Popliteal Artery Aneurysm with Acute ischemia in 229 Patients: Outcome after Thrombolytic and Surgical Therapy
2007 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 33, no 6, 690-695 p.Article in journal (Refereed) Published
Objectives: The aim of this study was to assess the national management and outcome of popliteal artery aneurysm (PAA). Methods: In the Swedish National Registry 717 primary operations for PAA on 571 patients were registered prospectively between 1987 and 2002. 235 patients presented with acute ischemia. Results: Median age was 70 for men and 75 for women. Immediate surgery was performed in 135 legs, including intraoperative thrombolysis in 32 cases (Immediate Surgery Group, ISG). Pre-operative thrombolysis was performed in 100 legs, followed by acute (≤24 hours, 41 legs) or elective (59 legs) surgery (Delayed Surgery Group, DSG). DSG had smaller PAA (27 versus 37 mm, p < 0.0001) and were younger (67 versus 72 years, p < 0.001). Run-off was worse in DSG than in ISG (p < 0.001) and improved in 87% after thrombolysis. Amputation-rate was 27% in the ISG and 7% in the DSG, P < 0.0001. The ISG required fasciotomy in 30% compared to 11% of the DSG, p = 0.0001. Conclusion: Patients in the ISG and DSG differed in their pre-operative characteristics and were selected to the treatment modalities in a complex manner. Preoperative thrombolysis improves run-off.
Place, publisher, year, edition, pages
2007. Vol. 33, no 6, 690-695 p.
Popliteal artery aneurysm, Thrombosis, Acute ischemia, Thrombolytic therapy, Surgery
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-96055DOI: 10.1016/j.ejvs.2006.11.040ISI: 000247217500011PubMedID: 17275362OAI: oai:DiVA.org:uu-96055DiVA: diva2:170501