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Popliteal aneurysms

J Alpert, B J Brener, D K Brief

    The American Surgeon
    |September 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Popliteal aneurysms frequently cause limb-threatening complications like thrombosis and ischemia. Early resection of asymptomatic popliteal aneurysms is recommended to prevent limb loss and improve outcomes.

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    Area of Science:

    • Vascular Surgery
    • Vascular Medicine

    Background:

    • Popliteal aneurysms are a significant cause of peripheral vascular disease.
    • Complications include thrombosis, ischemia, and potential limb loss.

    Purpose of the Study:

    • To review outcomes of popliteal aneurysm treatment.
    • To evaluate the impact of aneurysm stage on limb salvage.

    Main Methods:

    • Retrospective review of 64 popliteal aneurysms in 43 patients over 14 years.
    • Analysis of complication rates, amputation necessity, and revascularization success.

    Main Results:

    • Thrombotic occlusion with limb threat occurred in 68% of cases.
    • 10 major amputations (23%) were required.
    • No limb loss occurred in asymptomatic aneurysms treated surgically.

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  • Direct revascularization success rate was 83%.

    • Conclusions:

    • Surgical resection of popliteal aneurysms is advised, ideally in the asymptomatic stage.
    • Prompt treatment is crucial to prevent limb loss, especially after thrombosis.
    • Early intervention improves limb salvage rates.