Skip to main content

Popliteal Artery Aneurysm

  • Chapter
  • First Online:
Evidence-based Therapy in Vascular Surgery

Abstract

The guidelines do not recommend whether treatment of popliteal artery aneurysms (PAA) should be performed with open repair (OR) or endovascular repair (ER). Current evidence is limited. Nonetheless, there are no significant safety concerns against ER of PAA. ER can, in individual cases, be considered a useful alternative to OR. There is, however, no known advantage of ER in comparison to OR in terms of patency, mortality and cost effectiveness.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Anderson JL, Halperin JL, Albert NM, et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:1425–43.

    Article  PubMed  Google Scholar 

  • Björck M, Beiles B, Menyhei G, Thomson I, Wigger P, Venermo M, Laxdal E, Danielsson G, Lees T, TroĂ«ng T. Editor’s choice: contemporary treatment of popliteal artery aneurysm in eight countries: a report from the vascunet collaboration of registries. Eur J Vasc Endovasc Surg. 2014;47:164–71.

    Article  PubMed  Google Scholar 

  • Cervin A, Tjärnström J, Ravn H, Acosta S, Hultgren R, Welander M, Björck M. Treatment of popliteal aneurysm by open and endovascular surgery: a contemporary study of 592 procedures in Sweden. Eur J Vasc Endovasc Surg. 2015;50:342–50.

    Article  CAS  PubMed  Google Scholar 

  • Cina CS. Endovascular repair of popliteal aneurysms. J Vasc Surg. 2010;51:1056–60.

    Article  PubMed  Google Scholar 

  • Dorigo W, Pulli R, Alessi Innocenti A, Azas L, Fargion A, Chiti E, Matticari S, Pratesi C. A 33-year experience with surgical management of popliteal artery aneurysms. J Vasc Surg. 2015;62:1176–82.

    Article  PubMed  Google Scholar 

  • Dorweiler B, Gemechu A, Doemland M, Neufang A, Espinola-Klein C, Vahl CF. Durability of open popliteal artery aneurysm repair. J Vasc Surg. 2014;60:951–7.

    Article  PubMed  Google Scholar 

  • Eslami MH, Doros G, Goodney PP, Elderup-Jorgenson J, Cronenwett JL, Malikova M, Farber A. Using vascular quality initiative as a platform for organizing multicenter, prospective, randomized clinical trials: OVERPAR trial. Ann Vasc Surg. 2015a;29:278–85.

    Article  PubMed  Google Scholar 

  • Eslami MH, Rybin D, Doros G, Farber A. Open repair of asymptomatic popliteal artery aneurysm is associated with better outcomes than endovascular repair. J Vasc Surg. 2015b;61:663–9.

    Article  PubMed  Google Scholar 

  • Gabrielli R, Rosati MS, Carra A, Vitale S, Siani A. Outcome after preoperative or intraoperative use of intra-arterial urokinase thrombolysis for acute popliteal artery thrombosis and leg ischemia. Thorac Cardiovasc Surg. 2015;63:164–7.

    Article  PubMed  Google Scholar 

  • Galiñanes EL, Dombrovskiy VY, Graham AM, Vogel TR. Endovascular versus open repair of popliteal artery aneurysms: outcomes in the US Medicare population. Vasc Endovascular Surg. 2013;47:267–73.

    Article  PubMed  Google Scholar 

  • Golchehr B, Tielliu IF, Verhoeven EL, Möllenhoff C, Antonello M, Zeebregts CJ, Reijnen MM. Clinical outcome of Isolated popliteal artery aneurysms treated with a heparin-bonded stent graft. Eur J Vasc Endovasc Surg. 2016;52:99–104.

    Article  CAS  PubMed  Google Scholar 

  • Hogendoorn W, Schlösser FJ, Moll FL, Muhs BE, Hunink MG, Sumpio BE. Decision analysis model of open repair versus endovascular treatment in patients with asymptomatic popliteal artery aneurysms. J Vasc Surg. 2014;59:651–62.

    Article  PubMed  Google Scholar 

  • Huang Y, Gloviczki P, Oderich GS, Duncan AA, Kalra M, Fleming MD, Harmsen WS, Bower TC. Outcomes of endovascular and contemporary open surgical repairs of popliteal artery aneurysm. J Vasc Surg. 2014;60:631–8.

    Article  PubMed  Google Scholar 

  • Joshi D, James RL, Jones L. Endovascular versus open repair of asymptomatic popliteal artery aneurysm. Cochrane Database Syst Rev. 2014;(8): CD010149

    Google Scholar 

  • Kropman RH, Schrijver AM, Kelder JC, Moll FL, de Vries JP. Clinical outcome of acute leg ischaemia due to thrombosed popliteal artery aneurysm: systematic review of 895 cases. Eur J Vasc Endovasc Surg. 2010;39:452–7.

