Department of Medical-Surgical Critical Area, Unit of Vascular Surgery, University of Florence, Viale Morgagni 85, 50134 Florence, Italy.
Eur J Vasc Endovasc Surg. 2010 Nov;40(5):645-8. doi: 10.1016/j.ejvs.2010.07.019. Epub 2010 Aug 23.
Popliteal artery aneurysms (PAAs) represent the most common peripheral arterial aneurysm and are a significant cause of patient morbidity and limb loss. Complications of PAA include distal embolisation, thrombosis and, rarely, rupture. Whereas open surgical repair remains the gold standard, endovascular exclusion has been demonstrated to be a valid alternative in selected patients. We present an unusual case of ruptured PAA associated with popliteal vein arteriovenous fistula that was successfully treated with an endovascular approach. In our opinion, higher-risk patients as well as patients presenting with rupture may constitute a subgroup warranting an endovascular approach whenever possible.
腘动脉动脉瘤（PAAs）是最常见的外周动脉动脉瘤，也是导致患者发病率和肢体丧失的重要原因。PAA 的并发症包括远端栓塞、血栓形成，极少数情况下还会破裂。虽然开放手术修复仍然是金标准，但血管内隔绝术已被证明在某些选定的患者中是一种有效的替代方法。我们报告了一例罕见的与腘静脉动静脉瘘相关的破裂性 PAA 病例，该病例通过血管内方法成功治疗。我们认为，高危患者以及破裂的患者可能构成一个亚组，只要有可能，就应采用血管内方法治疗。
