Int J Angiol 2019; 28(01): 005-010
DOI: 10.1055/s-0038-1676792
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Asymptomatic Popliteal Artery Aneurysms

Tanner I. Kim
1   Division of Vascular Surgery, Department of General Surgery, Yale University, New Haven, Connecticut
,
Bauer E. Sumpio
1   Division of Vascular Surgery, Department of General Surgery, Yale University, New Haven, Connecticut
› Author Affiliations
Further Information

Publication History

Publication Date:
02 January 2019 (online)

Abstract

Popliteal artery aneurysms (PAAs) are the most common peripheral artery aneurysms. They are frequently symptomatic and are associated with high rates of morbidity and limb loss. PAA can be treated by open or endovascular means, although there are no specified recommendations guiding treatment choice. This article delineates many of the differences between open and endovascular repair of asymptomatic PAA, and highlights several key articles comparing open and endovascular repair to guide decision making. Proper diagnosis and choice of repair can lead to good outcomes in the treatment of asymptomatic PAA.

 
  • References

  • 1 Dawson I, Sie RB, van Bockel JH. Atherosclerotic popliteal aneurysm. Br J Surg 1997; 84 (03) 293-299
  • 2 Lawrence PF, Lorenzo-Rivero S, Lyon JL. The incidence of iliac, femoral, and popliteal artery aneurysms in hospitalized patients. J Vasc Surg 1995; 22 (04) 409-415 , discussion 415–416
  • 3 Diwan A, Sarkar R, Stanley JC, Zelenock GB, Wakefield TW. Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms. J Vasc Surg 2000; 31 (05) 863-869
  • 4 Shortell CK, DeWeese JA, Ouriel K, Green RM. Popliteal artery aneurysms: a 25-year surgical experience. J Vasc Surg 1991; 14 (06) 771-776 , discussion 776–779
  • 5 Carpenter JP, Barker CF, Roberts B, Berkowitz HD, Lusk EJ, Perloff LJ. Popliteal artery aneurysms: current management and outcome. J Vasc Surg 1994; 19 (01) 65-72 , discussion 72–73
  • 6 Szilagyi DE, Schwartz RL, Reddy DJ. Popliteal arterial aneurysms. Their natural history and management. Arch Surg 1981; 116 (05) 724-728
  • 7 Dorigo W, Pulli R, Turini F. , et al. Acute leg ischaemia from thrombosed popliteal artery aneurysms: role of preoperative thrombolysis. Eur J Vasc Endovasc Surg 2002; 23 (03) 251-254
  • 8 Reilly MK, Abbott WM, Darling RC. Aggressive surgical management of popliteal artery aneurysms. Am J Surg 1983; 145 (04) 498-502
  • 9 Mahmood A, Salaman R, Sintler M, Smith SR, Simms MH, Vohra RK. Surgery of popliteal artery aneurysms: a 12-year experience. J Vasc Surg 2003; 37 (03) 586-593
  • 10 Bouhoutsos J, Martin P. Popliteal aneurysm: a review of 116 cases. Br J Surg 1974; 61 (06) 469-475
  • 11 Illig KA, Eagleton MJ, Shortell CK, Ouriel K, DeWeese JA, Green RM. Ruptured popliteal artery aneurysm. J Vasc Surg 1998; 27 (04) 783-787
  • 12 Sie RB, Dawson I, van Baalen JM, Schultze Kool LJ, van Bockel JH. Ruptured popliteal artery aneurysm. An insidious complication. Eur J Vasc Endovasc Surg 1997; 13 (05) 432-438
  • 13 Dawson I, van Bockel JH, Brand R, Terpstra JL. Popliteal artery aneurysms. Long-term follow-up of aneurysmal disease and results of surgical treatment. J Vasc Surg 1991; 13 (03) 398-407
  • 14 Gifford Jr RW, Hines Jr EA, Janes JM. An analysis and follow-up study of one hundred popliteal aneurysms. Surgery 1953; 33 (02) 284-293
  • 15 Galiñanes EL, Dombrovskiy VY, Graham AM, Vogel TR. Endovascular versus open repair of popliteal artery aneurysms: outcomes in the US Medicare population. Vasc Endovascular Surg 2013; 47 (04) 267-273
  • 16 Goodney PP, Beck AW, Nagle J, Welch HG, Zwolak RM. National trends in lower extremity bypass surgery, endovascular interventions, and major amputations. J Vasc Surg 2009; 50 (01) 54-60
  • 17 Galland RB. History of the management of popliteal artery aneurysms. Eur J Vasc Endovasc Surg 2008; 35 (04) 466-472
  • 18 Edwards WS. Exclusion and saphenous vein bypass of popliteal aneurysms. Surg Gynecol Obstet 1969; 128 (04) 829-830
  • 19 Ebaugh JL, Morasch MD, Matsumura JS, Eskandari MK, Meadows WS, Pearce WH. Fate of excluded popliteal artery aneurysms. J Vasc Surg 2003; 37 (05) 954-959
  • 20 Ravn H, Wanhainen A, Björck M. ; Swedish Vascular Registry (Swedvasc). Surgical technique and long-term results after popliteal artery aneurysm repair: results from 717 legs. J Vasc Surg 2007; 46 (02) 236-243
  • 21 Pulli R, Dorigo W, Troisi N. , et al. Surgical management of popliteal artery aneurysms: which factors affect outcomes?. J Vasc Surg 2006; 43 (03) 481-487
  • 22 Martelli E, Ippoliti A, Ventoruzzo G, De Vivo G, Ascoli Marchetti A, Pistolese GR. Popliteal artery aneurysms. Factors associated with thromboembolism and graft failure. Int Angiol 2004; 23 (01) 54-65
