Popliteal artery aneurysm treated with a minimally invasive endovascular approach: an initial report.
OBJECTIVE
To report a minimally invasive approach to popliteal artery aneurysm (PAA) treatment.


RESULTS
A 48-year-old male with a 3-cm PAA was treated electively with an endovascular in situ saphenous vein bypass and transluminal antegrade coil embolization of the PAA prior to completion of the proximal anastomosis. Two short incisions at the anastomosis sites resulted in no wound complications, and the patient was discharged after 2 days. After 14 months of follow-up, the patient is asymptomatic with continued patency of the in situ bypass and occlusion of the PAA.


CONCLUSIONS
This endovascular approach for minimally invasive femoropopliteal in situ saphenous vein bypass grafting appears feasible for treatment of PAAs. This method may reduce the rate of wound complications attending classic open in situ bypass grafts.
Rosenthal
D
D
Department of Vascular Surgery, Georgia Baptist Medical Center, Medical College of Georgia, Atlanta, USA.
Atkins
C P
CP
Shuler
F W
FW
Jerius
H S
HS
Clark
M D
MD
Matsuura
J H
JH
D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D004621:Embolization, Therapeutic; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation