Basingstoke and North Hampshire National Health Service, Basingstoke, UK.
J Vasc Surg. 2012 Feb;55(2):532-4. doi: 10.1016/j.jvs.2011.07.089. Epub 2011 Sep 29.
Infected popliteal aneurysm is a rare high-risk condition that can present as an emergency with acute rupture and sepsis. Management of acute ischemia in the presence of local and systemic sepsis is challenging. Open surgery is not always possible and carries a high risk of morbidity and death. An endovascular approach has been advocated in infected aneurysms elsewhere in the body, with good short-term and medium-term outcomes encouraging such approach in the popliteal artery. We report a case of successful endovascular treatment of an infected ruptured popliteal aneurysm with favorable outcome after 2-year follow-up and a related review of the literature.
感染性腘动脉瘤是一种罕见的高风险病症,可表现为急性破裂和脓毒症的急症。在局部和全身脓毒症存在的情况下,管理急性缺血具有挑战性。开放性手术并非总是可行,且具有高发病率和死亡率。在身体其他部位的感染性动脉瘤中,已经提倡采用血管内方法,良好的短期和中期结果鼓励在腘动脉中采用这种方法。我们报告了一例成功的感染性破裂性腘动脉瘤的血管内治疗病例,在 2 年随访后取得了良好的结果,并对相关文献进行了回顾。