Aggressive surgical management of popliteal artery aneurysms

作者: M.Kathleen Reilly , William M. Abbott , R.Clement Darling

DOI: 10.1016/0002-9610(83)90047-8

关键词: Popliteal arteryRevascularizationAneurysmSurgeryClaudicationAsymptomaticRadiologyVeinThrombosisEmbolismMedicineGeneral Medicine

摘要: One hundred fifty-nine patients with 244 popliteal aneurysms underwent 167 reconstructive procedures. Patients were divided into those asymptomatic aneurysms, acute ischemia secondary to thrombosis or embolism, claudication chronic and local symptoms referable the aneurysm itself. who successful revascularization considered have good early results. had uniformly results (97.2 percent) as opposed presenting (70.7 (83.8 percent). Similar statistically significant differences seen when (71.7 embolism (81.3 compared patients. Analysis of late indicates that if an initial result was obtained, patency rate independent type presentation. Late affected by conduit employed where life table analysis showed superiority saphenous vein over Dacron prosthesis. At 5 year follow-up, 77.2 percent all veins patent whereas only 29.5 prostheses remained patent.

参考文章(8)
A C Toledo, T Inahara, Complications and treatment of popliteal aneurysms. Surgery. ,vol. 84, pp. 775- 783 ,(1978)
Daniel A. Mulvihill, Samuel C. Harvey, STUDIES ON COLLATERAL CIRCULATION. I. THERMIC CHANGES AFTER ARTERIAL LIGATION AND GANGLIONECTOMY Journal of Clinical Investigation. ,vol. 10, pp. 423- 429 ,(1931) , 10.1172/JCI100361
L. HENRY EDMUNDS, R. CLEMENT G, ROBERT R. LINTON, Surgical Management of Popliteal Aneurysms Circulation. ,vol. 32, pp. 517- 523 ,(1965) , 10.1161/01.CIR.32.4.517
Luis A. Queral, William R. Flinn, James S.T. Yao, John J. Bergan, Management of peripheral arterial aneurysms. Surgical Clinics of North America. ,vol. 59, pp. 693- 706 ,(1979) , 10.1016/S0039-6109(16)41889-X
Janes Jm, Gifford Rw, Hines Ea, An analysis and follow-up study of one hundred popliteal aneurysms. Surgery. ,vol. 33, pp. 284- ,(1953)
Penelope P. Scott, Roger C. Sanders, William W. Scott, B-scan ultrasound in the diagnosis of popliteal aneurysms. Surgery. ,vol. 81, pp. 436- 441 ,(1977)