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Published on: May 26, 2015
[Surgical treatment for popliteal artery occlusive disease]
Rong Zeng1, Chang-wei Liu, Jiang Shao
1Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Objective:
To investigate surgical procedures for popliteal artery occlusive disease.
Methods:
The clinical data of 25 patients with popliteal artery occlusive disease from June 2007 to June 2008 was analyzed retrospectively. There were 18 male and 7 female with an average age of (53 ± 21) years. Eleven patients (11 limbs, 42.3%) were acute limb ischemia and 14 patients (15 limbs, 57.7%) were chronic limb ischemia. All patients were treated with surgical revascularization. Four limbs underwent thrombectomy. Nineteen limbs underwent endarterectomy with patch below knee. Three limbs underwent femoral-popliteal bypass with reversed saphenous vein or graft. Six of all the limbs underwent resection of the aberrant muscle when revascularization.
Results:
Ischemic symptoms and claudication distance were improved in 24 patients (25 limbs). Postoperative ankle-branch index (ABI) was 0.75 ± 0.29, significantly higher than preoperative ABI 0.35 ± 0.20 (P < 0.01). Average follow up time was 10.2 months. I stage patency rate was 92.3%. Three patients were amputated postoperatively. The rate of limb salvage was 88.5% in this study.
Conclusions:
The cause of popliteal artery occlusive disease are diverse. Treatment for popliteal artery occlusive disease should depend on its etiology to make the outcomes be satisfied.
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