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Popliteal artery aneurysms

L B Davidovic1, S I Lotina, D M Kostic

  • 1Institute for Cardiovascular Diseases of the Serbian Clinical Centre, Yugoslavia.

World Journal of Surgery
|July 23, 1998
PubMed
Summary
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Surgical repair of popliteal artery aneurysms offers good outcomes. Elective treatment for these vascular conditions leads to high limb salvage and graft patency rates, reducing complication risks.

Area of Science:

  • Vascular Surgery
  • Atherosclerosis Research
  • Surgical Outcomes Analysis

Background:

  • Popliteal artery aneurysms (PAAs) are the most common peripheral artery aneurysms.
  • PAAs can lead to severe complications including limb ischemia and rupture.
  • Atherosclerosis is the primary cause of PAAs.

Purpose of the Study:

  • To evaluate the clinical manifestations and outcomes of surgical treatment for popliteal artery aneurysms.
  • To assess the efficacy of reconstructive procedures for PAAs.
  • To analyze long-term results of popliteal artery aneurysm repair.

Main Methods:

  • Retrospective review of 59 patients with 76 PAAs treated over 36 years.
  • Analysis of clinical presentations, aneurysm etiology, and surgical techniques.

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  • Evaluation of in-hospital and long-term outcomes including patency and limb salvage rates.

    • Main Results:

    • Leg ischemia (68.4%) was the most common clinical manifestation.
    • Atherosclerosis accounted for 92% of PAAs.
    • In-hospital mortality was 2.9%, early patency 93.3%, and limb salvage 95%.
    • Long-term patency was 78% and limb salvage 89% after a mean follow-up of 4 years.

    Conclusions:

    • Popliteal artery aneurysms present with diverse clinical manifestations, most commonly leg ischemia.
    • Surgical intervention for PAAs yields favorable outcomes with high rates of patency and limb salvage.
    • Elective surgical treatment is recommended for popliteal artery aneurysms due to the risk of dangerous complications.