Publication details

Twenty years experience for popliteal artery aneurysm



Year of publication 2007
Type Article in Periodical
Magazine / Source Acta Chirurgica Belgica
MU Faculty or unit

Faculty of Medicine

Field Surgery incl. transplantology
Keywords Aneurysm - popliteal artery.
Description Abstract Background. It is better to treat popliteal aneurysms as elective operations when their diameter is above 2 cm ? Materials and Methods. Between 1985 and 2004, 76 operations for popliteal artery aneurysm were performed in 67 patients in the last 20 years. Results. 58 operations were elective (76.32 %) and 18 emergency [13 procedures and 5 urgent amputations] (23.68 %). For reconstruction, autologous saphenous vein was used in 53 cases (69.74 %), vascular prosthesis in 15 cases (19.74%), and a cryopreserved vein allograft in 3 cases (3.95 %). In 5 cases (6.58 %), amputation for advanced lower limb ischemia was performed without arterial reconstruction. In our patient group there were 62 men (92.53 %) and 5 women (7.47 %). Patient age ranged from 49 to 80 years, with a mean age of 69 years. Elective operation was indicated in most of the patients with popliteal artery aneurysm, because of it was associated with a relatively low risk for the patient. In fact, it was a preventive operation. In the acute stage, there was a higher risk of complications and (potential) amputation. Conclusions. Popliteal aneurysms should be surgically treated as soon as possible after their diagnosis, preferably before ischemic complications occur. Key Words. aneurysm; popliteal artery;
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