Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 850-856, April 2010

A retrospective multicenter study of endovascular treatment of popliteal artery aneurysm

  • Dominique Midy, PhD, MD

      Affiliations

    • Department of Vascular Surgery, University Hospital Bordeaux, Bordeaux, France
    • Corresponding Author InformationReprint requests: Dominique Midy, University Hospital of Bordeaux, Vascular Surgery, Hopital du Tripode, 33076 Bordeaux, France
    • ,
  • Xavier Berard, MD

      Affiliations

    • Department of Vascular Surgery, University Hospital Bordeaux, Bordeaux, France
    • ,
  • Michel Ferdani, MD

      Affiliations

    • Department of Cardio-Vascular Surgery, St. Joseph Hospital, Marseille, France
    • ,
  • Pierre Alric, PhD, MD

      Affiliations

    • Department of Vascular Surgery, University Hospital Montpellier, Montpellier, France
    • ,
  • Vincenzo Brizzi, MD

      Affiliations

    • Department of Vascular Surgery, University Hospital Bordeaux, Bordeaux, France
    • ,
  • Eric Ducasse, PhD, MD

      Affiliations

    • Department of Vascular Surgery, University Hospital Bordeaux, Bordeaux, France
    • ,
  • Gerard Sassoust, MD

      Affiliations

    • Department of Vascular Surgery, University Hospital Bordeaux, Bordeaux, France
    • ,
  • AURC French University Association for Vascular Surgery

Received 16 August 2009; accepted 16 October 2009. published online 08 February 2010.

Purpose

To evaluate the feasibility of endovascular exclusion of popliteal artery aneurysm (PAA) using stent grafts.

Methods

The clinical data of all patients who underwent endovascular exclusion of PAA at three French vascular departments between December 1999 and December 2007 were retrospectively analyzed. Outcome measures included graft patency and endoleak. The Kaplan-Meier method was used to calculate the primary and secondary patency curves.

Results

A total of 57 PAA in 50 patients (48 men; mean age, 72 ± 11 years; range, 57-96 years) were treated. The type of stent graft used was Hemobahn/Viabahn in 42 (73.7%) cases, Wallgraft in 14 (24.5%) and Passager in one. The mean duration of hospitalization was 5 ± 1.8 days (range, 3-11 days). No patients were lost from follow up (mean, 36 ± 19.4 months; range, 6-96 months). Nine (16%) occlusions and six (10.5%) endoleaks occurred. The global limb salvage rate was 96.5% (55 of 57 PAA). Kaplan-Meier estimates for primary and secondary patency were 85.8% and 87.5% at one year and 82.3% and 87.5% at three years.

Conclusions

Endovascular treatment of PAA is feasible in selected patients. The main determinants of success are suitable aneurysm anatomy and dual antiplatelet postoperative therapy. Further studies are warranted to determine long-term outcomes of endovascular repair for PAA.

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 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02255-1

doi:10.1016/j.jvs.2009.10.107

Journal of Vascular Surgery
Volume 51, Issue 4 , Pages 850-856, April 2010

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