Popliteal Aneurysms as a Cause for Arterial Insufficiency

Open access

Summary

Clinical manifestations, possibilities for accurate diagnosis of popliteal aneurysms, and operative approaches applied depending on their location are presented, as well as results from treatment over a four-year period. Popliteal artery aneurysms accounted for 5.63% of all 266 cases of acute arterial insufficiency. The mean age of the patients was 68.8 years, and the male:female ratio – 4:1. In five patients (33.33%), the localization of aneurysm was unilateral. In 80% of the cases with bilateral popliteal aneurysms, the aneurysms were combined with aneurysms of other locations. The surgical technique applied was posterior approach with resection of the aneurysm and interposition of a polytetrafluoroethylene (PTFE) prosthesis. The early patency rate of the reconstructed segment was 100%. Late patency rate of the reconstructed segment was 90.9%. Despite the better late results in femoropopliteal reconstruction, we think that a posterior approach with prosthesis implantation is better because it saves the great saphenous vein. The presence of multiple aneurysms in the patients studied (80%) determined the low survival at 5 and 10 years, which makes it comparable to the results from applying the two surgical methods.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Robinson WP 3rd Belkin M. Acute limb ischemia due to popliteal artery aneuiysm: A continuing surgical challenge. Semin Vase Surg. 2009;22(1): 17-24.

  • 2. Rojas-Reyna GA Cervantes-Castro J Alvarado-Bachmann R Wellman - Wollenstein R Cervera-Servin A. Popliteal artery aneurysms. Thirty-year experience at the ABC Medical Center. Cir Ciruj. 2008;76(l):55-9.

  • 3. Dawson I Sie R van Baalen JM van Bockel JH. Asymptomatic popliteal aneurysm: Elective operation versus conservative follow up. Br J Surg.l994;81(10): 1504-7.

  • 4. Beseth BD Moore WS. The posterior approach for repair of popliteal artery aneurysms. J Vase Surg. 2006;43(5):940-5.

  • 5. Uppal A. The dog leg sign. Radiology. 2000;214(2):339-40.

  • 6. Zahariev T. Vascular Surgery. [Surgery manual with atlas]. Damyanov D editor. Sofia: Academichno izdatelstvo “Marin Drinov”; 2008. [in Bulgarian]

  • 7. Stoychev R Todorov K Levicharov P Vasilev I Filipov G Gyndianov V. [Tme aneurysms of popliteal artery: problems and challenges]. MEDINFO 2007;7(9):3 6-40. [in Bulgarian]

  • 8. Van Damme H Trotteur G Kerzmann A Limet R. Intra-arterial thrombolysis of thrombosed popliteal artery aneurysm. A series of six cases. ActaChirBelg. 2006; 106(6) :679-83.

  • 9. Tekeli A Isbir S Ak K Civelek A Birkan Y Adademir T Atalan N Arsan S. Aneurysm of the popliteal artery: case report. Marmara Med J. 2007;20(2): 114-7.

  • 10. Bouhoutsos J Martin R Popliteal aneuiysm: A review of 116 cases. Br J Surg. 1974;61(6):469-75.

  • 11. Varga ZA Locke-Edmunds JC Baird RN. A multicenter study of popliteal aneurysms. Joint Vascular Research Group. J Vase Surg. 1994;20(2): 171-7.

  • 12. Anton GE Hertzer NR Beven EG OHara PG Krajewski PL. Surgical management of popliteal aneurysms. Trends in presentation treatment and results from 1952 to 1984. J Vase Surg. 1986;3(1): 125-34.

  • 13. Carpenter JP Barker CF Roberts B Bericowitz HD Lusk EJ Perloff LJ. Popliteal artery aneurysms: Current management and outcome. J Vase Surg. 1994; 19(l):65-72; discussion 72-3.

  • 14. Mehta M Champagne B Darling RC III Roddy SP Kreienberg PB Ozsvath KJ et al. Outcome of popliteal artery aneurysms after exclusion and bypass: significance of residual patent branches mimicking type II endoleaks. J Vase Surg. 2004;40(5):886-90.

  • 15. Bourriez A MelliereD Desgrandes P D Audiffret A Allaire E Becquemin JP. Elective popliteal aneurysms: does venous availability has an impact on indication? J Candiovasc Surg (Torino). 2005;46(2) 171-5.

  • 16. Mahmood A Salaman R Sintler M Smith SR Simms MH Vohra RK. Surgery of popliteal artery aneurysms: a 12 year experience. J Vase Surg. 2003;37(3):586-93.

  • 17. Pulli RDorigo VTroisi N Innocenti A A Pratesi G Azas L et al. Surgical management of popliteal artery aneurysms: Which factors affect outcomes? J Vase Surg. 2006;43(3):481-7.

  • 18. Huang Y Gloviczki P Noel AA Sullivan TM Karla M Gullerud RE et al. Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: Is exclusion with saphenous vein bypass still the gold standard? J Vase Surg. 2007;45(4):706-l 3; discussion 713-5.

  • 19. Ravn H Bergqvist D Bjorck M. Nationwide study of the outcome of popliteal artery aneurysms treated surgically. Br J Surg.2007;94(8):970-7.

  • 20. Dorigo W Pulli R Turini F Pratesi G Credi G Innocenti AA et al. Acute leg ischaemia from thrombosed popliteal artery aneurysms: Role of perioperative thrombolysis. Eur J Vase Endovasc Surg. 2002;23(3):251-4.

  • 21. Menard MT Belkin M. Peripheral aneurysms. In: Hallett JW Mills JL Eamshaw JJ Reekers JA Rooke TW editors. Comprehensive Vascular and Endovascular Surgery. Philadelphia PA: Mosby; 2009. p. 591-7.

  • 22. Trelliu IF Verhoeven EL Zeebregts CJ Prins TR Span MM Van den Dungen JJ. Endovascular treatment of popliteal artery aneurysms: Results of a prospective cohort study. J Vase Surg. 2005;41(4): 561-7.

  • 23. Antonello M Frigatti P Battocchio P Lepidi S Cognolato D Dali Antonia Aet al. Open repair versus endovascular treatment for asymptomatic popliteal artery aneurysm: Results of a prospective randomized study. J Vase Surg. 2005;42(2): 185-93.

  • 24. Galinanes EL Dombrovskiy VY Graham. AM Vogel TR. Endovascular versus open repair of popliteal artery aneurysms. Outcomes in the US Medicare population. Vase Endovasc Surg. 2013;47(4):267-73.

Search
Journal information
Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 207 72 2
PDF Downloads 69 23 1