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JOURNAL ARTICLE
Maria-Elisabeth Leinweber, Phillip Geisbuesch, Kai Balzer, Thomas Schmandra, Thomas Karl, Sebastian Popp, Johannes Hoffmann, Thomas Schmitz-Rixen, Georg Jung, Kyriakos Oikonomou, Martin Storck, Kai Balzer, Ulrich Kugelmann, Christina Schneider, Michael Engelhardt, Michael Petzold, Barbara Weis-Mueller, Markus Wortmann, Sebastian Popp, Dirk Grotemeyer, Heiner Wenk, Roushanak Shayesteh-Kheslat, Giovanni Torsello, Dittmar Böckler, Katrin Meisenbacher, Johannes Hoffmann, Hubert Schelzig, Yush Roopa, Thomas Strohschneider, Thomas Noppeney, Viktor Reichert, Uwe Lorenz, Karin Pfister, Shoaeddin Damirchi, Tomislav Stojanovic, Alexander Oberhuber, Bernd Lobenstein, Tolga Atilla Sagban, Tomas Pfeiffer, Johann Koller, Christian Sprenger, Thomas Kruschwitz, Claus-Georg Schmedt, Frank Marquardt, Thomas Schmandra, Dorothee Bail
OBJECTIVE: Only 5% of patients with popliteal artery aneurysms (PAAs) are female. Evidence on PAA treatment and outcomes in women is therefore scarce. The POPART Registry provides one of Europe's largest data collections regarding PAA treatment. Data on clinical presentation, aneurysm morphology, and perioperative outcomes after open surgical PAA repair in women will be presented. METHODS: POPART is a multicenter, noninterventional registry for open and endovascular PAA repair, with 42 participating centers in Germany and Luxembourg...
December 23, 2023: Journal of Vascular Surgery
#22
JOURNAL ARTICLE
Raoul Borioni, Mariano Garofalo, Cristina He, Maria Chiara Tesori, Alessia Salerno, Francesca Montanari, Fabiano Paciolla, Francesco Speziale
AIM: Conventional management of popliteal artery aneurysms (PAA) through a medial approach may be lon term ineffective. We report our long term rate of continued sac perfusion after ligation and bypass, combined to duplex ultrasound (DUS) surveillance protocol. PATIENTS AND METHODS: Follow-up data of 24 PAA (mean diameter 37.5 ± 8.8 mm) treated by ligation and bypass with eventual adjunctive procedures (direct sac embolization or resection) were collected. The endpoints of the study were the long term rate of continued sac perfusion and the freedom from any reintervention...
2023: Annali Italiani di Chirurgia
#23
JOURNAL ARTICLE
Tiffany R Bellomo, Guillaume Goudot, Brandon Gaston, Srihari Lella, Samuel Jessula, Natalie Sumetsky, Jenna Beardsley, Shiv Patel, Chanel Fischetti, Nikolaos Zacharias, Anahita Dua
INTRODUCTION: Duplex ultrasound (DUS) is the modality of choice for surveillance of popliteal artery aneurysms (PAAs). However, noninvasive vascular laboratories have no standard guidelines for reporting results. This study assessed reports of PAA DUS for inclusion of information pertinent to operative decision-making and timing of surveillance. METHODS: This study was a retrospective review of a multi-institutional repository that was queried for all patients with a PAA from 2008 to 2022 and confirmed via manual chart review...
February 2024: Vascular Medicine
#24
He Huang, Xiaosong Zhang, Yusheng Wang, Hao Tang, Xiaoming Huang, Honggang Zhang, Da Li
Exostosis (also known as osteochondroma) is the most common benign bony lump of young people, usually arising at the distal femur. Vascular complications associated with exostoses are rare and include true aneurysm or pseudoaneurysm formation, deep vein thrombosis, arteriovenous fistula, and arterial insufficiency of the limbs. Few case reports describe pseudoaneurysms resulting from exostoses in mature adults, and no consensus has been reached regarding the optimal therapy. We report the case of a 51-year-old male patient complaining of persistent right thigh pain with a pulsatile mass and right calf swelling, without a history of trauma or hereditary multiple exostoses...
February 2024: Journal of Vascular Surgery Cases and Innovative Techniques
#25
Min H Choi, Turna J Mukherjee, Cuepil Choi, Javairiah Fatima, Cameron M Akbari
A persistent sciatic artery is a rare vascular anomaly that is prone to early atherosclerotic development and aneurysmal degeneration. Repair of the degenerative aneurysm is critical because it can lead to rupture, thrombosis, distal embolization, and sciatic nerve damage from compression. We report a case of a symptomatic unilateral persistent sciatic artery fusiform aneurysm that was treated using a simultaneous open surgical and endovascular approach. The patient underwent right common femoral to below-knee popliteal artery bypass and percutaneous endovascular embolization of the right sciatic artery aneurysm...
