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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W.B. Saunders
2020
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Online Access: | http://hdl.handle.net/10138/322307 |
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/322307 2024-01-07T09:44:20+01:00 Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries : A Vascunet Report Grip, Olivia Mani, Kevin Altreuther, Martin Goncalves, Frederico Bastos Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Menyhei, Gabor Setacci, Carlo Settembre, Nicla Thomson, Ian Venermo, Maarit Björck, Martin Verisuonikirurgian yksikkö HUS Abdominal Center Helsinki University Hospital Area 2020-12-03T11:09:01Z 9 application/pdf http://hdl.handle.net/10138/322307 eng eng W.B. Saunders 10.1016/j.ejvs.2020.07.005 Grip , O , Mani , K , Altreuther , M , Goncalves , F B , Beiles , B , Cassar , K , Davidovic , L , Eldrup , N , Lattmann , T , Laxdal , E , Menyhei , G , Setacci , C , Settembre , N , Thomson , I , Venermo , M & Björck , M 2020 , ' Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries : A Vascunet Report ' , European Journal of Vascular and Endovascular Surgery , vol. 60 , no. 5 , pp. 721-729 . https://doi.org/10.1016/j.ejvs.2020.07.005 0a31a37c-8388-496e-a82f-0b39a71e3067 http://hdl.handle.net/10138/322307 000587341100018 cc_by openAccess info:eu-repo/semantics/openAccess Aneurysm - popliteal artery Endovascular Epidemiology Open surgery Registry EDITORS CHOICE SURGICAL-MANAGEMENT EUROPEAN-SOCIETY OPEN REPAIR SURGERY VALIDATION OUTCOMES BYPASS GUIDELINES NATIONWIDE 3126 Surgery anesthesiology intensive care radiology Article publishedVersion 2020 ftunivhelsihelda 2023-12-14T00:04:41Z 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 HELDA – University of Helsinki Open Repository Norway New Zealand 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 |
HELDA – University of Helsinki Open Repository |
op_collection_id |
ftunivhelsihelda |
language |
English |
topic |
Aneurysm - popliteal artery Endovascular Epidemiology Open surgery Registry EDITORS CHOICE SURGICAL-MANAGEMENT EUROPEAN-SOCIETY OPEN REPAIR SURGERY VALIDATION OUTCOMES BYPASS GUIDELINES NATIONWIDE 3126 Surgery anesthesiology intensive care radiology |
spellingShingle |
Aneurysm - popliteal artery Endovascular Epidemiology Open surgery Registry EDITORS CHOICE SURGICAL-MANAGEMENT EUROPEAN-SOCIETY OPEN REPAIR SURGERY VALIDATION OUTCOMES BYPASS GUIDELINES NATIONWIDE 3126 Surgery anesthesiology intensive care radiology Grip, Olivia Mani, Kevin Altreuther, Martin Goncalves, Frederico Bastos Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Menyhei, Gabor Setacci, Carlo Settembre, Nicla Thomson, Ian Venermo, Maarit Björck, Martin Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries : A Vascunet Report |
topic_facet |
Aneurysm - popliteal artery Endovascular Epidemiology Open surgery Registry EDITORS CHOICE SURGICAL-MANAGEMENT EUROPEAN-SOCIETY OPEN REPAIR SURGERY VALIDATION OUTCOMES BYPASS GUIDELINES NATIONWIDE 3126 Surgery anesthesiology intensive care radiology |
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 ... |
author2 |
Verisuonikirurgian yksikkö HUS Abdominal Center Helsinki University Hospital Area |
format |
Article in Journal/Newspaper |
author |
Grip, Olivia Mani, Kevin Altreuther, Martin Goncalves, Frederico Bastos Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Menyhei, Gabor Setacci, Carlo Settembre, Nicla Thomson, Ian Venermo, Maarit Björck, Martin |
author_facet |
Grip, Olivia Mani, Kevin Altreuther, Martin Goncalves, Frederico Bastos Beiles, Barry Cassar, Kevin Davidovic, Lazar Eldrup, Nikolaj Lattmann, Thomas Laxdal, Elin Menyhei, Gabor Setacci, Carlo Settembre, Nicla 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 |
W.B. Saunders |
publishDate |
2020 |
url |
http://hdl.handle.net/10138/322307 |
long_lat |
ENVELOPE(-53.483,-53.483,66.017,66.017) |
geographic |
Norway New Zealand Paa |
geographic_facet |
Norway New Zealand Paa |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
10.1016/j.ejvs.2020.07.005 Grip , O , Mani , K , Altreuther , M , Goncalves , F B , Beiles , B , Cassar , K , Davidovic , L , Eldrup , N , Lattmann , T , Laxdal , E , Menyhei , G , Setacci , C , Settembre , N , Thomson , I , Venermo , M & Björck , M 2020 , ' Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries : A Vascunet Report ' , European Journal of Vascular and Endovascular Surgery , vol. 60 , no. 5 , pp. 721-729 . https://doi.org/10.1016/j.ejvs.2020.07.005 0a31a37c-8388-496e-a82f-0b39a71e3067 http://hdl.handle.net/10138/322307 000587341100018 |
op_rights |
cc_by openAccess info:eu-repo/semantics/openAccess |
container_title |
European Journal of Vascular and Endovascular Surgery |
container_volume |
60 |
container_issue |
5 |
container_start_page |
721 |
op_container_end_page |
729 |
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1787425712477569024 |