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Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: a Vascunet Report

2020Journal article Open access
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dc.contributor.authorGrip, O
dc.contributor.authorMani, K
dc.contributor.authorAltreuther, M
dc.contributor.authorBastos Gonçalves, F
dc.contributor.authorBeiles, B
dc.contributor.authorCassar, K
dc.contributor.authorDavidovic, L
dc.contributor.authorEldrup, N
dc.contributor.authorLattmann, T
dc.contributor.authorLaxdal, E
dc.contributor.authorMenyhei, G
dc.contributor.authorSetacci, C
dc.contributor.authorSettembre, N
dc.contributor.authorThomson, I
dc.contributor.authorVenermo, M
dc.contributor.authorBjörck, M
dc.date.accessioned2024-01-19T16:13:41Z
dc.date.available2024-01-19T16:13:41Z
dc.date.issued2020
dc.description.abstractObjective: Popliteal artery aneurysm (PAA) is the second most common arterial aneurysm. Vascunet is an international collaboration of vascular registries. The aim was to study treatment and outcomes. Methods: This was a retrospective analysis of prospectively registered population based data. Fourteen countries contributed data (Australia, Denmark, Finland, France, Hungary, Iceland, Italy, Malta, New Zealand, Norway, Portugal, Serbia, Sweden, and Switzerland). Results: During 2012-2018, data from 10 764 PAA repairs were included. Mean values with between countries ranges in parenthesis are given. The incidence was 10.4 cases/million inhabitants/year (2.4-19.3). The mean age was 71.3 years (66.8-75.3). Most patients, 93.3%, were men and 40.0% were active smokers. The operations were elective in 73.2% (60.0%-85.7%). The mean pre-operative PAA diameter was 32.1 mm (27.3-38.3 mm). Open surgery dominated in both elective (79.5%) and acute (83.2%) cases. A medial surgical approach was used in 77.7%, and posterior in 22.3%. Vein grafts were used in 63.8%. Of the emergency procedures, 91% (n = 2 169, 20.2% of all) were for acute thrombosis and 9% for rupture (n = 236, 2.2% of all). Thrombosis patients had larger aneurysms, mean diameter 35.5 mm, and 46.3% were active smokers. Early amputation and death were higher after acute presentation than after elective surgery (5.0% vs. 0.7%; 1.9% vs. 0.5%). This pattern remained one year after surgery (8.5% vs. 1.0%; 6.1% vs. 1.4%). Elective open compared with endovascular surgery had similar one year amputation rates (1.2% vs. 0.2%; p = .095) but superior patency (84.0% vs. 78.4%; p = .005). Veins had higher patency and lower amputation rates, at one year compared with synthetic grafts (86.8% vs. 72.3%; 1.8% vs. 5.2%; both p < .001). The posterior open approach had a lower amputation rate (0.0% vs. 1.6%, p = .009) than the medial approach. Conclusion: Patients presenting with acute ischaemia had high risk of amputation. The frequent use of endovascular repair and prosthetic grafts should be reconsidered based on these results.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Vasc Endovasc Surg . 2020 Nov;60(5):721-729.pt_PT
dc.identifier.doi10.1016/j.ejvs.2020.07.005pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4794
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectHSM CIR VASCpt_PT
dc.subjectHumanspt_PT
dc.subjectAgedpt_PT
dc.subjectMalept_PT
dc.subjectFemalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectAcute Disease / epidemiologypt_PT
dc.subjectAcute Disease / therapypt_PT
dc.subjectAmputation, Surgical / statistics & numerical datapt_PT
dc.subjectAneurysm / complicationspt_PT
dc.subjectAneurysm / epidemiologypt_PT
dc.subjectAneurysm / pathologypt_PT
dc.subjectAneurysm / surgery*pt_PT
dc.subjectAustralia / epidemiologypt_PT
dc.subjectBrazil / epidemiologypt_PT
dc.subjectElective Surgical Procedures / adverse effectspt_PT
dc.subjectElective Surgical Procedures / methodspt_PT
dc.subjectElective Surgical Procedures / statistics & numerical datapt_PT
dc.subjectEndovascular Procedures / adverse effectspt_PT
dc.subjectEndovascular Procedures / methodspt_PT
dc.subjectEurope / epidemiologypt_PT
dc.subjectIncidencept_PT
dc.subjectGlobal Burden of Diseasept_PT
dc.subjectIschemia / epidemiologypt_PT
dc.subjectIschemia / etiologypt_PT
dc.subjectIschemia / surgery*pt_PT
dc.subjectLimb Salvage / adverse effectspt_PT
dc.subjectLimb Salvage / methodspt_PT
dc.subjectLimb Salvage / statistics & numerical data*pt_PT
dc.subjectNew Zealand / epidemiologypt_PT
dc.subjectPopliteal Artery / pathology*pt_PT
dc.subjectPopliteal Artery / surgerypt_PT
dc.subjectProspective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectRegistries / statistics & numerical datapt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectThrombosis / epidemiologypt_PT
dc.subjectThrombosis / etiologypt_PT
dc.subjectThrombosis / surgery*pt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectVascular Grafting / adverse effectspt_PT
dc.subjectVascular Grafting / methodspt_PT
dc.subjectVascular Grafting / statistics & numerical datapt_PT
dc.subjectVascular Patencypt_PT
dc.titleContemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: a Vascunet Reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage729pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage721pt_PT
oaire.citation.titleEuropean Journal of Vascular and Endovascular Surgerypt_PT
oaire.citation.volume60pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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