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
#26
JOURNAL ARTICLE
G Zenunaj, G Baldazzi, P Acciarri, V Gasbarro, A M Cosacco, R Serra, L Traina
OBJECTIVE: True superficial femoral artery aneurysms (SFAAs) are rare and traditionally treated by open repair. However, the endovascular approach excluding the aneurysm sac with a covered stent may be an alternative. This study aimed to compare the outcomes of the open and endovascular repair of SFAAs. METHODS: This is a retrospective, observational, monocentric study. The main endpoints were: technical success, limb salvage and primary patency rate, and hospitalisation time...
November 20, 2023: Annals of the Royal College of Surgeons of England
#27
Naveed A Rahman, Zachary E Williams, Asad Choudhry, Scott Surowiec
Isolated nonruptured profunda femoris artery (PFA) aneurysms are exceedingly rare. We present the case of an 80-year-old man who initially presented with a large pulsatile mass in the right groin. Computed tomography angiography identified a giant 6-cm PFA aneurysm. This was a truly isolated PFA aneurysm without any evidence of concomitant abdominal aortic or popliteal aneurysms. Potential surgical options included reconstruction with an interposition graft, endovascular coil embolization, and aneurysmal ligation...
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
#28
JOURNAL ARTICLE
Rémy Hamdan, Calin Gheorge Precup, Catherine Falchero, Anne-Laure Baldassini, Christine Castillo
BACKGROUND: A venous aneurysm (VA) is a focal dilatation of a nonvariceal vein (diameter increased by at least 1.5 times compared to the adjacent upstream or downstream venous segment), which carries a risk of venous thromboembolism (VTE) when located in the deep veins of the lower limbs but also when it affects the veins above the muscle fascia. CASE: We report the case of a 40-year-old woman who presented with a painful and disabling mass-like lesion of the upper third of the right calf...
November 9, 2023: Vascular and Endovascular Surgery
#29
Hyeon Ju Kim, Seung Huh, Hyung-Kee Kim
Popliteal artery entrapment syndrome (PAES) is a rare vascular disorder characterized by the compression of the popliteal artery behind the knee, primarily affecting physically active individuals. This is a case of a 36-year-old man who presented with a 1-week history of sudden-onset left leg pain. Diagnostic evaluation, including physical examination, color duplex ultrasonography, computed tomography, and magnetic resonance imaging, revealed a popliteal artery pseudoaneurysm caused by type 5 PAES. The patient underwent surgical exploration to release the entrapment, followed by an interposition graft with the ipsilateral great saphenous vein...
October 27, 2023: Vascular Specialist International
#30
JOURNAL ARTICLE
Sara Speziali, Aaron T Fargion, Elena Giacomelli, Davide Esposito, Rossella DI Domenico, Serena DE Blasis, Gabriele Piffaretti, Carlo Pratesi, Walter Dorigo, Raffaele Pulli
BACKGROUND: The aim of the present study was to assess early and long-term results of open surgical interventions for popliteal artery aneurysms (PAAs) with the use of heparin-bonded expanded polytetrafluorethylene (HePTFE) in a single center, retrospective, non-comparative cohort study. METHODS: A retrospective analysis of a prospectively maintained dataset, including 207 open interventions for PAAs between 2002 and 2022, was performed and 170 procedures carried on with the use of a HePTFE graft were found...
October 23, 2023: Journal of Cardiovascular Surgery
#31
Zola N'Dandu, Khaldia Khaled, Richard Ayetevi Agbodji, Georgios Papapostolou, Andrej Schmidt, Grigorios Korosoglou
Herein, we present 2 patients with lower limb ischemia caused by complicated popliteal aneurysms with thrombosis and distal embolization, compromising blood flow to the foot. In both cases, covered stents were first implanted guided by intravascular ultrasound and computed tomography angiography, respectively. After "trapping" the thrombi, mechanical thrombectomy or further stent implantations were performed, "fixing" the remaining lesions and preventing embolization. ( Level of Difficulty: Intermediate. ).
October 18, 2023: JACC. Case reports
#32
JOURNAL ARTICLE
Young Kim, Roberto S Loanzon, Kevin W Southerland, Chandler A Long, Zachary F Williams, Abhisekh Mohapatra
OBJECTIVE: Single segment, greater saphenous vein (GSV) conduit is considered the optimal bypass conduit among patients undergoing bypass surgery for peripheral artery disease (PAD). While this data has been extrapolated to patients undergoing bypass for popliteal artery aneurysms (PAA), the pathophysiology of PAA is inherently different when compared to PAD, and the impact of conduit type on long-term outcomes after open repair of PAA remains unclear. METHODS: A multicenter database of five regional hospitals was retrospectively reviewed for all patients with PAA undergoing open surgical repair...
October 17, 2023: Annals of Vascular Surgery
#33
MULTICENTER STUDY
Sara Pomatto, Gianluca Faggioli, Rodolfo Pini, Ilaria Ficarelli, Alessia Pini, Cecilia Angherà, Cristina Rocchi, Stefania Caputo, Andrea Vacirca, Carlo Ruotolo, Mauro Gargiulo
BACKGROUND: Popliteal artery aneurysms (PAAs) need urgent treatment in case of acute thrombosis, distal embolization, or rupture. Few data are available in the literature about the treatment results in these scenarios. The aim of the present study was to evaluate an 11-year multicenter experience in the urgent treatment of PAAs. METHODS: All symptomatic PAAs surgically treated in two vascular centers between 2010 and 2021 were retrospectively analyzed. In the postoperative period periodical clinical and Duplex-Ultrasound evaluation were performed...
