Home > Riviste > Italian Journal of Vascular and Endovascular Surgery > Fascicoli precedenti > Italian Journal of Vascular and Endovascular Surgery 2007 June;14(2) > Italian Journal of Vascular and Endovascular Surgery 2007 June;14(2):81-8

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

Rivista di Chirurgia Vascolare ed Endovascolare


Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Emerging Sources Citation Index, Scopus


eTOC

 

ORIGINAL ARTICLES  


Italian Journal of Vascular and Endovascular Surgery 2007 June;14(2):81-8

Copyright © 2007 EDIZIONI MINERVA MEDICA

lingua: Inglese

Stent-graft repair of popliteal artery aneurysms

Piffaretti G., Tozzi M., Lomazzi C., Rivolta N., Caronno R., Castelli P.

Unit of Vascular Surgery Department of Surgery University of Insubria, Varese, Italy


PDF  


Aim. The aim of this study was to present our experience evaluating the effectiveness and durability of popliteal artery aneurysms treatment with stent-graft.
Methods. In the last 6-years, 15 patients aged 72±7 (range 57-85) with 16 popliteal artery aneurysms underwent stent-graft repair. Aneurysm diameter was 44±20 mm (range 20-90), and mean length was 58±24 mm (range 18-90). Fourteen patients were symtpomatic: 5 aneurysms presented with acute thrombosis. All the procedures were performed in the theatre under loco-regional anesthesia.
Results. Primary technical success in placing the stent-graft and excluding the aneurysm was 100%; early oc- clusion was never observed. During a mean follow-up of 22.7 months (range 6-60), 6 late occlusions occurred; 3 patients underwent conversion to conventional femoro- distal bypass after a mean period of 12-months, 2 patients underwent major amputation, and 1 aneurysm was managed conservatively. Four patients died during the follow-up for procedure unrelated causes. Overall, primary patency rates at 1, 3 and 5-years were 84.6%, 63.4% and 47.6%, respectively.
Conclusion. Our experience suggests that endovascular treatment of popliteal artery aneurysms is feasible with initial acceptable results, but have lower long-term patency rates than conventional surgery have been recorded.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail