Smialkowski Ania O, Huilgol Ravi L
Department of Vascular Surgery, St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.
Department of Vascular Surgery, St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia; Department of Vascular Surgery, Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia.
Ann Vasc Surg. 2014 Aug;28(6):1469-72. doi: 10.1016/j.avsg.2014.02.015. Epub 2014 Feb 18.
To evaluate percutaneous endovascular repair of popliteal artery aneurysms (PAAs) using self-expanding covered stent grafts.
A retrospective record review of consecutive patients who underwent percutaneous endovascular PAA repair across 2 Australian centers between April 2009 and May 2012 was performed.
We report 16 patients (mean age: 77.3; 93% men) with PAA in 20 limbs who underwent percutaneous endovascular repair using self-expanding covered stent grafts. The mean aneurysm diameter was 3 cm (range: 2-5.1 cm). Ultrasound-guided percutaneous antegrade access was used in all cases: 16 superficial femoral artery punctures and 4 common femoral artery punctures. The mean number of runoff vessels per limb was 1.84 (42%, 1 vessel; 32%, 2 vessels; and 26%, 3 vessels). Technical success was 100%. A mean number of 1.82 stents were deployed in each limb (range: 1-3). The mean stent diameter was 8.84 (range: 6-13). The median follow-up time was 12 months (range: 0-24 months). Primary patency of 85% and secondary patency of 90% were achieved in our study. The limb loss and mortality rate were 5% both in a patient with an undiagnosed prothrombotic condition. Puncture site complications were seen in 1 patient (5%) who had a bleeding diathesis.
Percutaneous endovascular repair of PAA using self-expanding stent grafts can be safely performed and achieved good results achieved in most patients.
评估使用自膨式覆膜支架移植物对腘动脉瘤（PAA）进行经皮血管腔内修复的效果。
对2009年4月至2012年5月期间在澳大利亚2个中心接受经皮血管腔内PAA修复的连续患者进行回顾性记录分析。
我们报告了16例患者（平均年龄：77.3岁；93%为男性），共20条肢体患有PAA，接受了使用自膨式覆膜支架移植物的经皮血管腔内修复。动脉瘤平均直径为3 cm（范围：2 - 5.1 cm）。所有病例均采用超声引导下经皮顺行入路：16例为股浅动脉穿刺，4例为股总动脉穿刺。每条肢体平均流出道血管数为1.84条（42%为1条血管；32%为2条血管；26%为3条血管）。技术成功率为100%。每条肢体平均植入1.82个支架（范围：1 - 3个）。支架平均直径为8.84（范围：6 - 13）。中位随访时间为12个月（范围：0 - 24个月）。本研究中一期通畅率为85%，二期通畅率为90%。在1例未诊断出的血栓前状态患者中，肢体丢失率和死亡率均为5%。1例（5%）有出血倾向的患者出现了穿刺部位并发症。
使用自膨式支架移植物对PAA进行经皮血管腔内修复可以安全实施，并且在大多数患者中取得了良好的效果。
