Preoperative measurement of the intrathrombotic pressure of a thrombosed popliteal artery aneurysm for decision of surgical indication.
To evaluate the risk of rupture of a 77 mm thrombosed popliteal artery aneurysm (PAA) in an 82-year-old woman, the aneurysm was percutaneously punctured and the intrathrombotic pressure (ITP) was measured preoperatively. The percentage of the mean ITP to the mean brachial artery pressure was 80%. The aneurysm was judged to have the risk of rupture, and replacement with a prosthetic graft was performed. The percentages of the mean ITP to the mean radial artery pressure and to the mean femoral artery pressure measured intraoperatively were 83% and 71%, respectively, which approximated to the percentage measured preoperatively. PAA may have the risk of rupture even though thrombosed, and preoperative measurement of the ITP might be useful to decide surgical indication.
Takagi
H
H
First Department of Surgery, Gifu University School of Medicine, Gifu, Japan. kfgth973@ybb.ne.jp
Yoshikawa
S
S
Mizuno
Y
Y
Matsuno
Y
Y
Umeda
Y
Y
Fukumoto
Y
Y
Mori
Y
Y
D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000517:prevention & control; D001794:Blood Pressure / Q000502:physiology*; D001795:Blood Pressure Determination / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D011300:Preoperative Care / Q000379:methods*; D012307:Risk Factors; D013927:Thrombosis / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed