Long-term results of open repair of popliteal artery aneurysm. Issue 1 (March 2015)

• Record Type: Journal Article
• Authors: Wagenhäuser, M.U.; Herma, K.B.; Sagban, T.A.; Dueppers, P.; Schelzig, H.; Duran, M.
• Is Part Of: Annals of medicine and surgery. Volume 4:Issue 1(2015:Mar.)
• Page Start: 58
• Page End: 63
• Publication Date: 2015-03
• Subjects: Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2015.01.005
• Languages: English
• ISSNs: 2049-0801

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Introduction</title> <p id="abspara0010">Popliteal artery aneurysms (PAA) are rare. Different surgical techniques for open surgical repair are possible. This study presents a single centre experience using open surgical repair with a medial approach (MA) and outlines differences between symptomatic (SLS) and asymptomatic (ALS) legs.</p> </sec> <sec> <title id="sectitle0020">Methods</title> <p id="abspara0015">Data collection was performed retrospectively. The investigation period was from 1 January 1996 to 1 January 2013. Patients presented in the Outpatient Department and received a questionnaire concerning their quality of life. Data are presented as mean ± standard deviation. Mann–Whitney test and Cochran–Armitage test for trend was used for data analysis. Kaplan–Meier method was used to calculate limb salvage rates. <italic>p</italic> < 0.05 was considered statistically significant.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">We analyzed 16 ALS and 26 SLS with an average age of 63.5 ± 10 years. Preoperative ankle-brachial index (ABI) was 1.0 ± 0.2 for ALS (on control examination: 1.12 ± 0.24) and 0.08 ± 0.18 for SLS (on control examination 0.94 ± 0.14) (<italic>p</italic> < 0.05). Limb salvage rate was 100% for ALS and 86.7% for SLS (overall 93.3%). Primary patency rate for SLS was 85%, for ALS rate of 100%, respectively (overall 92.5%). ALS reached an average of 13.1 ± 2.7 points (SLS 11.4 ± 2.8) on a numeric point scale.</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Open surgery is therapy and prevention of acute ischaemia all in one, especially for asymptomatic patients and delivers good long-term results. Endovascular therapies offer an alternative but long-term results are pending. Open surgery should still be considered as a gold standard therapy.</p> </sec> </abstract>