  • 23 Kropman RHJ, van Santvoort HC, Teijink J. , et al. The medial versus the posterior approach in the repair of popliteal artery aneurysms: a multicenter case-matched study. J Vasc Surg 2007; 46 (01) 24-30
  • 24 Dorweiler B, Gemechu A, Doemland M, Neufang A, Espinola-Klein C, Vahl CF. Durability of open popliteal artery aneurysm repair. J Vasc Surg 2014; 60 (04) 951-957
  • 25 Huang Y, Gloviczki P, Noel AA. , et al. Early complications and long-term outcome after open surgical treatment of popliteal artery aneurysms: is exclusion with saphenous vein bypass still the gold standard?. J Vasc Surg 2007; 45 (04) 706-713 , discussion 713–715
  • 26 Serrano Hernando FJ, Martínez López I, Hernández Mateo MM. , et al. Comparison of popliteal artery aneurysm therapies. J Vasc Surg 2015; 61 (03) 655-661
  • 27 Aulivola B, Hamdan AD, Hile CN. , et al. Popliteal artery aneurysms: a comparison of outcomes in elective versus emergent repair. J Vasc Surg 2004; 39 (06) 1171-1177
  • 28 Borowicz MR, Robison JG, Elliott BM, Brothers TE, Robinson CK. Occlusive disease associated with popliteal aneurysms: impact on long term graft patency. J Cardiovasc Surg (Torino) 1998; 39 (02) 137-140
  • 29 Johnson III ON, Slidell MB, Macsata RA, Faler BJ, Amdur RL, Sidawy AN. Outcomes of surgical management for popliteal artery aneurysms: an analysis of 583 cases. J Vasc Surg 2008; 48 (04) 845-851
  • 30 Bandyk DF. Vascular surgical site infection: risk factors and preventive measures. Semin Vasc Surg 2008; 21 (03) 119-123
  • 31 Moore RD, Hill AB. Open versus endovascular repair of popliteal artery aneurysms. J Vasc Surg 2010; 51 (01) 271-276
  • 32 Marin ML, Veith FJ, Panetta TF. , et al. Transfemoral endoluminal stented graft repair of a popliteal artery aneurysm. J Vasc Surg 1994; 19 (04) 754-757
  • 33 Patel SR, Hughes CO, Jones KG. , et al. A systematic review and meta-analysis of endovascular popliteal aneurysm repair using the Hemobahn/Viabahn stent-graft. J Endovasc Ther 2015; 22 (03) 330-337
  • 34 Ganguli S, Hammonds T, Nfor T. , et al. Use of Viabahn endograft for repair of popliteal artery aneurysm: largest single center experience. J Am Coll Cardiol 2017; 69 (11, Supplement): 1003
  • 35 Garg K, Rockman CB, Kim BJ. , et al. Outcome of endovascular repair of popliteal artery aneurysm using the Viabahn Endoprosthesis. J Vasc Surg 2012; 55 (06) 1647-1653
  • 36 Maraglino C, Canu G, Ambrosi R. , et al. Endovascular treatment of popliteal artery aneurysms: a word of caution after long-term follow-up. Ann Vasc Surg 2017; 41: 62-68
  • 37 Curi MA, Geraghty PJ, Merino OA. , et al. Mid-term outcomes of endovascular popliteal artery aneurysm repair. J Vasc Surg 2007; 45 (03) 505-510
  • 38 Tielliu IFJ, Zeebregts CJ, Vourliotakis G. , et al. Stent fractures in the Hemobahn/Viabahn stent graft after endovascular popliteal aneurysm repair. J Vasc Surg 2010; 51 (06) 1413-1418
  • 39 Eslami MH, Rybin D, Doros G, Farber A. Open repair of asymptomatic popliteal artery aneurysm is associated with better outcomes than endovascular repair. J Vasc Surg 2015; 61 (03) 663-669
  • 40 Shahin Y, Barakat H, Shrivastava V. Endovascular versus open repair of asymptomatic popliteal artery aneurysms: a systematic review and meta-analysis. J Vasc Interv Radiol 2016; 27 (05) 715-722
  • 41 Leake AE, Segal MA, Chaer RA. , et al. Meta-analysis of open and endovascular repair of popliteal artery aneurysms. J Vasc Surg 2017; 65 (01) 246-256.e2
  • 42 von Stumm M, Teufelsbauer H, Reichenspurner H, Debus ES. Two decades of endovascular repair of popliteal artery aneurysm--a meta-analysis. Eur J Vasc Endovasc Surg 2015; 50 (03) 351-359
  • 43 Huang C-C, Chen Y-H, Lin M-S. , et al. Association of the recovery of objective abnormal cerebral perfusion with neurocognitive improvement after carotid revascularization. J Am Coll Cardiol 2013; 61 (25) 2503-2509
  • 44 Hogendoorn W, Schlösser FJV, Moll FL, Muhs BE, Hunink MG, Sumpio BE. Decision analysis model of open repair versus endovascular treatment in patients with asymptomatic popliteal artery aneurysms. J Vasc Surg 2014; 59 (03) 651-662
  • 45 Antonello M, Frigatti P, Battocchio P. , et al. Open repair versus endovascular treatment for asymptomatic popliteal artery aneurysm: results of a prospective randomized study. J Vasc Surg 2005; 42 (02) 185-193
  • 46 Eslami MH, Doros G, Goodney PP. , et al. Using vascular quality initiative as a platform for organizing multicenter, prospective, randomized clinical trials: OVERPAR trial. Ann Vasc Surg 2015; 29 (02) 278-285