| Superficial femoral artery autograft reconstruction in the treatment of popliteal artery aneurysm: Long-term outcome. | |
| | |
MedLine Citation:
|
PMID: 18571367 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: This prospective, observational study evaluated the safety and efficacy of superficial femoral artery autograft reconstruction in the treatment of popliteal artery aneurysms in the absence of a suitable saphenous vein. METHODS: From March 1997 to April 2007, data from patients with popliteal artery aneurysms treated by superficial femoral artery reconstruction were prospectively collected in two centers. The procedure was performed through a medial approach. The superficial femoral artery was harvested in the upper third of the thigh and used as the conduit for reconstruction, and the harvested segment was replaced by a polytetrafluoroethylene graft. The patients were observed for survival, limb salvage, and reconstruction patency. The results were calculated by the Kaplan-Meier method. RESULTS: During the 10-year study period, 37 popliteal artery aneurysms in 32 patients (all men; median age, 71 years) were treated by reconstruction using the superficial femoral artery. Indications for surgical treatment were symptomatic or complicated aneurysms in 11 (30%). Four (11%) of the 37 popliteal artery aneurysms were thrombosed, and 33 (89%) were patent. At surgery, 35% had a single vessel runoff. Because of acute ischemia, reconstruction was performed as an emergency procedure in three patients (8%). There were no perioperative deaths, early amputations, or early thrombosis. The mean follow-up period was 36 months (range, 7-103 months). Two grafts thrombosed during follow-up. At 3 years, the primary and secondary patency rates were 86% and 96%, and overall limb salvage was 100%. Follow-up duplex ultrasonography did not detect any aneurysmal dilatation of the autograft. CONCLUSION: Our experience shows that superficial femoral arterial reconstruction is a safe and useful treatment option in patients with popliteal artery aneurysms who lack suitable saphenous veins. This reconstruction seems to be a good alternative to prosthetic bypass crossing the knee joint, and our results suggest that this study should be continued. |
| | |
Authors:
|
Nikolaos Paraskevas; Yves Castier; Sumio Fukui; Patrick Soury; Gabriel Thabut; Guy Leseche; Claude Laurian |
Related Documents
:
|
2196267 - Noninvasive imaging of the superficial femoral artery using ultrasound duplex scanning. 16288587 - Starclose femoral arteriotomy closure device: an advance in arterial closure. 1153527 - A computational method for calculating distensibility of the blood vessel in vivo. 21917457 - Hemodynamic mechanisms underlying cerebral aneurysm pathogenesis. 2262907 - Chronic cocaine treatment enhances the responsiveness of the left anterior descending c... 22080487 - Involvement of cyclooxygenase-1 mediated prostacyclin synthesis in the vasoconstrictor ... |
Publication Detail:
|
Type: Journal Article Date: 2008-06-20 |
Journal Detail:
|
Title: Journal of vascular surgery Volume: 48 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2008 Aug |
Date Detail:
|
Created Date: 2008-07-22 Completed Date: 2008-08-22 Revised Date: 2012-10-03 |
Medline Journal Info:
|
Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 311-6 Citation Subset: IM |
Affiliation:
|
Service de Chirurgie Vasculaire, Hôpital Saint-Joseph, Paris, France. nparaskevas@yahoo.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Aneurysm / complications, radiography, surgery* Aortography Cohort Studies Female Femoral Artery / transplantation* Follow-Up Studies Graft Rejection Graft Survival Humans Male Middle Aged Popliteal Artery* Postoperative Care / methods Postoperative Complications / physiopathology Preoperative Care / methods Reconstructive Surgical Procedures / adverse effects, methods* Retrospective Studies Risk Assessment Time Factors Tissue and Organ Harvesting Transplantation, Autologous Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Occult metformin toxicity in three patients with profound lactic acidosis.
Next Document: Magnetic resonance angiography of collateral blood supply to spinal cord in thoracic and thoracoabdo...