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[Peripheral aneurysms-frequency, etiology, and localisation (author's transl)]
Langenbecks Archiv Fur Chirurgie
|January 1, 1982
Summary
Peripheral aneurysms are rare in vascular surgery, often linked to arteriosclerosis or anastomotic issues. Early detection and treatment are crucial to prevent complications like amputation and reduce operative mortality.
Area of Science:
- Vascular Surgery
- Aneurysm Research
- Arterial Disease
Context:
- Peripheral aneurysms (p.a.) comprised only 4% of 8,461 reconstructive operations between 1966 and 1981.
- Arteriosclerosis and anastomotic issues were the primary causes, accounting for 44% and 41% of p.a., respectively.
- Iliac, femoral, and popliteal arteries were common sites for arteriosclerotic p.a.
Purpose:
- To analyze the incidence, etiology, and clinical outcomes of peripheral aneurysms.
- To assess the prevalence of multiple and bilateral aneurysms.
- To evaluate the association with distal occlusive disease and amputation rates.
Summary:
- 25% of patients presented with multiple aneurysms, and 32% had bilateral popliteal aneurysms.
- Rupture was infrequent (3.5%), but 27% of p.a. were associated with distal occlusive disease.
- Amputation rates were 4% in asymptomatic cases, rising to 16% post-complications; operative mortality was 2%, increasing to 16% with complications.
Impact:
- Highlights the importance of considering peripheral aneurysms in vascular surgery, even if infrequent.
- Underscores the link between peripheral aneurysms and arteriosclerosis, emphasizing risk stratification.
- Demonstrates the significant morbidity and mortality associated with untreated or complicated peripheral aneurysms.