Contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet 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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Language: | English |
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Online Access: | https://www.um.edu.mt/library/oar/handle/123456789/101984 https://doi.org/10.1016/j.ejvs.2020.07.005 |
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ftunivmalta:oai:www.um.edu.mt:123456789/101984 2023-05-15T16:52:09+02:00 Contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet report Grip, Olivia Mani, Kevin Altreuther, Martin Gonçalves, 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 2020 https://www.um.edu.mt/library/oar/handle/123456789/101984 https://doi.org/10.1016/j.ejvs.2020.07.005 en eng Elsevier Ltd Grip, O., Mani, K., Altreuther, M., Gonçalves, F. B., Beiles, B., Cassar, K., . & Björck, M. (2020). Contemporary treatment of popliteal artery aneurysms in 14 countries: a Vascunet report. European Journal of Vascular and Endovascular Surgery, 60(5), 721-729. https://www.um.edu.mt/library/oar/handle/123456789/101984 doi:10.1016/j.ejvs.2020.07.005 info:eu-repo/semantics/openAccess The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. Aneurysms -- Patients Aneurysms -- Treatment Arteries -- Complications -- Case studies Endovascular procedures Epidemiology Aneurysms -- Surgery Surgery Operative article 2020 ftunivmalta https://doi.org/10.1016/j.ejvs.2020.07.005 2022-09-28T17:12:20Z 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 2012e2018, 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 (2.4e19.3). The mean age was 71.3 years (66.8e 75.3). Most patients, 93.3%, were men and 40.0% were active smokers. The operations were elective in 73.2% (60.0%e85.7%). The mean pre-operative PAA diameter was 32.1 mm (27.3e38.3 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 1⁄4 2 169, 20.2% of all) were for acute thrombosis and 9% for rupture (n 1⁄4 236, 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 1⁄4 .095) but superior patency (84.0% vs. 78.4%; p 1⁄4 .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 1⁄4 .009) than the medial approach. Conclusion: Patients presenting with acute ischaemia had high risk of amputation. The frequent use of endovascular repair and ... Article in Journal/Newspaper Iceland University of Malta: OAR@UM 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 |
University of Malta: OAR@UM |
op_collection_id |
ftunivmalta |
language |
English |
topic |
Aneurysms -- Patients Aneurysms -- Treatment Arteries -- Complications -- Case studies Endovascular procedures Epidemiology Aneurysms -- Surgery Surgery Operative |
spellingShingle |
Aneurysms -- Patients Aneurysms -- Treatment Arteries -- Complications -- Case studies Endovascular procedures Epidemiology Aneurysms -- Surgery Surgery Operative Grip, Olivia Mani, Kevin Altreuther, Martin Gonçalves, 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 cascunet report |
topic_facet |
Aneurysms -- Patients Aneurysms -- Treatment Arteries -- Complications -- Case studies Endovascular procedures Epidemiology Aneurysms -- Surgery Surgery Operative |
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 2012e2018, 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 (2.4e19.3). The mean age was 71.3 years (66.8e 75.3). Most patients, 93.3%, were men and 40.0% were active smokers. The operations were elective in 73.2% (60.0%e85.7%). The mean pre-operative PAA diameter was 32.1 mm (27.3e38.3 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 1⁄4 2 169, 20.2% of all) were for acute thrombosis and 9% for rupture (n 1⁄4 236, 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 1⁄4 .095) but superior patency (84.0% vs. 78.4%; p 1⁄4 .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 1⁄4 .009) than the medial approach. Conclusion: Patients presenting with acute ischaemia had high risk of amputation. The frequent use of endovascular repair and ... |
format |
Article in Journal/Newspaper |
author |
Grip, Olivia Mani, Kevin Altreuther, Martin Gonçalves, 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 Gonçalves, 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 cascunet report |
title_short |
Contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet report |
title_full |
Contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet report |
title_fullStr |
Contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet report |
title_full_unstemmed |
Contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet report |
title_sort |
contemporary treatment of popliteal artery aneurysms in 14 countries : a cascunet report |
publisher |
Elsevier Ltd |
publishDate |
2020 |
url |
https://www.um.edu.mt/library/oar/handle/123456789/101984 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_relation |
Grip, O., Mani, K., Altreuther, M., Gonçalves, F. B., Beiles, B., Cassar, K., . & Björck, M. (2020). Contemporary treatment of popliteal artery aneurysms in 14 countries: a Vascunet report. European Journal of Vascular and Endovascular Surgery, 60(5), 721-729. https://www.um.edu.mt/library/oar/handle/123456789/101984 doi:10.1016/j.ejvs.2020.07.005 |
op_rights |
info:eu-repo/semantics/openAccess The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. |
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 |
container_start_page |
721 |
op_container_end_page |
729 |
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1766042298685063168 |