open repair with exclusion bypass may still be a treatment of choice, an endovascular approach is both safe and effective in the management of a ruptured PAA in an unfit patient with an acceptable longer-term outcome.

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