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Popliteal aneurysm

M J Tao, W Al-Jundi, G Roche-Nagle
INTRODUCTION: Popliteal artery aneurysms (PAA) are the most prevalent form of peripheral arterial aneurysms. Greater saphenous vein grafts and endoaneurysmorrhaphy remains the mainstay therapy for open repair of PAA. True aneurysmal degeneration of lower extremity infrainguinal autologous vein grafts are relatively rare and its etiology is not completely understood. CASE PRESENTATION: We present a case of a 57-year-old man with recurrent autologous venous graft aneurysmal dilatations following a surgical popliteal artery aneurysm repair...
October 8, 2016: International Journal of Surgery Case Reports
Petar Duvnjak, Mario Laguna
The use of live attenuated intravesicular Bacillus Calmette-Guerin (BCG) therapy is a generally accepted safe and effective method for the treatment of superficial transitional cell carcinoma (TCC) of the bladder. Although rare, < 5% of patient's treated with intravesicular BCG therapy may develop potentially serious complications, including localized infections to the genitourinary tract, mycotic aneurysms and osteomyelitis. We present here a case of a 63-year-old male who developed left coronary and multiple peripheral M...
August 2016: Journal of Radiology Case Reports
Giulio Illuminati, Francesco G Calio', Giulia Pizzardi, Chiara Amatucci, Federica Masci, Piergaspare Palumbo
INTRODUCTION: Intra and perioperative anticoagulation in patients with heparin induced thrombocytopenia (HIT), candidates for peripheral vascular surgery remains a challenge, as the best alternative to heparin has not yet been established. We evaluated the off-label use of fondaparinux in four patients with HIT, undergoing peripheral vascular surgery procedures. PRESENTATION OF CASES: Four patients of whom 3 men of a mean age of 66 years, with proven heparin induced thrombocytopenia (HIT) underwent two axillo-femoral bypasses, one femoro-popliteal bypass and one resection of a splenic artery aneurysm under fondaparinux...
October 8, 2016: International Journal of Surgery Case Reports
Albert Busch, Elena Hartmann, Caroline Grimm, Süleyman Ergün, Ralph Kickuth, Christoph Otto, Richard Kellersmann, Udo Lorenz
OBJECTIVE: Abdominal aortic aneurysm (AAA) is a frequent, potentially life-threatening, disease that can only be treated by surgical means such as open surgery or endovascular repair. No alternative treatment is currently available, and despite expanding knowledge about the pathomechanism, clinical trials on medical aneurysm abrogation have led to inconclusive results. The heterogeneity of human AAA based on histologic examination is thereby generally neglected. In this study we aimed to further elucidate the role of these differences in aneurysm disease...
October 5, 2016: Journal of Vascular Surgery
Pasqualino Sirignano, Francesco Speziale, Laura Capoccia, Danilo Menna, Wassim Mansour, Nunzio Montelione, Francesco Setacci, Giuseppe Galzerano, Carlo Setacci
BACKGROUND: To evaluate the impact of iliac artery's diameters, tortuosity, and peripheral vascular patency on outcome of elective endovascular repair (EVAR) of abdominal aortic aneurysms (AAA) in 2 high volume vascular centers' experience. METHODS: A retrospective study was conducted on a prospectively collected database between 2010 and 2012. Anatomical features at pre-operative computed tomography (CTA) considered as potentially influencing outcomes were: iliac diameters, tortuosity (expressed as a ratio), and calcifications, bilateral internal iliac artery (IIA) patency, and presence of Trans-Atlantic Inter-Societies Consensus (TASC) II C/D femoro-popliteal occlusive disease (PAD)...
September 16, 2016: Journal of Cardiovascular Surgery
S Rajagopalan, D Wells
No abstract text is available yet for this article.
August 31, 2016: European Journal of Vascular and Endovascular Surgery
Maher Fattoum, Stefan Kennel, Peter Knez, Thomas Schmitz-Rixen, Hazem Khout, Matthias H Tenholt
OBJECTIVE: This study was conducted to determine whether it was feasible to increase the diameter of smaller great saphenous veins (GSVs) in preparation for possible bypass and whether such a conditioned conduit could be used with reasonable patency. METHODS: Twenty-five patients (26 cases: 24 peripheral arterial occlusive disease, 2 popliteal aneurysms) with GSV diameters between 2 and 3 mm underwent in situ GSV valvulotomy and were observed for 3 months. After GSV dilation to >3 mm for below-knee revascularization and >3...
