Stirnemann P, Schwery S
Dtsch Med Wochenschr. 1986 May 2;111(18):691-4. doi: 10.1055/s-2008-1068514.
45 popliteal aneurysms were surgically treated in 35 patients. In 18 cases surgery was necessitated by emergency conditions: acute arterial occlusion due to thrombosis and (or) embolism (acute critical ischaemia) in 17 cases; rupture of an aneurysm in one case. Five major amputations could not be avoided. Elective surgical intervention in 27 cases, on the other hand, only resulted in the amputation of one leg. Given the high incidence of serious complications such as thrombosis and embolism in popliteal aneurysm and the reduced success rate of surgery in acute critical ischaemia, surgical correction upon diagnosis is recommended.
35例患者接受了45例腘动脉瘤的手术治疗。18例因紧急情况需要手术:17例因血栓形成和(或)栓塞导致急性动脉闭塞(急性严重缺血);1例动脉瘤破裂。5例不可避免地进行了大截肢。另一方面,27例择期手术干预仅导致1条腿截肢。鉴于腘动脉瘤中血栓形成和栓塞等严重并发症的高发生率以及急性严重缺血时手术成功率降低,建议诊断后进行手术矫正。