E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Popliteal Aneurysms, Tailored Management Options; Single-Center Experience

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed.

Abstract
Backgroundː This study aims to review contemporary lines of management of popliteal artery aneurysm (PAAs) illustrating the pros and cons of each treatment modality.
Methodsː This is a prospective cohort study of all consecutive PAAs treated between 2015-2017. All patients Patients' data were entered into a prospectively designed registry including all clinical, radiologic, operative and postoperative data.
Resultsː The study included thirty-seven PAAs in 35 patients. Management was by open repair in 48.6%, while endovascular repair in 24.3%, primary major amputation in 5.4%, and surveillance in 21.6%. PAAs were asymptomatic in 32.4% and symptomatic in 67.6% (acute ischemia in 35.1%, claudication in 32.4%, rupture in 8.1% and leg swelling and pain in 8.1%). An emergency procedure done in 29.7%, elective procedure in 51.4% and no intervention in 18.9%. Length of hospital stay in open repair was 15.1 days and in endovascular repair was 2 days. One year patency, limb salvage and mortality rates were 53.3%, 60% and 26.7%, respectively in open repair and were 75%. 100%, and .0%, respectively in endovascular repair (p=0.526).
Conclusionsː Results of repair of asymptomatic PAAs are significantly better than those in symptomatic PAAs. In the emergency setting with severe limb ischemia and complete thrombosis of PAAs, there is significantly increased mortality, limb loss, and decreased primary patency rate. Endovascular treatment is feasible in selected patients with having adequate landing zones. A prospective randomized trial is necessary to compare the immediate and long-term outcome of endovascular repair with open repair in a large population of patients with PAAs.

Key words: Popliteal artery aneurysm; Open repair; Endovascular repair


 
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How to Cite this Article
Pubmed Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. J Cardiovasc. Dis. Res.. 2021; 12(4): 257-270. doi: 10.31838/jcdr.2021.12.04.31


Web Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. http://www.jcdronline.org/?mno=92281 [Access: July 26, 2021]. doi: 10.31838/jcdr.2021.12.04.31


AMA (American Medical Association) Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. J Cardiovasc. Dis. Res.. 2021; 12(4): 257-270. doi: 10.31838/jcdr.2021.12.04.31



Vancouver/ICMJE Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. J Cardiovasc. Dis. Res.. (2021), [cited July 26, 2021]; 12(4): 257-270. doi: 10.31838/jcdr.2021.12.04.31



Harvard Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed (2021) Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. J Cardiovasc. Dis. Res., 12 (4), 257-270. doi: 10.31838/jcdr.2021.12.04.31



Turabian Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. 2021. Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. Journal of Cardiovascular Disease Research, 12 (4), 257-270. doi: 10.31838/jcdr.2021.12.04.31



Chicago Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. "Popliteal Aneurysms, Tailored Management Options; Single-Center Experience." Journal of Cardiovascular Disease Research 12 (2021), 257-270. doi: 10.31838/jcdr.2021.12.04.31



MLA (The Modern Language Association) Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed. "Popliteal Aneurysms, Tailored Management Options; Single-Center Experience." Journal of Cardiovascular Disease Research 12.4 (2021), 257-270. Print. doi: 10.31838/jcdr.2021.12.04.31



APA (American Psychological Association) Style

Bassam Alrawhani, Amr Abdelreheem, Amr Abdelbaky, Hassan Soleiman, Ahmed Sayed (2021) Popliteal Aneurysms, Tailored Management Options; Single-Center Experience. Journal of Cardiovascular Disease Research, 12 (4), 257-270. doi: 10.31838/jcdr.2021.12.04.31





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