Popliteal aneurysms: controversies in their management.
Popliteal artery aneurysms (PAs) occur in older men with significant comorbidity and limited life expectancy. This needs to be remembered when planning elective operation for asymptomatic aneurysms. In the absence of significant distortion PAs <3 cm in diameter can be managed by sequential ultrasound scanning. Their rate of thrombosis is no worse than that of grafts after elective bypass. Intra-arterial thrombolysis for acute thrombosis should be restricted to intra-operative usage to clear run off.
Galland
R B
RB
Department of Surgery, Royal Berkshire Hospital, London Road, Reading RG1 5AN, London, UK. Robert.Galland@rbbh-tr.nhs.uk
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D018570:Risk Assessment; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*