Surgical Treatment of Asymptomatic Popliteal Artery Aneurysms and Mid-term Outcome

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dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorAta, Emin Can
dc.contributor.authorDemir, Ibrahim
dc.contributor.authorOnalan, Mehmet Akif
dc.contributor.authorSayin, Omer Ali
dc.date.accessioned2024-09-18T20:54:23Z
dc.date.available2024-09-18T20:54:23Z
dc.date.issued2021
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPopliteal artery aneurysm (PAA) is a rare condition with an incidence ranging from 0.8 to 2.8%; however, it constitutes approximately 70-85% of all peripheral artery aneurysms. It is asymptomatic in the majority of cases but can cause pain and edema due to venous and neuronal compression. The most severe complication is limb lost due to thromboembolic event. Although surgical treatment left its place to endovascular treatment in the 1990s, surgical treatment still maintains its importance in preventing complications. Here, we aim to report our experience and results of the surgical management of popliteal aneurysms in this study. In this retrospective study, a total of 21 patients who were operated on due to popliteal artery aneurysm between October 2017 and January 2020 were analyzed. Patients with pseudoaneurysm and those who are infected and complicated were excluded from our study. The mean age was 63.3 +/- 9.6; females were 17 (81%). Mean follow-up was 19 +/- 8 months. More than two risk factors were found in 14 (66.7%) patients. Aneurysmectomy was performed successfully in all patients. Autologous saphenous vein graft was used in 11 (52.4%), whereas 6-mm polytetrafluoroethylene (PTFE) graft was preferred in 10 (47.6%) patients. During the follow-up period, limb loss rates were 16.7% and 83.3%, respectively. The difference was statistically significant (p < 0.05). No relation was found between the aneurysm diameter and postoperative graft occlusion. Limb loss rate was high in popliteal aneurysm repair using PTFE graft due to graft occlusion; saphenous vein graft is more superior in terms of mid-term graft patency.en_US
dc.identifier.doi10.1007/s12262-021-02747-9
dc.identifier.endpage1490en_US
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-85099917305en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage1486en_US
dc.identifier.urihttps://doi.org/10.1007/s12262-021-02747-9
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11780
dc.identifier.volume83en_US
dc.identifier.wosWOS:000609958300002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofIndian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPopliteal aneurysmen_US
dc.subjectAneurysmectomyen_US
dc.subjectSaphenous vein graften_US
dc.subjectPTFEen_US
dc.titleSurgical Treatment of Asymptomatic Popliteal Artery Aneurysms and Mid-term Outcomeen_US
dc.typeArticleen_US

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