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10.1097/MD.0000000000001130

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C4554107!4554107!26222843
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suck abstract from ncbi


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pmid26222843      Medicine+(Baltimore) 2015 ; 94 (30): ä
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  • Popliteal Artery Aneurysm Repair in the Endovascular Era: Fourteen-Years Single Center Experience #MMPMID26222843
  • Ronchey S; Pecoraro F; Alberti V; Serrao E; Orrico M; Lachat M; Mangialardi N
  • Medicine (Baltimore) 2015[Jul]; 94 (30): ä PMID26222843show ga
  • To compare outcomes of popliteal artery aneurysm (PAA) repair by endovascular treatment, great saphenous vein (GSV) bypass, and prosthetic bypass.Single center retrospective analysis of patients presenting PAA from 2000 to 2013. Patients were divided into endovascular treatment (group A); GSV bypass (group B); and prosthetic graft bypass (group C). Outcomes were technical success, perioperative mortality, and morbidity. Survival, primary and secondary patency, and freedom from reintervention rate were estimated. Differences in ankle-brachial index (ABI), in-hospital length of stay (InH-Los), red blood cell (RBC) transfusion, and limb loss were reported. Mean follow-up was 49 (median: 35; 1?145; SD 42) months.Sixty-seven patients were included; 25 in group A, 28 in group B, and 14 in group C. PAA was symptomatic in 23 (34%) cases. Technical success was 100%. No perioperative death occurred. Three (4.5%) perioperative complications were reported with no significant difference between groups (P?=?0.866). Five-years estimated survival was 78%. Estimated 5-years primary patency for groups A, B, and C was 71%, 81%, and 69%, respectively (P?=?0.19). Estimated 5-years secondary patency for groups A, B, and C was 88%, 85%, and 84% (P?=?0.85). Estimated 5-years freedom from reintervention for groups A, B, and C was 62%, 84%, and 70%, respectively (P?=?0.16). A significant difference between preoperative ABI versus postoperative ABI was observed (P?=?0.001). InH-LoS was significantly shorter in group A (P?
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