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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2015 December;22(4):203-8
Outcome assessment of open repair versus endovascular treatment for popliteal artery aneurysm
Monaca V., Turiano S. A., Tringale R., Vinciguerra D., Catalfamo S., Guzzo G., Battaglia G.
Unit of Vascular Surgery of Ferrarotto Hospital, Policlinic University and Vittorio Emanuele Hospital, Catania, Italy
AIM: The aim of this study was to analyse early and late outcome of the treatment of popliteal artery aneurysms (PAAs) performed with open surgical repair or with endovascular exclusion with endografts.
METHODS: We retrospectively collected data concerning 30 open surgical interventions (OR group) and 26 endovascular exclusions (ER group) for PAAs performed between January 2004 and December 2014. Early and follow-up results were analyzed in terms of mortality, graft patency and limb preservation.
RESULTS: All patients were symptomatic: in the ER group 25 with chronic limb ischemia and 1 with acute ischemia, in the OR group 5 and 25 patients respectively. In the OR group there was 1 (3.3%) perioperative death and no thrombosis or amputation. In the ER group mortality was 3.8% (1 patient); 4 thrombosis (15.4%) and no amputation occurred. Mean duration of follow-up was 41 (OR) and 48 months (ER). In the OR group primary patency rates at 60 months were 48%, 80.3% in the group ER.
CONCLUSION: Open and endovascular treatment of PAAs must be used in different patients regard to clinical and anatomical characteristics. Both treatments are feasible and safe, providing satisfactory early and long-term results. Randomized controlled trials (RCT) are needed to reach statistically significant conclusions.