Popliteaaneurysm - ovanligt tillstånd som varje läkare bör känna till. Livslång uppföljning rekommenderas
Engelsk titel: Popliteal artery aneurysm - a rare condition every physician should know about. Life-long follow up recommended
Läs online
Författare:
Ravn H
;
Björck M
Email: hans.ravn@lj.se
Språk: Swe
Antal referenser: 7
Dokumenttyp:
Artikel
UI-nummer: 09101528
Sammanfattning
This review article summarizes the results of a research project focusing on characterizing the epidemiology, treatment and outcome after surgery for popliteal artery aneurysm (PA) in Sweden. It is a predominantly male disease, more than 90% of affected patients are men. Riskfactors for amputation are poor run-off, use of a synthetic graft, emergency treatment and high age. The frequency of amputation decreased over time in Sweden, which was associated with an increased use of preoperative thrombolysis and fasciotomy. Thrombolysis can transform an emergent into an elective situation, and often improves out-flow. The risk of late amputation is low. Operation with a Posterior approach is associated with lower risk of late expansion, and is considered first choice of treatment when a short by-pass is sufficient. Multiple aneurysm disease is common among patients with PA, in particular among those with bilateral PA. All patients, irrespective of age, should be included in a life-long surveillance program. Normal arterial segments should be re-examined after three years.