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- Title
Endovaskulárni' léčba výdutí podkolenní tepny stentgraftem - dlouhodobé výsledky.
- Authors
Kučera, Petr; Černá, Marie; Zapletalová, Jana; Ronec, Richard; Utíkal, Petr; Janský, Petr; Jaroščiaková, Julia; Köcher, Martin
- Abstract
Objective: The objective of this work is to evaluate the long-term results of endovascular treatment of popliteal artery aneurysms with a stentgraft. Methodology: In the period from June 2011 to December 2023, 66 patients with popliteal artery aneurysm were treated endovascularly at our institution with stentgraft implantation, 60 men and 6 women aged 51 to 90 years, the median age was 70 years. The length of follow-up was 1-128 months, the average follow-up time was 50 months. Patients were regularly observed using doppler imaging, a plain radiograph of the stentgraft and check-ups by a vascular surgeon. Primary and secondary patency of stentgrafts was retrospectively evaluated. Other monitored parameters were the coincidence of bilateral aneurysm of the popliteal artery, aneurysm of the abdominal aorta, integrity failure of the stentgraft skeleton, or the occurrence of migration or collapse of the stentgraft. Results: In our group, the technical success rate was 100%. One-year, three-year, and five-year primary patency rates were 78%, 68.2%, and 61%. Secondary patency rates were 94.8%, 88.6% and 80.5%. According to Kaplan-Maier analysis, the probabilities of primary patency at one, three and five years were 67.4-88.5%, 56.0-80.5%, 46.5-75.5%, and the probabilities of secondary patency at one, three and five years 89.1-100%, 80.0-97.3%, 67.3-93.8%. Stentgraft migration occurred once, collapse also occurred once, and stentgraft integrity failure occurred seven times. The coincidence of bilateral involvement of popliteal artery aneurysm was detected twenty-six times, and the simultaneous occurrence of abdominal aortic aneurysm sixteen times. Conclusion: Endovascular treatment of popliteal artery aneurysm is a simple and safe method that provides acceptable long-term patency.
- Subjects
POPLITEAL artery aneurysm; ABDOMINAL aortic aneurysms; ENDOVASCULAR surgery; ABDOMINAL aorta; POPLITEAL artery
- Publication
Czech Radiology / Ceska Radiologie, 2024, Vol 78, Issue 1, p39
- ISSN
1210-7883
- Publication type
Article