Article (Scientific journals)
Intra-arterial thrombolysis of thrombosed popliteal artery aneurysm. A series of six cases
Van Damme, Hendrik; Trotteur, Geneviève; Kerzmann, Arnaud et al.
2006In Acta Chirurgica Belgica, 106 (6), p. 679-683
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Keywords :
popliteal artery aneurysm; fibrinolysis; arterial thrombosis
Abstract :
[en] Aim of the study : To evaluate the role of perioperative, catheter-guided fibrinolysis in the management of thrombosed popliteal artery aneurysms. Material : From 1990 to 2005, six patients suffering subacute limb ischemia, secondary to thrombosis of a popliteal artery aneurysm, benefited selective intra-arterial fibrinolysis, followed by subsequent aneurysm exclusion and bypass grafting. This represents ten percent of all popliteal aneurysms operated on in that time period and 28% of all thrombosed popliteal artery aneurysms. Results : The lytic procedure was successful in all cases, restituting patency in two (n = 3), one (n = 2) or all (n = 1) crural arteries. The venous bypass graft remained patent in all but one patient. In one patient, the graft occluded at 10 months without limb loss. This outcome compares more favorable than the result obtained with emergent surgery alone for thrombosed popliteal artery aneurysms with profound limb ischemia (eight patients, of whom one required amputation at day 5 and one lost his limb at nine months following graft thrombosis). Conclusion : Preoperative intra-arterial lytic therapy, in the setting of subacute limb ischemia caused by thrombosis of a popliteal artery aneurysm, can be considered as safe and effective.
Disciplines :
Surgery
Author, co-author :
Van Damme, Hendrik ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Trotteur, Geneviève ;  Université de Liège - ULiège > Services généraux (Faculté de médecine) > Relations académiques et scientifiques (Médecine)
Kerzmann, Arnaud  ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
English
Title :
Intra-arterial thrombolysis of thrombosed popliteal artery aneurysm. A series of six cases
Publication date :
December 2006
Journal title :
Acta Chirurgica Belgica
ISSN :
1784-3421
eISSN :
2577-0160
Publisher :
Acta Medical Belgica, Brussels, Belgium
Volume :
106
Issue :
6
Pages :
679-683
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 25 February 2011

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