| Outcome after early treatment of popliteal artery aneurysms. | |
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MedLine Citation:
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PMID: 9657244 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Aneurysms of the popliteal artery are rare events with an estimated incidence of 0.1-2.8%. Their clinical importance depends on their propensity to cause thromboembolic complications or to rupture (18 to 31% of cases). This study was designed to assess the advantages of elective treatment of asymptomatic popliteal artery aneurysms so as to avoid the severe clinical manifestations that eventually arise if they remain untreated. METHODS: From 1980 to 1995, in our department we treated 28 popliteal aneurysms in 23 patients (19 elective operations and 6 emergencies). Three of the aneurysms proved amenable to fibrinolytic therapy alone. Follow-up lasted a mean 48 months (range 3 months to 15 years) in 20 patients (23 revascularizations). RESULTS: Global patency was 91.3%. Two thrombosed bypasses were treated by thrombolysis; in one case it did not resolve the ischaemia and the leg was amputated. In one case only, a graft became infected but this responded to conservative therapy with drainage and antibiotics. CONCLUSIONS: These findings suggest that popliteal aneurysms with good distal run-off should be repaired electively. Completely thrombosed aneurysms with coexistent limb-threatening ischaemia should be treated initially by thrombolysis. This will usually restore run-off and in some cases offers a valid alternative to emergency surgery for limb salvage. |
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Authors:
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M Taurino; A Calisti; R Grossi; C Maggiore; F Speziale; P Fiorani |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International angiology : a journal of the International Union of Angiology Volume: 17 ISSN: 0392-9590 ISO Abbreviation: Int Angiol Publication Date: 1998 Mar |
Date Detail:
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Created Date: 1998-09-15 Completed Date: 1998-09-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8402693 Medline TA: Int Angiol Country: ITALY |
Other Details:
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Languages: eng Pagination: 28-33 Citation Subset: IM |
Affiliation:
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Institute of Second Surgical Clinic, Policlinico Umberto I, University of Rome La Sapienza, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm / epidemiology, surgery, therapy* Blood Vessel Prosthesis Implantation Female Follow-Up Studies Humans Male Popliteal Artery* Risk Factors Surgical Procedures, Elective Thrombolytic Therapy Time Factors Treatment Outcome Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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