Bandeira Rodrigo Nóbrega, Cacione Daniel Guimarães, Bandeira Francisco Chavier Vieira, Pelissoni Ariane de Sousa, Leite Cibele Ohany Nogueira, Nakano Luis Carlos Uta
Universidade Federal da Paraíba - UFPB, Departamento de Cirurgia, João Pessoa, PB, Brasil.
Universidade Federal de São Paulo - UNIFESP, Departamento de Cirurgia Vascular e Endovascular, São Paulo, SP, Brasil.
J Vasc Bras. 2018 Jan-Mar;17(1):34-41. doi: 10.1590/1677-5449.004917.
The conventional treatment for a popliteal artery aneurysm is open surgery to exclude the aneurysm and revascularization of the affected limb. Over recent years, endovascular treatment has grown in popularity and has been attracting increased interest. Endovascular treatment is less invasive and associated with lower rates of morbidity, but it is expensive and patency is uncertain. The aim of this review is to compare these two treatments by analyzing the outcomes reported in primary and secondary studies. A narrative review is conducted of the literature published over the last 5 years. Six retrospective studies, two meta-analyses, one clinical trial and one Cochrane systematic review were selected. We were unable to draw firm conclusions because of small patient samples and short follow-up periods. There is no clear evidence to indicate that the outcomes of one or another elective treatment are superior. New randomized trials should be conducted to determine the role endovascular treatment has to play in management of this type of aneurysm.
腘动脉瘤的传统治疗方法是开放手术，即排除动脉瘤并对患肢进行血管重建。近年来，血管内治疗越来越受欢迎，并引起了越来越多的关注。血管内治疗侵入性较小，发病率较低，但费用昂贵且通畅性不确定。本综述的目的是通过分析一级和二级研究报告的结果来比较这两种治疗方法。对过去5年发表的文献进行了叙述性综述。选择了6项回顾性研究、2项荟萃分析、1项临床试验和1项Cochrane系统评价。由于患者样本量小和随访期短，我们无法得出确凿的结论。没有明确的证据表明一种或另一种选择性治疗的结果更优。应该进行新的随机试验，以确定血管内治疗在这类动脉瘤管理中的作用。
