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[The initial results of percutaneous therapy of popliteal aneurysms with stents]
J Link1, S Müller-Hülsbeck, J Brossmann
1Klinik für Radiologische Diagnostik, Christian-Albrechts-Universität Kiel.
Purpose:
Are percutaneous stents a therapeutic alternative to bypass surgery in the treatment of popliteal aneurysms?
Material And Methods:
Three patients with femoropopliteal occlusion related to popliteal aneurysms were treated percutaneously. In two cases coated stents were used. In the third patient who underwent prior bypass surgery due to local fibrinolysis a reperfusion of the aneurysm occurred. He was treated with a Wallstent.
Results:
Primary stent treatment was successful in all cases. There were no complications. One patient was lost to follow-up. One of the two coated stents occluded after one month due to a poor run-off of only one lower limb artery. The other coated stent is still patent after 6 months proven by angiography.
Conclusion:
Percutaneous therapy with coated stents could be an alternative to surgical bypass therapy for popliteal aneurysms. Obviously long-time patency is related to sufficient run-off.