Antoniou George A, Schiro Andrew, Smyth J Vincent, Murray David, Farquharson Finn, Serracino-Inglott Ferdinand
Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
Vasa. 2012 Sep;41(5):383-7. doi: 10.1024/0301-1526/a000227.
Endovascular repair of popliteal artery aneurysms is an emerging treatment in high risk surgical patients. The location in a functionally demanding anatomical area creates limitations in terms of endograft patency. Technological advancements have been conscripted in an effort to circumvent such constraints. The multilayer stent technology effects through haemodynamic modulation. We used the multilayer stent to treat 6 asymptomatic popliteal artery aneurysms in 3 patients. All procedures were successfully accomplished without any complications. Over a mean follow up period of 9 months, thrombosis occurred in two limbs, and blood flow was restored with thrombolysis, achieving a primary and secondary patency rate at 6 months of 67 % and 100 %, respectively. Partial or complete thrombosis of the aneurysm sac was achieved in all aneurysms. Even though the use of the multilayer stent in popliteal artery aneurysms was safe in the short term, our experience showed that close surveillance is required.
腘动脉瘤的血管腔内修复术是一种针对高风险手术患者的新兴治疗方法。其位于功能要求较高的解剖区域，这在腔内移植物通畅性方面带来了限制。为克服这些限制，人们采用了技术进步。多层支架技术通过血流动力学调节发挥作用。我们使用多层支架治疗了3例患者的6个无症状腘动脉瘤。所有手术均成功完成，无任何并发症。在平均9个月的随访期内，两个肢体发生血栓形成，通过溶栓恢复了血流，6个月时的一期和二期通畅率分别为67%和100%。所有动脉瘤均实现了瘤囊部分或完全血栓形成。尽管在短期内将多层支架用于腘动脉瘤是安全的，但我们的经验表明仍需要密切监测。
