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Contemporary Treatm...
Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries : A Vascunet Report
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- Grip, Olivia (författare)
- Uppsala universitet,Kärlkirurgi
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- Mani, Kevin, 1975- (författare)
- Uppsala universitet,Kärlkirurgi
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- Altreuther, Martin (författare)
- St Olavs Hosp, Dept Vasc Surg, Trondheim, Norway.
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- Goncalves, Frederico Bastos (författare)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Lisbon, Portugal.
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- Beiles, Barry (författare)
- Australian & New Zealand Soc Vasc Surg, Melbourne, Vic, Australia.
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- Cassar, Kevin (författare)
- Mater Dei Hosp, Dept Surg, Vasc Unit, Msida, Malta.
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- Davidovic, Lazar (författare)
- Serbian Clin Ctr, Clin Vasc & Endovasc Surg, Belgrade, Serbia.
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- Eldrup, Nikolaj (författare)
- Copenhagen Univ Hosp, Dept Vasc Surg, Rigshosp, Copenhagen, Denmark.
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- Lattmann, Thomas (författare)
- Cantonal Hosp, Clin Vasc Surg, Winterthur, Switzerland.
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- Laxdal, Elin (författare)
- Landspitalinn Univ Hosp, Dept Vasc Surg, Reykjavik, Iceland.
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- Menyhei, Gabor (författare)
- Pecs Univ, Dept Vasc Surg, Med Ctr, Pecs, Hungary.
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- Setacci, Carlo (författare)
- Univ Siena, Siena, Italy.
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- Settembre, Nicla (författare)
- Univ Lorraine, Nancy Univ Hosp, Dept Vasc & Endovasc Surg, Nancy, France.
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- Thomson, Ian (författare)
- Univ Otago, Dept Surg Sci, Dunedin, New Zealand.
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- Venermo, Maarit (författare)
- Helsinki Univ Cent Hosp, Dept Vasc Surg, Helsinki, Finland.
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- Björck, Martin (författare)
- Uppsala universitet,Kärlkirurgi
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- Engelska.
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Ingår i: European Journal of Vascular and Endovascular Surgery. - : Elsevier BV. - 1078-5884 .- 1532-2165. ; 60:5, s. 721-729
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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http://www.ejves.com...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: Popliteal artery aneurysm (PAA) is the second most common arterial aneurysm. Vascunet is an international collaboration of vascular registries. The aim was to study treatment and outcomes. Methods: This was a retrospective analysis of prospectively registered population based data. Fourteen countries contributed data (Australia, Denmark, Finland, France, Hungary, Iceland, Italy, Malta, New Zealand, Norway, Portugal, Serbia, Sweden, and Switzerland). Results: During 2012-2018, data from 10 764 PAA repairs were included. Mean values with between countries ranges in parenthesis are given. The incidence was 10.4 cases/million inhabitants/year (2.4-19.3). The mean age was 71.3 years (66.8-75.3). Most patients, 93.3%, were men and 40.0% were active smokers. The operations were elective in 73.2% (60.0%-85.7%). The mean pre-operative PAA diameter was 32.1 mm (27.3-38.3 mm). Open surgery dominated in both elective (79.5%) and acute (83.2%) cases. A medial surgical approach was used in 77.7%, and posterior in 22.3%. Vein grafts were used in 63.8%. Of the emergency procedures, 91% (n = 2 169, 20.2% of all) were for acute thrombosis and 9% for rupture (n = 236, 2.2% of all). Thrombosis patients had larger aneurysms, mean diameter 35.5 mm, and 46.3% were active smokers. Early amputation and death were higher after acute presentation than after elective surgery (5.0% vs. 0.7%; 1.9% vs. 0.5%). This pattern remained one year after surgery (8.5% vs. 1.0%; 6.1% vs. 1.4%). Elective open compared with endovascular surgery had similar one year amputation rates (1.2% vs. 0.2%; p = .095) but superior patency (84.0% vs. 78.4%; p = .005). Veins had higher patency and lower amputation rates, at one year compared with synthetic grafts (86.8% vs. 72.3%; 1.8% vs. 5.2%; both p < .001). The posterior open approach had a lower amputation rate (0.0% vs. 1.6%, p = .009) than the medial approach. Conclusion: Patients presenting with acute ischaemia had high risk of amputation. The frequent use of endovascular repair and prosthetic grafts should be reconsidered based on these results.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Aneurysm - popliteal artery
- Endovascular
- Epidemiology
- Open surgery
- Registry
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Grip, Olivia
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Mani, Kevin, 197 ...
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Altreuther, Mart ...
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Goncalves, Frede ...
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Beiles, Barry
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Cassar, Kevin
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Davidovic, Lazar
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Eldrup, Nikolaj
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Lattmann, Thomas
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Laxdal, Elin
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Menyhei, Gabor
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Setacci, Carlo
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Settembre, Nicla
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Thomson, Ian
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Venermo, Maarit
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Björck, Martin
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