Gonçalves Ana Fernanda Fagundes, Pelek Carlos Augusto, Nogueira Lorena Slusarz, de Carvalho Renan Francisco, Stumpf Matheo Augusto Morandi, Gomes Ricardo Zanetti, Kluthcovsky Ana Claudia Garabeli Cavalli
Universidade Estadual de Ponta Grossa - UEPG, Faculdade de Medicina, Ponta Grossa, PR, Brasil.
J Vasc Bras. 2018 Jan-Mar;17(1):42-48. doi: 10.1590/1677-5449.008817.
Popliteal artery aneurysms account for 70% of peripheral aneurysms and must be treated surgically. The results of endovascular treatment are controversial. The objective of this study is to conduct a literature review on comparisons between open surgery and endovascular treatment for popliteal artery aneurysms. Searches were run on the LILACS and MEDLINE databases using the appropriate search terms and 15 articles were selected. A total of 5,166 surgical procedures were compared, 3,930 open surgeries and 1,236 endovascular surgeries. Open surgery with venous bypass is still the gold standard. Endovascular surgery offers shorter length of hospital stay and is a viable option for elective patients, those with short life expectancy, high surgical risk, comorbidities, and more advanced age. However, long-term studies are needed to establish the true benefits and indications for the two techniques, such as randomized clinical trials.
腘动脉瘤占周围动脉瘤的70%，必须进行手术治疗。血管内治疗的结果存在争议。本研究的目的是对腘动脉瘤开放手术与血管内治疗的比较进行文献综述。使用适当的检索词在LILACS和MEDLINE数据库中进行检索，共筛选出15篇文章。总共比较了5166例手术，其中3930例开放手术和1236例血管内手术。带静脉旁路的开放手术仍然是金标准。血管内手术住院时间较短，对于择期手术患者、预期寿命短、手术风险高、有合并症以及年龄较大的患者是一种可行的选择。然而，需要长期研究来确定这两种技术的真正益处和适应证，如随机临床试验。
