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Emergency intervention for thrombosed popliteal artery aneurysm: can the limb be salvaged?

Ohrlander, T; Holst, Jan LU and Malina, Martin LU (2007) In Journal of Cardiovascular Surgery 48(3). p.289-297
Abstract
We present a review and our own experience of the demographic aspects of popliteal artery aneurysms (PAAs), their clinical presentation, the treatment alternatives and associated outcome. The incidence of PAAs varies between 0,1-1%. 95% of the patients are male. 50% are asymptomatic at the time of diagnosis. Annually, 5-24% of PAAs develop symptoms. The clinical presentation varies widely with an amputation rate of up to 78% in acute ischemic cases. The main indication for PAA repair is prevention of embolisation but acute revascularisation is the primary task in die emergency setting. Open surgery and endovascular techniques are described and can be combined with intraarterial thrombolysis as pre- or intraoperative treatment. The... (More)
We present a review and our own experience of the demographic aspects of popliteal artery aneurysms (PAAs), their clinical presentation, the treatment alternatives and associated outcome. The incidence of PAAs varies between 0,1-1%. 95% of the patients are male. 50% are asymptomatic at the time of diagnosis. Annually, 5-24% of PAAs develop symptoms. The clinical presentation varies widely with an amputation rate of up to 78% in acute ischemic cases. The main indication for PAA repair is prevention of embolisation but acute revascularisation is the primary task in die emergency setting. Open surgery and endovascular techniques are described and can be combined with intraarterial thrombolysis as pre- or intraoperative treatment. The literature proves often inconclusive due to small numbers of heterogenous cases. Each case, therefore, needs to be assessed individually and offered the most suitable treatment. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
popliteal artery, ischemia, limb, endovascular surgical procedures
in
Journal of Cardiovascular Surgery
volume
48
issue
3
pages
289 - 297
publisher
Edizioni Minerva Medica
external identifiers
  • wos:000248287400005
  • scopus:34447526192
ISSN
0021-9509
language
English
LU publication?
yes
id
c2852dd5-3662-45ac-b417-c7fd36fa7b71 (old id 168276)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17505432&dopt=Abstract
date added to LUP
2007-07-27 14:03:24
date last changed
2017-01-01 06:37:00
@article{c2852dd5-3662-45ac-b417-c7fd36fa7b71,
  abstract     = {We present a review and our own experience of the demographic aspects of popliteal artery aneurysms (PAAs), their clinical presentation, the treatment alternatives and associated outcome. The incidence of PAAs varies between 0,1-1%. 95% of the patients are male. 50% are asymptomatic at the time of diagnosis. Annually, 5-24% of PAAs develop symptoms. The clinical presentation varies widely with an amputation rate of up to 78% in acute ischemic cases. The main indication for PAA repair is prevention of embolisation but acute revascularisation is the primary task in die emergency setting. Open surgery and endovascular techniques are described and can be combined with intraarterial thrombolysis as pre- or intraoperative treatment. The literature proves often inconclusive due to small numbers of heterogenous cases. Each case, therefore, needs to be assessed individually and offered the most suitable treatment.},
  author       = {Ohrlander, T and Holst, Jan and Malina, Martin},
  issn         = {0021-9509},
  keyword      = {popliteal artery,ischemia,limb,endovascular surgical procedures},
  language     = {eng},
  number       = {3},
  pages        = {289--297},
  publisher    = {Edizioni Minerva Medica},
  series       = {Journal of Cardiovascular Surgery},
  title        = {Emergency intervention for thrombosed popliteal artery aneurysm: can the limb be salvaged?},
  volume       = {48},
  year         = {2007},
}