[Surgical treatment of symptomatic aneurysm of popliteal artery].
The results of treatment of 17 patients, suffering symptomatic aneurysm of popliteal artery (APA) were analyzed. According to angiographic data, the APA thrombosis was revealed in 6 patients, and according to ultrasonographic Doppler scanning data the APA rupture with hematoma in adjacent tissues was diagnosed in 5 patients. The tactics of treatment was established in accordance with the distal blood flow character: the conservative therapy was conducted in the presence of APA up to 40 mm in diameter in condition of the artery passability preservation and poor distal blood flow--in 6 observation operative treatment was conducted in the presence of satisfactory distal blood flow--in 4, according to urgent indications due to critical ischemia--in 2, and for the aneurysm rupture--in 5. Operative treatment of symptomatic APA showed ineffective in presence of thrombotic complications in 23.1% patients. In conservative and surgical treatment of APA, complicated by an acute thrombosis, the poor results (the lower extremity amputation) were noted in 33.3% patients.
Hupalo
Iu M
IuM
Shved
O Ie
OIe
Pavliuchyk
A V
AV
Didenko
S M
SM
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D000792:Angiography; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012039:Regional Blood Flow / Q000502:physiology; D012422:Rupture, Spontaneous; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
D000925:Anticoagulants; D005343:Fibrinolytic Agents