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  • Grip, OliviaUppsala universitet,Kärlkirurgi (författare)

Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries : A Vascunet Report

  • Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2020
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-426371
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-426371URI
  • https://doi.org/10.1016/j.ejvs.2020.07.005DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Mani, Kevin,1975-Uppsala universitet,Kärlkirurgi(Swepub:uu)kevma940 (författare)
  • Altreuther, MartinSt Olavs Hosp, Dept Vasc Surg, Trondheim, Norway. (författare)
  • Goncalves, Frederico BastosCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Lisbon, Portugal. (författare)
  • Beiles, BarryAustralian & New Zealand Soc Vasc Surg, Melbourne, Vic, Australia. (författare)
  • Cassar, KevinMater Dei Hosp, Dept Surg, Vasc Unit, Msida, Malta. (författare)
  • Davidovic, LazarSerbian Clin Ctr, Clin Vasc & Endovasc Surg, Belgrade, Serbia. (författare)
  • Eldrup, NikolajCopenhagen Univ Hosp, Dept Vasc Surg, Rigshosp, Copenhagen, Denmark. (författare)
  • Lattmann, ThomasCantonal Hosp, Clin Vasc Surg, Winterthur, Switzerland. (författare)
  • Laxdal, ElinLandspitalinn Univ Hosp, Dept Vasc Surg, Reykjavik, Iceland. (författare)
  • Menyhei, GaborPecs Univ, Dept Vasc Surg, Med Ctr, Pecs, Hungary. (författare)
  • Setacci, CarloUniv Siena, Siena, Italy. (författare)
  • Settembre, NiclaUniv Lorraine, Nancy Univ Hosp, Dept Vasc & Endovasc Surg, Nancy, France. (författare)
  • Thomson, IanUniv Otago, Dept Surg Sci, Dunedin, New Zealand. (författare)
  • Venermo, MaaritHelsinki Univ Cent Hosp, Dept Vasc Surg, Helsinki, Finland. (författare)
  • Björck, MartinUppsala universitet,Kärlkirurgi(Swepub:uu)mabjo425 (författare)
  • Uppsala universitetKärlkirurgi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Journal of Vascular and Endovascular Surgery: Elsevier BV60:5, s. 721-7291078-58841532-2165

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