Treatment of popliteal aneurysms by femoral artery transposition: long-term evaluation.
A multicentric retrospective study was carried out on 29 operations (28 patients) to evaluate the long-term results of the treatment of popliteal artery aneurysms by transposition of the superficial femoral artery (SFA). This treatment consisted in proximal and distal ligation and bypass grafting or endoaneurysmorrhaphy followed by reconstruction of the popliteal artery. This surgery was always performed when the homolateral SFA could be used. After surgery, every patient was prescribed a long-term antiplatelet treatment. Mean follow-up was 39.2+/-28 months. Actuarial primary patency was 100% at 1 year and 92% at 3 years. No patients presented with either aneurysmal evolution of arterial graft or septic complication of prosthetic bypass. SFA can be used to treat isolated popliteal aneurysms with satisfying long-term results. This technique is an alternative to the use of autologous saphenous vein.
Lemonnier
Thomas
T
Service de Chirurgie Vasculaire, CHU Edouard Herriot, Lyon, France. thomas.lemonnier@chu-lyon.fr
Feugier
Patrick
P
Ricco
Jean-Baptiste
JB
de Ravignan
David
D
Chevalier
Jean-Michel
JM
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005602:France; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency
D010975:Platelet Aggregation Inhibitors