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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.
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.
- 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.
Abstract:
A review of 64 popliteal aneurysms in 43 patients treated over a 14-year period revealed that thrombotic occlusion with ischemia and threatened limb loss was the most frequent complication (68%). Ten major amputations (23%) were necessary, four of which were the primary operations soon after admission. No limb loss occurred after operation in 11 patients with asymptomatic aneurysms. Direct revascularization was successful in 29 limbs (83%). Popliteal aneurysms should be resected, preferably in the asymptomatic stage, unless medical contraindications exist. Once thrombosis occurs, limb loss becomes a threatening likelihood.