September 2016: Journal of Vascular Surgery
Afsha Aurshina, Enrico Ascher, Anil Hingorani, Sergio X Salles-Cunha, Natalie Marks, Eleanor Iadgarova
BACKGROUND: Accreditation in peripheral venous testing can be obtained based upon femoropopliteal duplex ultrasound evaluation, and many laboratories limit their examination to this segment only. This simplified protocol detects acute femoropopliteal deep venous thrombosis (DVT) but misses calf vein DVT, superficial venous thrombosis, chronic DVT, venous reflux, and other non-venous findings potentially responsible of the patients' presenting conditions. A protocol limited to the femoropopliteal segment results in additional unnecessary testing and can create patient dissatisfaction...
August 12, 2016: Annals of Vascular Surgery
Mohamed Jarraya, Salmi Simmons, Alik Farber, Oleg Teytelboym, Nicolas Naggara, Ali Guermazi
Uncommon diseases of the popliteal artery include cystic adventitial disease, popliteal artery entrapment syndrome (PAES) and popliteal artery aneurysm (PAA). Because all of these conditions may present with pain or intermittent claudication, imaging is crucial for differentiating them and directing management. Delayed diagnosis can lead to major complications, including acute limb ischemia. Our aim is to provide an illustrative overview of these conditions in order to make radiologists aware of them and avoid misdiagnosis for timely appropriate management...
October 2016: Insights Into Imaging
Anna Sandstrom, Anthony Reynolds, Pankaj Jha
INTRODUCTION: Venous aneurysms are a rare pathology that was first reported in the literature in 1968. Popliteal venous aneurysms are the most common lower limb venous aneurysm and have significant consequences including deep vein thrombosis, pulmonary embolus and death. CASE DESCRIPTION: A fifty-two year old lady presented with chest pain and shortness of breath. A computed tomography angiography demonstrated bilateral pulmonary emboli and she was commenced on rivoraxaban...
August 11, 2016: Annals of Vascular Surgery
Alison Phair, Shahin Hajibandeh, Shahab Hajibandeh, Damian Kelleher, Riza Ibrahim, George A Antoniou
BACKGROUND: Popliteal artery aneurysm is an uncommon vascular disease but one that can cause significant morbidity, the most severe being limb loss reported in 20% to 59% of cases. Two approaches to repair are described in the literature, the posterior and the medial; however, the "gold standard" method of repair remains controversial. METHODS: A systematic review of electronic information sources was undertaken to identify papers comparing outcomes of posterior repair vs medial repair...
October 2016: Journal of Vascular Surgery
M B Bensaid, E Ouldsalek, P E Cheysson, K Kechabtia, B Feito, J M Davaine
Popliteal artery entrapment syndrome (PAES) is a rare condition and its long-term outcome after surgical treatment is scarcely reported. We report the case of an aneurysmal degeneration of a venous bypass performed to treat PAES, which ultimately led to rupture. Hybrid treatment combining embolization and surgery resulted in favorable outcome. This case emphasizes the need for long-term follow-up after surgical treatment of PAES.
July 14, 2016: Annals of Vascular Surgery
Thomas Bader, Klaus Strobel, Michèle Egger-Sigg, Joachim Diebold, Martin Beck
Angiosarcomas are rare aggressive neoplasms with a wide variety of anatomic locations, one third of them presenting multifocal. Molecular imaging with PET/CT and PET/MR plays an emerging role in staging sarcomas. This case demonstrates the value of PET/MR imaging of an angiosarcoma with involvement of the tibial head and a popliteal aneurysm with histopathologic correlation.
September 2016: Clinical Nuclear Medicine
L H P Vroegindeweij, P D van Hove, J W H Kruimer, A A van Houten, G P Akkersdijk
BACKGROUND: Popliteal venous aneurysms are very rare, but when left untreated they can lead to severe and recurrent pulmonary embolism. CASE DESCRIPTION: A 35-year-old man was referred to the outpatients' vascular clinic for additional diagnostics of a swelling just above the back of his right knee. He had a history of recurrent idiopathic pulmonary embolism despite anticoagulation. Diagnostic imaging revealed a large popliteal venous aneurysm. The patient underwent surgical resection of the aneurysm and was prescribed oral anticoagulation postoperatively...
