Ces radiol. 2015, 69(2):93-97 | DOI: 10.55095/CesRadiol2015/014

Endovascular treatment of popliteal artery aneurysm with stentgraft - early resultsOriginal article

Marie Černá1, Martin Köcher1, Ondřej Hrbáček2, Jana Zapletalová3, Vojtěch Prášil1, Martin Hazlinger1, Petr Bachleda4, Petr Utíkal4, Petr Dráč4, Pavel Xinopulos4, Jana Janečková4, Jiří Herman4, Zdeněk Sekanina4
1 Radiologická klinika LF UP a FN, Olomouc
2 Lékařská fakulta Univerzity Palackého, Olomouc
3 Ústav lékařské biofyziky, pracoviště biometrie LF UP, Olomouc
4 II. chirurgická klinika LF UP a FN, Olomouc

Aim: To evaluate the experience in the treatment of popliteal artery aneurysm with stentgraft.

Method: From June 2011 to October 2014, we were treated 18 aneurysms of the popliteal artery in 14 patients using the stentgraft at our department. There were 13 men and one woman aged from 50 to 90 years. The mean age was 70 years. We treated three aneurysms with a diameter of less than 2 cm, 12 aneurysms 2-5 cm in diameter and 3 aneurysms with a diameter greater than 5 cm.

Results: Patients were followed-up 2-35 months, mean follow-up was 13.4 months. The technical success rate was 100%. Primary patency was 78%, secondary patency was 94%. According to Kaplan-Maier analysis the probability of primary patency at 6 and 12 months after stentgraft implantation was 75.8 % (95% CI: 54.6 to 97.0%), the probability of secondary patency at 6 and 12 months was 94.4% (95% CI: 83,8-100%).

Conclusion: Endovascular treatment with stentgraft is a possible alternative of surgical treatment of popliteal artery aneurysm. Endovascular treatment is simple, safe, and effective.

Keywords: aneurysm, popliteal artery, endovascular treatment, stentgraft
Grants and funding:

Práce byla podpořena MZ ČR - RVO (FNOL 00098892) a RVO (LF UP 61989592)..

Accepted: April 7, 2015; Published: June 1, 2015  Show citation

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Černá M, Köcher M, Hrbáček O, Zapletalová J, Prášil V, Hazlinger M, et al.. Endovascular treatment of popliteal artery aneurysm with stentgraft - early results. Ces radiol. 2015;69(2):93-97. doi: 10.55095/CesRadiol2015/014.
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    References

    1. Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991; 13: 452-458. Go to original source... Go to PubMed...
    2. Davis RP, Neiman HL, Yao JS, Bergan JJ. Ultrasound scan in diagnosis of peripheral aneurysms. Arch Surg 1977; 112: 55-58. Go to original source... Go to PubMed...
    3. Wolf YG, Kobzantsev Z, Zelmanovich L. Size of normal and aneurysmal popliteal arteries: a duplex ultrasound study. J Vasc Surg 2006; 43: 488-492. Go to original source... Go to PubMed...
    4. Trickett JP, Scott RA, Tilney HS. Screening and management of asymptomatic popliteal aneurysms. J Med Acreen 2002; 9: 92-93. Go to original source... Go to PubMed...
    5. Dawson I, Sie RB, van Bockel JH. Atherosclerotic popliteal aneurysm. Br J Surg 1997; 84: 293-299. Go to original source...
    6. Huang Y, Gloviczki P, Noel AA, et al. Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: is exclusion with saphenous vein bypass still the gold standard? J Vasc Surg 2007; 45: 706-713. Go to original source... Go to PubMed...
    7. Michaels JA, Galland RB. Management of asymptomatic popliteal aneurysms: the use of Markov decision tree to determine the criteria for a conservative approach. Eur J Vasc Surg 1993; 7: 136-143. Go to original source... Go to PubMed...
    8. Dawson I, Sie R, van Baalen JM, van Bockel JH. Asymptomatic popliteal aneurysm: elective operation versus conservative follow-up. Br J Surg 1994; 82: 1504-1507. Go to original source... Go to PubMed...
    9. Stiegler H, Mendler G, Baumann G. Prospective study of 36 patients with 46 popliteal artery aneurysms with non-surgical treatment. Ann Vasc Surg 2002; 8: 14-23.
    10. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AA 2005 Practice guidelines for the management of patients with peripheral arterial disease: a collaborative report. Circulation 2006; 113: 463-454. Go to original source... Go to PubMed...
    11. Trinidad-Hernandez M, Ricotta JJ 2nd, Gloviczki et al. Results of elective and emergency endovascular repairs of popliteal artery aneurysms. J Vasc Surg 2013; 57: 1299-1305. Go to original source... Go to PubMed...
    12. Antonello M, Frigatti P, Battocchio P, et al. Open repair versus endovascular treatment for asymptomatic popliteal artery aneurysm: Results for a prospective randomized study. J Vasc Surg 2005; 42: 185-193. Go to original source... Go to PubMed...
    13. Tielliu IF, Verhoeven EL, Zeebregts CJ, et al. Endovascular treatment of popliteal artery aneurysms: results of a prospective cohort study. J Vasc Surg 2005; 41: 561-567. Go to original source... Go to PubMed...
    14. Curi MA, Geraghty PJ, Merino OA, et al. Mid-term outcomes of endovascular popliteal artery aneurysm repair. J Vasc Surg 2007; 45: 505-510. Go to original source... Go to PubMed...
    15. Marin ML, Veith FJ, Panetta TF, et al. Transfemoral endoluminal stented graft repair of a popliteal artery aneurysm. J Vasc Surg 1994; 19: 754-757. Go to original source... Go to PubMed...
    16. Tielliu IF, Verhoeven EL, Zeebregts CJ, et al. Endovascular treatment of popliteal artery aneurysms: is the technique a valid alternative to open surgery? J Cardiovasc Surg 2007; 48: 275-279.
    17. Rajasinghe HA, Tzilinis A, Keller T, et al. Endovascular exclusion of popliteal artery aneurysms with expanded polytetrafluoroethylene stent-grafts: early results. Vasc Endovascular Surg 2006; 40: 460-466. Go to original source... Go to PubMed...
    18. Midy D, Berard X, Ferdani M, et al. A retrospective multicenter study of endovascular treatment of popliteal artery aneurysm. J Vasc Surg 2010; 51: 850-856. Go to original source... Go to PubMed...
    19. Mohan IV, Bray PJ, Harris JP, et al. Endovascular popliteal aneurysm repair: are the results comparable open surgery? Eur J Vasc Endovasc Surg 2006; 32: 149-154. Go to original source... Go to PubMed...
    20. Idelchik GM, Dougherty KG, Hernandez E, et al. Endovascular exclusion of popliteal artery aneurysms with stent-grafts: a prospective single-center experience. J Endovasc Ther 2009; 16: 215-223. Go to original source... Go to PubMed...
    21. Saunders JH, Abisi S, Altaf N, et al. Long-term outcome of endovascular repair of popliteal artery aneurysm presents a credible alternative to open repair. Cardiovasc Intervent Radiol 2014; 37: 914-919. Go to original source... Go to PubMed...
    22. Tielliu IF, Zeebregts CJ, Vourliotakis G, et al. Stent fracture in the Hemobahn/Viabahn stent graft after endovbascular popliteal aneurysm repair. J Vasc Surg 2010; 51: 1413-1418. Go to original source... Go to PubMed...
    23. Möllenhoff C, Katwsargyris A, Steinbauer M, et al. Current status of Hemobahn/Viabahn endografts for treatment of popliteal aneurysms. J Cardivasc Surg 2013; 54: 785-791.

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