Endovascular approach to arterial branches mimicking a type II endoleak after popliteal artery aneurysm exclusion and
Scott C Chapman1, Georges Al-Khoury1, Steven A Leers1
1Department of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Abstract:
The management of popliteal artery aneurysms (PAAs) has continued to evolve. Open surgical treatment remains an excellent option. Aneurysm exclusion with saphenous vein bypass through a medial incision remains a preferred approach. After PAA exclusion, however, a possibility remains of sac expansion from geniculate arterial branches. This can mimic a type II endoleak occurring after endovascular aortic aneurysm repair. In the present report, we have described an endovascular technique used to treat an enlarging PAA after exclusion and bypass.
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