Endovascular popliteal aneurysm repair: are the results comparable to open surgery?

I. V. Mohan*, P. J. Bray, J. P. Harris, J. May, M. S. Stephen, A. E. Bray, G. H. White

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

60 Citations (Scopus)

Abstract

Introduction: The aim of this study was to review our experience of popliteal aneurysms using endovascular techniques. Methods: Thirty popliteal aneurysms in 25 patients were treated over an 11-year period. Median aneurysm diameter was 26 (16-48) mm. Five were symptomatic and 25 asymptomatic. Patients were treated with the Haemobahn/Viabahn stent-graft (26), Passager (two), Aneurx (one), and PTFE homemade device (one). Data were assessed using life table analysis, and expressed as cumulative patency rates and standard error (SE). Results: Median follow-up was 24 (range 1-95) months. Primary patency was 92.9% (SE 4.5%), 84.7% (SE 6.8%), 80% (SE 8.2%), 74.5% (SE 9.4%) and 74.5% (11.3%) at 1, 6, 12, 24 and 36 months, respectively. Cumulative secondary patency was 96.5% (SE 3.3%), 88.7% (SE 6.0%), 88.7% (SE 8.6%), 83.2% (SE 8.0%) and 83.2% (SE 9.8%) at 1, 6, 12, 24 and 36 months, respectively. Conclusion: Endovascular treatment of popliteal aneurysms in this series achieved patency rates similar to open surgery. Aneurysm repair was performed without peroperative deaths and the risks associated with open surgery.

Original languageEnglish
Pages (from-to)149-154
Number of pages6
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume32
Issue number2
DOIs
Publication statusPublished - Aug 2006
Externally publishedYes

Keywords

  • Antiplatelet agents
  • Endoleak
  • Flexible stent grafts
  • Limb loss
  • Patency rates
  • Popliteal aneurysms
  • Thrombolysis

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