Results of Surgical Treatment for Popliteal Aneurysm
| Autor: | Eva Lucía Martínez Gallego, José Luis Durán Mariño, Francisco Javier Rielo Arias, Elena Gallego Romero, Eva Pérez Carballo, Cristóbal Saúl Torres Muñoz |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Greater saphenous vein Kaplan-Meier Estimate Amputation Surgical Posterior approach Popliteal aneurysm Blood Vessel Prosthesis Implantation Postoperative Complications Aneurysm medicine.artery medicine Humans Popliteal Artery Surgical treatment Polytetrafluoroethylene Vascular Patency Aged Retrospective Studies business.industry Mortality rate General Medicine Middle Aged Limb Salvage medicine.disease Popliteal artery Blood Vessel Prosthesis Surgery Treatment Outcome Amputation Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | Annals of Vascular Surgery. 80:370-378 |
| ISSN: | 0890-5096 |
| Popis: | OBJECTIVE Evaluate the results of open surgery treatment of popliteal artery aneurysms (PAAs), performed in our department for over 25 years, comparing those treated with a medial approach with those treated with a posterior approach. MATERIAL AND METHOD A retrospective analysis of a total of 88 PAAs, performed between January 1994 and December 2018, with an average of 65 months follow-up, comparing the results of 59 patients operated by a medial approach (group 1) in which aneurysm exclusion and femoro-popliteal bypass below the knee was carried out, with 29 cases treated by a direct posterior approach (group 2) - aneurismectomy and graft interposition-. The postoperative complications, immediate and long term patency, limb salvage and mortality rate were studied. RESULTS In group 1 the chosen material for the bypass was reversed greater saphenous vein (GSV) in 45 cases (76.3%), expanded polytetrafluoroethylene (ePTFE) grafts in 12 (20.3%) and Dacron grafts on 2 (3.4%), while in group 2, a 6 mm diameter ringed ePTFE graft was used in 27 cases (93.1%) and reversed GSV in 2 (6.9%). There were eight (13.6%) postoperative graft thrombosis in group 1, five (8.9%) of them needing amputation, and one (3.4%) graft thrombosis in group 2 (p=0.077). During the follow up, major amputation was necessary in 2 cases (3.7%) in group 1, while there were no cases of major amputation in group 2. Mortality was 61% (36 patients) in group 1 and 27% (8 patients) in group 2 (p=0.003), at the end of surveillance. CONCLUSIONS In our experience, in the open surgical treatment of PAAs, the posterior approach could be considered as the first choice in selected cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|