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- W2010052905 abstract "We compared outcomes of open vs endovascular treatment of popliteal artery aneurysms (PAA). A retrospective chart review was performed on patients treated for PAA from 1998 to 2009. A total of 53 limbs (29 open, 24 endovascular) in 45 patients were identified with PAA. The majority were asymptomatic, however 30.2% (10/29 open, 6/24 endovascular) were symptomatic. All open repairs used autologous greater saphenous vein or prosthetic graft, while endovascular repairs utilized the Viabahn endoprosthesis (W. L. Gore & Associates, Inc, Flagstaff, Ariz). Graft patency was determined based either on diagnostic imaging or presence of pedal pulses. Patients in both groups were maintained on antiplatelet/anticoagulation postoperatively. Kaplan-Meier survival curve was used to evaluate primary & secondary patency rates. Technical success, primary & secondary patency, and limb salvage were comparable in both groups. Four patients (4 limbs) were lost to follow-up (2 open, 2 endovascular). (Table 1) Symptomatic PAA did not correlate with graft failure in both groups. Length of stay was significantly shorter in the endovascular group.Table 1Open SurgeryEndovascularP valueAge (years)71 ± 1174 ± 9NSMean Diameter (cm)2.88 ± 1.392.99 ± 1.02NSSymptomatic34.5% (10/29)25% (6/24)NSLocal Anesthesia0% (0/29)41.7% (10/24)<0.001Technical Success100% (29/29)95% (23/24)NSPrimary patency rate77.8% (21/27)90.9% (20/22)NSSecondary patency rate92.6% (25/27)95.5% (21/22)NSSymptomatic and graft failure30% (3/10)17% (1/6)NSLimb Salvage96.3% (26/27)100% (22/22)NSMean Follow-up (months)43.3 ± 32.7 (9-120)12.4 ± 12.5 (1-38)<0.001Length of stay (days)5.96 ± 5.052.1 ± 1.79<0.001 Open table in a new tab Endovascular treatment of PAA has comparable limb salvage & patency rates to open surgery in early follow-up. Endovascular repair provided a shorter length of stay, as well as the opportunity for local anesthesia, however longer follow-up is needed." @default.
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- W2010052905 date "2010-06-01" @default.
- W2010052905 modified "2023-10-17" @default.
- W2010052905 title "PS152. Comparison of Endovascular and Open Popliteal Artery Aneurysm Repair" @default.
- W2010052905 doi "https://doi.org/10.1016/j.jvs.2010.02.162" @default.
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