2016: Nederlands Tijdschrift Voor Geneeskunde
Nikolaos Fassiadis, Sofia Lampaki, Paul Zarogoulidis, Drosos Tsavlis, Theodora Tsiouda, Ioanna Kougioumtzi, Nikolaos Machairiotis, Pavlos Pavlidis, Charalampos Charalampidis, Kosmas Tsakiridis
Isolated polycystic liver disease (PCLD) has not been associated with aneurysms and concomitant PLD has not been reported previously in association with bilateral popliteal aneurysms. A case of a middle-aged man with PLD, marfanoid habitus and bilateral popliteal aneurysms is presented.
May 2016: Annals of Translational Medicine
Daniel J Ventarola, Nicos N Labropoulos, David S Landau, Apostolos K Tassiopoulos, Shang A Loh
True aneurysms of the tibioperoneal trunk are rare. Given the scarcity of reports, the clinical presentation and treatment is not well defined. This is a case report of a 50-year-old male patient presenting with severe lower extremity swelling and compartment syndrome with neurological compromise secondary to a tibioperoneal trunk aneurysm. He was also noted to have discrete ipsilateral popliteal and dorsalis pedis artery aneurysms. Given the location and size of the aneurysm, the severe leg swelling, and venous hypertension, aneurysmorrhaphy or aneurysm sac excision with arterial reconstruction was prohibitively dangerous...
August 2016: Annals of Vascular Surgery
Francesco De Santis, Silvia Candia, Renzo Scialpi, Alfredo Piccinin, Antonio Bruni, Giuseppe Morettini, Giorgio Loreni
OBJECTIVES: Venous aneurysms are uncommon. They can involve both superficial and deep venous systems. We hereby present a unique case of gastrocnemius venous aneurysm developed after compressive knee trauma. REPORT: A large venous aneurysm in the left popliteal fossa was detected by chance in a 44-year-old woman one month after a compressive trauma to the posterior surface of the knee. Magnetic resonance-imaging of the same knee had documented normal venous anatomy one year earlier...
May 26, 2016: Phlebology
Viktoria Tuveson, Hedvig E Löfdahl, Rebecka Hultgren
Patients with abdominal aortic aneurysms (AAA) are more prone to develop popliteal artery aneurysms (PAA), but the prevalence is not well known. Our aim was to investigate the prevalence of PAA in patients with AAA, and to determine whether a certain risk factor profile is more commonly found in patients with concurrent aneurysms. All AAA patients (ICD code I71.3, I71.4) attending the outpatient clinic at the Karolinska University Hospital between 2011 and 2013 were included in the study cohort (n=465); 48% (225) had been subjected to an ultrasound or computed tomography scan of their popliteal arteries...
August 2016: Vascular Medicine
B Golchehr, I F J Tielliu, E L G Verhoeven, C Möllenhoff, M Antonello, C J Zeebregts, M M P J Reijnen
OBJECTIVE: The use of self-expanding stent grafts for treatment of popliteal artery aneurysms (PAA) is a matter of debate, although several studies have shown similar results compared with open surgery. In recent years, a new generation stent graft, with heparin-bonding technology, became available. The aim of this study is to present the results of endovascular PAA repair with heparin-bonded stent grafts. METHODS: Data on all patients with PAA treated with a heparin-bonded polytetrafluoroethylene (ePTFE) stent graft between April 2009 and March 2014 were gathered in a database and retrospectively analyzed...
July 2016: European Journal of Vascular and Endovascular Surgery
Ze-Yang Ding, Guan-Nan Jin, Xi Ai, Li-Yan Li, Ping Zheng, Yan Guan, Qi Wang, Zhi-Wei Zhang, Jun Yang
Aneurysm or pseudoaneurysm formation is one of the vascular complications of Behcet disease. At present, the optimal treatment for the disease has not been established.The authors report a case of vasculo-Behcet disease (v-BD) with recurrent pseudoaneurysms in the left infrainguinal arteries (common femoral artery, superficial femoral artery, and popliteal artery), as well as thrombosis in the popliteal vein and posterior tibial vein. The patient underwent 3 rounds of surgery, but developed a new pseudoaneurysm several months after each surgery...
May 2016: Medicine (Baltimore)
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