Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report
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. Fourte...
Published in: | European Journal of Vascular and Endovascular Surgery |
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Online Access: | https://hdl.handle.net/11250/3036179 https://doi.org/10.1016/j.ejvs.2020.07.005 |
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ftntnutrondheimi:oai:ntnuopen.ntnu.no:11250/3036179 2023-05-15T16:52:23+02:00 Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report Grip, Olivia Mani, Kevin Altreuther, Martin Bastos Gonçalves, Frederico Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Hanna Menyhei, Gábor Setacci, Carlo Settembre, Nikla Thomson, Ian Venermo, Maarit Björck, Martin 2020 application/pdf https://hdl.handle.net/11250/3036179 https://doi.org/10.1016/j.ejvs.2020.07.005 eng eng Elsevier urn:issn:1078-5884 https://hdl.handle.net/11250/3036179 https://doi.org/10.1016/j.ejvs.2020.07.005 cristin:1858136 Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no CC-BY 721-729 60 European Journal of Vascular and Endovascular Surgery 5 Peer reviewed Journal article 2020 ftntnutrondheimi https://doi.org/10.1016/j.ejvs.2020.07.005 2022-12-07T23:42:44Z 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 ... Article in Journal/Newspaper Iceland NTNU Open Archive (Norwegian University of Science and Technology) New Zealand Norway Paa ENVELOPE(-53.483,-53.483,66.017,66.017) European Journal of Vascular and Endovascular Surgery 60 5 721 729 |
institution |
Open Polar |
collection |
NTNU Open Archive (Norwegian University of Science and Technology) |
op_collection_id |
ftntnutrondheimi |
language |
English |
description |
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 ... |
format |
Article in Journal/Newspaper |
author |
Grip, Olivia Mani, Kevin Altreuther, Martin Bastos Gonçalves, Frederico Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Hanna Menyhei, Gábor Setacci, Carlo Settembre, Nikla Thomson, Ian Venermo, Maarit Björck, Martin |
spellingShingle |
Grip, Olivia Mani, Kevin Altreuther, Martin Bastos Gonçalves, Frederico Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Hanna Menyhei, Gábor Setacci, Carlo Settembre, Nikla Thomson, Ian Venermo, Maarit Björck, Martin Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report |
author_facet |
Grip, Olivia Mani, Kevin Altreuther, Martin Bastos Gonçalves, Frederico Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Hanna Menyhei, Gábor Setacci, Carlo Settembre, Nikla Thomson, Ian Venermo, Maarit Björck, Martin |
author_sort |
Grip, Olivia |
title |
Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report |
title_short |
Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report |
title_full |
Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report |
title_fullStr |
Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report |
title_full_unstemmed |
Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report |
title_sort |
contemporary treatment of popliteal artery aneurysms in 14 countries: a vascunet report |
publisher |
Elsevier |
publishDate |
2020 |
url |
https://hdl.handle.net/11250/3036179 https://doi.org/10.1016/j.ejvs.2020.07.005 |
long_lat |
ENVELOPE(-53.483,-53.483,66.017,66.017) |
geographic |
New Zealand Norway Paa |
geographic_facet |
New Zealand Norway Paa |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
721-729 60 European Journal of Vascular and Endovascular Surgery 5 |
op_relation |
urn:issn:1078-5884 https://hdl.handle.net/11250/3036179 https://doi.org/10.1016/j.ejvs.2020.07.005 cristin:1858136 |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1016/j.ejvs.2020.07.005 |
container_title |
European Journal of Vascular and Endovascular Surgery |
container_volume |
60 |
container_issue |
5 |
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721 |
op_container_end_page |
729 |
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1766042622016618496 |