The Authors describe their experience concerning the surgical treatment of aneurysmatic pathology of the popliteal artery. This is the most frequent site for aneurysm after aortic aneurysm. Since 1979, 18 patients, 14 men and 4 women (mean age 65 years), have been treated at the Institute of Clinical Surgery of the University of Ferrara for a total of 26 popliteal aneurysms. Eight patients had more than one aneurysm. Before the operation, all patients underwent DSA, 22 were examined using Doppler or echo-Doppler analysis, 7 with CAT and 4 with RMN. Eighteen substitutions, 7 by-passes and 1 ligation were performed. Ten of the 18 substitutions were made by reversed saphenous vein, 5 by PTFEe, and 3 by Dacron. In 4 cases it was necessary to reimplant either the anterior tibial artery (3 cases) or the posterior tibial artery (1 case) separately. The results obtained were good especially in the post-trauma patients. Only two amputation were necessary due to graft obstruction immediately aft...
PATOLOGIA ANEURISMATICA DELL'ARTERIA POPLITEA
MASCOLI, Francesco;OCCHIONORELLI, Savino;ANANIA, Gabriele;
1990
Abstract
The Authors describe their experience concerning the surgical treatment of aneurysmatic pathology of the popliteal artery. This is the most frequent site for aneurysm after aortic aneurysm. Since 1979, 18 patients, 14 men and 4 women (mean age 65 years), have been treated at the Institute of Clinical Surgery of the University of Ferrara for a total of 26 popliteal aneurysms. Eight patients had more than one aneurysm. Before the operation, all patients underwent DSA, 22 were examined using Doppler or echo-Doppler analysis, 7 with CAT and 4 with RMN. Eighteen substitutions, 7 by-passes and 1 ligation were performed. Ten of the 18 substitutions were made by reversed saphenous vein, 5 by PTFEe, and 3 by Dacron. In 4 cases it was necessary to reimplant either the anterior tibial artery (3 cases) or the posterior tibial artery (1 case) separately. The results obtained were good especially in the post-trauma patients. Only two amputation were necessary due to graft obstruction immediately aft...I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
