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Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449versão On-line ISSN 1677-7301

Resumo

THOMAZINHO, Fernando et al. Endovascular treatment of popliteal artery aneurysm. J. vasc. bras. [online]. 2008, vol.7, n.1, pp.38-43. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492008000100007.

BACKGROUND: The most commonly occurring aneurysms in the periphery are those involving the popliteal artery. They comprise 70-80% of all such aneurysms. Conventional aneurysm repair consists of either opening the aneurysm sac and interposing a bypass graft or aneurysm ligation combined with bypass grafting. Endovascular treatment is an alternative to conventional repair. OBJECTIVE: To evaluate use of stent graft in the endovascular treatment of popliteal artery aneurysms. METHODS: We analyzed 17 male patients; of these, 11 were treated with endovascular stent graft, using Hemobahn and Viabahn stent grafts. RESULTS: One patient had pseudoaneurysm in the immediate postoperative period. Among late complications, one patient had distal endoleak after 7 months, and there was stent graft occlusion in another patient. The remaining nine patients had satisfactory Doppler ultrasonography control at 20 months, which resulted in a primary patency of 90% over mean follow-up time of 27 months. CONCLUSION: Endovascular repair of a popliteal artery aneurysm is feasible and has some advantages compared with the open treatment, such as shorter hospital stay and recovery.

Palavras-chave : Peripheral aneurysms; popliteal artery aneurysm; endovascular treatment.

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