<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Clinical manifestations, possibilities for accurate diagnosis of popliteal aneurysms, and operative approaches applied depending on their location are presented, as well as results from treatment over a four-year period. Popliteal artery aneurysms accounted for 5.63% of all 266 cases of acute arterial insufficiency. The mean age of the patients was 68.8 years, and the male:female ratio – 4:1. In five patients (33.33%), the localization of aneurysm was unilateral. In 80% of the cases with bilateral popliteal aneurysms, the aneurysms were combined with aneurysms of other locations. The surgical technique applied was posterior approach with resection of the aneurysm and interposition of a polytetrafluoroethylene (PTFE) prosthesis. The early patency rate of the reconstructed segment was 100%. Late patency rate of the reconstructed segment was 90.9%. Despite the better late results in femoropopliteal reconstruction, we think that a posterior approach with prosthesis implantation is better because it saves the great saphenous vein. The presence of multiple aneurysms in the patients studied (80%) determined the low survival at 5 and 10 years, which makes it comparable to the results from applying the two surgical methods. </p></abstract>

Clinical manifestations, possibilities for accurate diagnosis of popliteal aneurysms, and operative approaches applied depending on their location are presented, as well as results from treatment over a four-year period. Popliteal artery aneurysms accounted for 5.63% of all 266 cases of acute arterial insufficiency. The mean age of the patients was 68.8 years, and the male:female ratio – 4:1. In five patients (33.33%), the localization of aneurysm was unilateral. In 80% of the cases with bilateral popliteal aneurysms, the aneurysms were combined with aneurysms of other locations. The surgical technique applied was posterior approach with resection of the aneurysm and interposition of a polytetrafluoroethylene (PTFE) prosthesis. The early patency rate of the reconstructed segment was 100%. Late patency rate of the reconstructed segment was 90.9%. Despite the better late results in femoropopliteal reconstruction, we think that a posterior approach with prosthesis implantation is better because it saves the great saphenous vein. The presence of multiple aneurysms in the patients studied (80%) determined the low survival at 5 and 10 years, which makes it comparable to the results from applying the two surgical methods.

Popliteal Aneurysms as a Cause for Arterial Insufficiency

Department of Vascular Surgeiy Medical University - Pleven l, Kliment Ochridski str. Pleven, 5800,

Department of Vascular Surgery Medical University - Pleven,

Department of Radiology Medical University - Pleven,

Student, Faculty of Medicine Medical University - Pleven,

Journal of Biomedical and Clinical Research

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Popliteal Aneurysms as a Cause for Arterial Insufficiency"}

Clinical manifestations, possibilities for accurate diagnosis of popliteal aneurysms, and operative approaches applied depending on their location are...

Popliteal Aneurysms as a Cause for Arterial Insufficiency

Pubblicato online: 30 nov 2016

Pagine: 94 - 99

Ricevuto: 06 nov 2013

Accettato: 27 dic 2013

DOI: https://doi.org/10.1515/jbcr-2015-0108

Parole chiave
popliteal aneurysm, posterior approach, PTFE prosthesis

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Popliteal Aneurysms as a Cause for Arterial Insufficiency

Pubblicato online: 30 nov 2016

Pagine: 94 - 99

Ricevuto: 06 nov 2013

Accettato: 27 dic 2013

DOI: https://doi.org/10.1515/jbcr-2015-0108

Parole chiavepopliteal aneurysm, posterior approach, PTFE prosthesis

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Parole chiave
popliteal aneurysm, posterior approach, PTFE prosthesis