[Value of the posterior route in the surgical treatment of popliteal aneurysm]

Massimo Massetti, G Babatasi, A Rossi, N Kapadia, D Maiza, A Khayat, C. Evrard

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

The authors report about 4 cases of surgical treatment of popliteal aneurysms through a strictly posterior approach. In all cases, the aneurysm was asymptomatic and diagnosed during the assessment of a controlateral symptomatic popliteal aneurysm that was treated in a conventional manner (exclusion and interposition of a femoropopliteal prosthetic tube through a medial approach). The procedure is carried out with the patient in ventral decubitus, and it consists in a debridement and graft with direct anatomical interposition of a straight PTFE tube. The posterior approach has limitations as it does not allow craniad extension and applies only to sacciform or short fusiform aneurysms the upper pole of which does not extend beyond Hunter's canal. The graft was an 8-mm PTFE straight tube in all 4 cases. All patients had a dynamic bilateral control angiography made and none of them presented with symptoms. Three conventional restorations required later embolectomy for thrombosis of the prosthesis. In our opinion, the use of the posterior approach for the surgery of popliteal aneurysm is appealing-provided strict criteria (aneurysm size, scheduled surgery, prosthesis) are complied with--as it reduces morbidity, restores the anatomical course and allows reducing the rate of postoperative thrombosis, thus ensuring better long-term patency.
Titolo tradotto del contributo[Autom. eng. transl.] [Value of the posterior route in the surgical treatment of popliteal aneurysm]
Lingua originaleFrench
pagine (da-a)433-436
Numero di pagine4
RivistaJournal de Chirurgie
Volume130
Stato di pubblicazionePubblicato - 1993

Keywords

  • Aneurysm
  • Angiography
  • Blood Vessel Prosthesis
  • Humans
  • Popliteal Vein

Fingerprint

Entra nei temi di ricerca di '[Value of the posterior route in the surgical treatment of popliteal aneurysm]'. Insieme formano una fingerprint unica.

Cita questo