    Article  CAS  PubMed  Google Scholar 

  • Kropman RH, van Meurs A, Fioole B, Vos JA, van Santvoort HC, van Sambeek M, Moll FL, de Vries JP. Association of sex with long-term outcomes after popliteal artery aneurysm repair. Ann Vasc Surg. 2014;28:338–44.

    Article  PubMed  Google Scholar 

  • Kumar HR, Rodriguez HE, Eskandari MK. Mid-term outcomes of self-expanding covered stent grafts for repair of popliteal artery aneurysms. Surgery. 2015;157:874–80.

    Article  PubMed  Google Scholar 

  • Leake AE, Avgerinos ED, Chaer RA, Singh MJ, Makaroun MS, Marone LK. Contemporary outcomes of open and endovascular popliteal artery aneurysm repair. J Vasc Surg. 2016;63:70–6.

    Article  PubMed  Google Scholar 

  • Mazzaccaro D, Carmo M, Dallatana R, Settembrini AM, Barbetta I, Tassinari L, Roveri S, Settembrini PG. Comparison of posterior and medial approaches for popliteal artery aneurysms. J Vasc Surg. 2015;62:1512–20.

    Article  PubMed  Google Scholar 

  • Peeran S, DeMartino RR, Huang Y, Fleming M, Kalra M, Oderich GS, Duncan AA, Bower TC, Gloviczki P. Outcomes of women treated for popliteal artery aneurysms. Ann Vasc Surg. 2016;34:187–92.

    Article  PubMed  Google Scholar 

  • Piazza M, Menegolo M, Ferrari A, Bonvini S, Ricotta JJ, Frigatti P, Grego F, Antonello M. Long-term outcomes and sac volume shrinkage after endovascular popliteal artery aneurysm repair. Eur J Vasc Endovasc Surg. 2014;48:161–8.

    Article  CAS  PubMed  Google Scholar 

  • Piazza M, Squizzato F, Zavatta M, Menegolo M, Ricotta 2nd JJ, Lepidi S, Grego F, Antonello M. Outcomes of endovascular aneurysm repair with contemporary volume-dependent sac embolization in patients at risk for type II endoleak. J Vasc Surg. 2016;63:32–8.

    Article  PubMed  Google Scholar 

  • Pulli R, Dorigo W, Castelli P, Dorrucci V, Ferilli F, De Blasis G, Monaca V, Vecchiati E, Benincasa A, Pratesi C. A multicentric experience with open surgical repair and endovascular exclusion of popliteal artery aneurysms. Eur J Vasc Endovasc Surg. 2013;45:357–63.

    Article  CAS  PubMed  Google Scholar 

  • Saunders JH, Abisi S, Altaf N, Yong Y, MacSweeney ST, Whittaker S, Habib S. Long-term outcome of endovascular repair of popliteal artery aneurysm presents a credible alternative to open surgery. Cardiovasc Intervent Radiol. 2014;37:914–9.

    Article  PubMed  Google Scholar 

  • Serrano Hernando FJ, MartĂ­nez LĂłpez I, Hernández Mateo MM, et al. Comparison of popliteal artery aneurysm therapies. J Vasc Surg. 2015;61:655–61.

    Article  PubMed  Google Scholar 

  • Speziale F, Sirignano P, Menna D, Capoccia L, Mansour W, Serrao E, Ronchey S, Alberti V, Esposito A, Mangialardi N. Ten years’ experience in endovascular repair of popliteal artery aneurysm using the Viabahn endoprosthesis: a report from two Italian vascular centers. Ann Vasc Surg. 2015;29:941–9.

    Article  PubMed  Google Scholar 

  • Stone PA, Jagannath P, Thompson SN, Campbell JE, Mousa AY, Knackstedt K, Hass SM, Aburahma AF. Evolving treatment of popliteal artery aneurysms. J Vasc Surg. 2013;57:1306–10.

    Article  PubMed  Google Scholar 

  • von Stumm M, Teufelsbauer H, Reichenspurner H, Debus ES. Two decades of endovascular repair of popliteal artery aneurysm – a meta-analysis. Eur J Vasc Endovasc Surg. 2015;50:351–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Debus, E.S., Grundmann, R.T. (2017). Popliteal Artery Aneurysm. In: Evidence-based Therapy in Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-47148-8_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-47148-8_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47147-1

  • Online ISBN: 978-3-319-47148-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics