[Management of patients with popliteal aneurysms].
The aneurysms of the popliteal artery constitute 75% of all aneurysms of peripheral arteries. All operatively treated patients were divided into two groups. The first group comprised 53 patients with symptomatic aneurysms. The second group consisted of 19 patients with asymptomatic, electively treated aneurysms detected in most cases accidentally, during medical examination. The operative treatment consisted of the ligation or removal of the aneurysm and the reconstruction of the blood flow via shunting graft. After the operation low molecular weight heparin in the dose of 4000 units IC anti-Xa was administered and given to the patients once daily in the period of 4 to 7 days. No oral anticoagulants were applied. Antibiotics (mostly cephalosporins of the second generation) were administered preventively in the perioperative period. The results of the treatment were assessed in the period of one month from the operation, according to three-grade scale. Best results were obtained in the patients constituting the second group. The largest number of amputations on the level of upper and lower leg was carried out in the first group of patients. Obtained data allowed to state that recognition of the aneurysm of popliteal artery was in all cases an indication to an operative treatment. Better results were observed when the operation was conducted electively and when the patient's own vein was used to reconstruct the blood flow.
Z Katedry i Kliniki Chirurgii Naczyń Akademii Medycznej w Lublinie. niedziela@hipokrates.am.lublin.pl
Piotr
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Niedziela
D000368:Aged; D000671:Amputation, Surgical / Q000379:methods; D000783:Aneurysm / Q000188:drug therapy* / Q000503:physiopathology / Q000601:surgery*; D019072:Antibiotic Prophylaxis; D000925:Anticoagulants / Q000627:therapeutic use*; D001807:Blood Vessel Prosthesis; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000473:pathology / Q000601:surgery; D012039:Regional Blood Flow; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
D000925:Anticoagulants; D005343:Fibrinolytic Agents; D006495:Heparin, Low-Molecular-Weight