Contemporary outcomes of open and endovascular popliteal artery aneurysm repair

Objective The purpose of this study was to evaluate contemporary practice and outcomes of open repair (OR) or endovascular repair (ER) for popliteal artery aneurysms (PAAs). Methods Consecutive patients with PAA treated at one institution from January 2006 to March 2014 were reviewed under an Instit...

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Bibliographic Details
Published in:Journal of vascular surgery 2016-01, Vol.63 (1), p.70-76
Main Authors: Leake, Andrew E., MD, Avgerinos, Efthymios D., MD, Chaer, Rabih A., MD, Singh, Michael J., MD, Makaroun, Michel S., MD, Marone, Luke K., MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Amputation
Aneurysm - diagnosis
Aneurysm - mortality
Aneurysm - physiopathology
Aneurysm - surgery
Aneurysm - therapy
Comorbidity
Elective Surgical Procedures
Endovascular Procedures - adverse effects
Endovascular Procedures - mortality
Female
Humans
Learning Curve
Length of Stay
Limb Salvage
Male
Middle Aged
Pennsylvania
Popliteal Artery - physiopathology
Popliteal Artery - surgery
Postoperative Complications - surgery
Retrospective Studies
Risk Factors
Surgery
Time Factors
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures - adverse effects
Vascular Surgical Procedures - mortality
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Summary:Objective The purpose of this study was to evaluate contemporary practice and outcomes of open repair (OR) or endovascular repair (ER) for popliteal artery aneurysms (PAAs). Methods Consecutive patients with PAA treated at one institution from January 2006 to March 2014 were reviewed under an Institutional Review Board-approved protocol. Demographics, indications, anatomic characteristics, and outcomes were collected. Standard statistical methods were used. Results A total of 186 PAAs were repaired in 156 patients (110 ORs, 76 ERs) with a mean age of 71 ± 11 years, and most were male (96%). Mean follow-up was 34.9 ± 28.6 months for OR and 28.3 ± 25.8 months for ER ( P  = .12). Comorbidities were similar between groups. OR was used in more patients with PAA thrombosis (41.8% vs 5.3%; P  
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2015.08.056