October 14, 2023: World Journal of Emergency Surgery: WJES
#34
JOURNAL ARTICLE
Alberto M Settembrini, Giuseppe Cannizzo, Daniele Bissacco, Santi Trimarchi
No abstract text is available yet for this article.
October 6, 2023: Journal of Vascular Surgery
#35
JOURNAL ARTICLE
Dorottya Szabó, Bence Attila Varga, Csaba Balázs Nagy, Gábor Jancsó, Gábor Kasza, László Benkő, Gábor Fazekas
INTRODUCTION: Popliteal vein aneurysm is a rare, but potentially life-threatening condition that can lead to deep vein thrombosis and/or pulmonary embolism. It is often asymptomatic, but symptoms may include pain, post-thrombotic syndrome or chronic venous insufficiency. An experienced physician may be able to detect a palpable mass in the popliteal fossa. Duplex ultrasound is the first line of diagnosis. CT or MR venography play a role in the diagnosis. OBJECTIVE: To review the international literature, explain the possible treatment options, and present our case...
October 1, 2023: Orvosi Hetilap
#36
Farah Azouzi, Louis Olagne, Sophie Edouard, Serge Cammilleri, Pierre-Edouard Magnan, Pierre-Edouard Fournier, Matthieu Million
Cardiovascular infections are the most severe and potentially lethal among the persistent focalized Coxiella burnetii infections. While aortic infections on aneurysms or prostheses are well-known, with specific complications (risk of fatal rupture), new non-aortic vascular infections are increasingly being described thanks to the emerging use of 18-fluorodeoxyglucose positron emission tomography (18 F-FDG PET-scan). Here, we describe an infection of a femoro-popliteal bypass that would not have been diagnosed without the use of PET-scan...
August 24, 2023: Microorganisms
#37
JOURNAL ARTICLE
H J Nagar, P Bungay, A Podlasek, J G Pollock
PURPOSE: To evaluate endovascular popliteal artery aneurysm repair using a an "off-label" abdominal endograft limb-module with nitinol-ring structure. MATERIALS AND METHODS: Retrospective observational study of 14 popliteal artery aneurysms in 12 male patients (mean age 76 years and median ASA grade 3) treated electively using the Anaconda™ endograft limb (Terumo Aortic) at a single teaching hospital. Eight limbs were treated percutaneously and 6 limbs required surgical arterial exposure...
September 27, 2023: Cardiovascular and Interventional Radiology
#38
Aashay Sonkusale, Pratik Gandhi, Siddheshwar Andhale, Dishant Singla
INTRODUCTION: This is a case of a popliteal swelling which was clinically misdiagnosed as a simple popliteal cyst, which turned out to be a benign fibroblastic tumor featuring nodular fasciitis (NF). A swelling in the popliteal fossa by and large is considered to be a Baker's cyst. However, an array of other lesions which can be encountered such as fibroma featuring NF, meniscal cysts, lipoma, aneurysms, bursitis of the biceps femoris tendon, and schwannoma should also be borne in mind since clinical and radiological evaluation may not always be conclusive...
August 2023: Journal of Orthopaedic Case Reports
#39
JOURNAL ARTICLE
Giovanni Spinella, Michele Conti, Marco Magliocco, Fabio Riccardo Pisa, Alice Finotello, Martina Pulze, Giovanni Pratesi, Giuseppe Cittadini, Giancarlo Salsano, Bianca Pane
INTRODUCTION: The development of intrastent thrombosis is one of the mechanisms related to medium- to long-term failure of endovascular treatment of popliteal artery aneurysm. The present study aims to investigate possible links between the development of endoluminal mural thrombotic apposition in the stented zone (EMTS) with both geometrical features of stent-graft(s) and time of follow-up. METHODS: Patients with popliteal artery aneurysm who underwent endovascular treatment were recruited during the follow-up period...
2023: Frontiers in Cardiovascular Medicine
#40
Galal Abushahba, Lana Robinson, Paul Keelan, Niamh F Murphy, Venu Reddy Bijjam
Mycotic pseudoaneurysms (PA) are an infrequent complication of infective endocarditis (IE). However, due to advanced imaging modality and early therapy, this complication has been seen less frequently in the past few years. The reported incidence is 5%-15% of the patients, with the most common site being intracranial vessels (up to 65%), followed by abdominal and then peripheral vessels. We describe a young patient with a bicuspid aortic valve complicated by IE, who developed a giant mycotic PA. This was treated with a cover stent of the aneurysmal segment, which was complicated by distal stent migration and eventually managed with bypass surgery...
2023: Heart Views: the Official Journal of the Gulf Heart Association
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