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Popliteal artery aneurysm

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https://www.readbyqxmd.com/read/28291676/long-term-outcome-after-thrombolysis-for-acute-lower-limb-ischaemia
#1
O Grip, A Wanhainen, S Acosta, M Björck
OBJECTIVES: The purpose was to study long-term outcome after thrombolysis for acute arterial lower limb ischaemia, and to evaluate the results depending on the underlying aetiology of arterial occlusion. METHODS: This was a retrospective study of patients entered into a prospective database. Patients were identified in prospective databases from two vascular centres, including a large number of variables. Case records were analysed retrospectively. Through cross linkage with the Population Registry 100% accurate survival data were obtained...
March 10, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28163172/endovascular-management-of-para-prosthetic-aortocaval-fistula-case-report-and-systematic-review-of-the-literature
#2
Claudio Bianchini Massoni, Giulia Rossi, Tiziano Tecchio, Paolo Perini, Antonio Freyrie
The aim of this article is to report a case of asymptomatic para-anastomotic aortocaval fistula (ACF) treated by endovascular aortic repair, and to review data of the literature on arteriovenous fistulae secondary to abdominal aortic surgery. A 78-year-old male complained of worsening pain in the right lower limb since 2 months. He presented a history of right femoropopliteal bypass for peripheral arterial occlusive disease and elective surgical treatment for a non-ruptured infrarenal aortic aneurysm (Dacron tube graft)...
February 3, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28010863/meta-analysis-of-open-and-endovascular-repair-of-popliteal-artery-aneurysms
#3
REVIEW
Andrew E Leake, Michael A Segal, Rabih A Chaer, Mohammad H Eslami, Georges Al-Khoury, Michel S Makaroun, Efthymios D Avgerinos
OBJECTIVE: Endovascular popliteal artery aneurysm repair (EPAR) is increasingly used over open surgical repair (OPAR). The purpose of this study was to analyze the available literature on their comparative outcomes. METHODS: The PubMed and Embase databases were searched to identify studies comparing OPAR and EPAR. Studies with only one treatment and fewer than five patients were excluded. Demographics and outcomes were collected. Bias risk was assessed using a modified version of the Newcastle-Ottawa Scale...
January 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28008792/directional-atherectomy-with-antirestenotic-therapy-vs-drug-coated-balloon-angioplasty-alone-for-isolated-popliteal-artery-lesions
#4
Konstantinos Stavroulakis, Arne Schwindt, Giovanni Torsello, Arne Stachmann, Christiane Hericks, Michel J Bosiers, Efthymios Beropoulis, Stefan Stahlhoff, Theodosios Bisdas
PURPOSE: To report a single-center study comparing drug-coated balloon (DCB) angioplasty vs directional atherectomy with antirestenotic therapy (DAART) for isolated lesions of the popliteal artery. METHODS: Seventy-two patients were treated with either DCB angioplasty alone (n=31) or with DAART (n=41) for isolated popliteal artery stenotic disease between October 2009 and December 2015. The majority of patients presented with lifestyle-limiting claudication (74% vs 86%, respectively)...
December 1, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27903472/endovascular-treatment-of-popliteal-artery-aneurysms-a-word-of-caution-after-long-term-follow-up
#5
Cosimo Maraglino, Gianluca Canu, Renzo Ambrosi, Franco Briolini, Riccardo Gotti, Pietro Cefalì, Fabio Calliari, Paolo Ferrero, Franco Terraneo
BACKGROUND: The aim of this work was to evaluate the long-term patency of endografting in the treatment of popliteal artery aneurysms (PAAs) and to identify which factors may be predictors of graft occlusion. METHODS: All the patients who underwent endovascular repair of PAA were analyzed from 2006 until 2014 on the basis of symptoms, comorbidities, limb salvage, and long-term patency. The predictive value of the different variables was assessed in univariate analysis for primary patency and, for factors resulted significant, a multivariate analysis was performed...
November 27, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27894238/anatomical-approach-to-clinical-problems-of-popliteal-fossa
#6
Gautam Dagur, Jason Gandhi, Noel Smith, Sardar Ali Khan
BACKGROUND: Popliteal fossa, also known as the popliteal space, is located behind the knee joint. This region can develop many clinical complications in the vascular, nervous, lymphatics, adipose, as well as swelling and masses. OBJECTIVE: The objective of this review article is to give a detailed understanding of the popliteal fossa and the clinical pathology that may present itself. METHODS: MEDLINE® searches were conducted of literature published since 1950s for "popliteal fossa," "diseases," "anatomy," "arterial," "venous," "nerves," "entrapment syndrome," "aneurysms," "cysts," "lymphatics," "solid masses," "tumors," "inflammatory lesions," and "swellings...
November 27, 2016: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/27890841/development-of-a-scoring-system-for-the-prediction-of-early-graft-failure-after-peripheral-arterial-bypass-surgery
#7
Andreas M Lazaris, Sotiria Mastoraki, Evangelos Kontopantelis, Konstantinos Seretis, Maria Karouki, Konstantinos Moulakakis, Miltiadis Matsagkas, Spyros N Vasdekis
OBJECTIVES: An occluded lower limb arterial bypass is associated with poor prognosis for the limb. Currently, no risk assessment method to estimate the risk of early graft failure exists. Aim of this study was to investigate the effect of various potential factors on early graft failure of infrainguinal bypass surgery and to develop a risk-scoring model to predict it. DESIGN AND METHODS: A prospective observational clinical study was performed. One hundred infrainguinal bypass procedures (60 autologous and 40 synthetic grafts), throughout a 3-year period were included...
November 24, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27843870/popliteal-artery-aneurysms-role-of-primary-care-physicians
#8
Saravanan Balachandran, Rajkumar Murugesan, K Jayachander, Suganya Muthukkaruppiah
Popliteal artery aneurysms are the common peripheral artery aneurysm. Aneurysm due to exostosis is rare in occurrence. Here, we present a rare presentation of popliteal artery aneurysm in siblings which was managed by aneurysm excision and revascularization with interposition reversed long saphenous vein graft in one child and follow-up in the other.
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27790548/osteochondroma-complicated-by-a-popliteal-vein-aneurysm-a-rare-case-report
#9
Sonali Sethi, Meenakshi Prakash, Anil Dhal, Sunil Kumar Puri
Osteochondroma is the most common benign skeletal tumour. It frequently causes pain and local symptoms, however, vascular complications are rare. The popliteal artery is more commonly affected and there are isolated case reports of popliteal artery pseudoaneurysm in literature. However, venous complications are extremely rare. We hereby report a case of 21-year-old male patient with distal femoral osteochondroma complicated by a popliteal venous aneurysm and deep vein thrombosis. This association has not been described in the past...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27769026/aneurysmal-degeneration-of-vein-conduit-used-for-vascular-reconstruction-case-report-and-literature-review
#10
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...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27761190/left-anterior-descending-coronary-artery-and-multiple-peripheral-mycotic-aneurysms-due-to-mycobacterium-bovis-following-intravesical-bacillus-calmette-guerin-therapy-a-case-report
#11
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
https://www.readbyqxmd.com/read/27750177/fondaparinux-for-intra-and-perioperative-anticoagulation-in-patients-with-heparin-induced-thrombocytopenia-candidates-for-peripheral-vascular-surgery-report-of-4-cases
#12
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
https://www.readbyqxmd.com/read/27720318/heterogeneous-histomorphology-yet-homogeneous-vascular-smooth-muscle-cell-dedifferentiation-characterize-human-aneurysm-disease
#13
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
https://www.readbyqxmd.com/read/27636398/iliac-and-femoro-popliteal-arteries-morphological-cta-features-as-determinants-of-outcome-after-standard-evar-procedures
#14
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
https://www.readbyqxmd.com/read/27565601/lower-extremity-arterial-revascularization-using-conditioned-small-diameter-great-saphenous-vein
#15
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
https://www.readbyqxmd.com/read/27525419/uncommon-diseases-of-the-popliteal-artery-a-pictorial-review
#16
REVIEW
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
https://www.readbyqxmd.com/read/27473776/meta-analysis-of-posterior-versus-medial-approach-for-popliteal-artery-aneurysm-repair
#17
REVIEW
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
https://www.readbyqxmd.com/read/27427342/an-aneurysmal-degeneration-of-venous-bypass-for-popliteal-artery-entrapment-syndrome
#18
Mohamed B Bensaid, Elhadj Ouldsalek, Pierre E Cheysson, Kamel Kechabtia, Boris Feito, Jean-Michel 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.
October 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27238986/tibioperoneal-trunk-aneurysm-resulting-in-compartment-syndrome-with-associated-aneurysms-of-the-popliteal-and-dorsalis-pedis-arteries
#19
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
https://www.readbyqxmd.com/read/27216869/patients-with-abdominal-aortic-aneurysm-have-a-high-prevalence-of-popliteal-artery-aneurysms
#20
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
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