Transfemoral endoluminal stented graft repair of a popliteal artery aneurysm

• Published in: Journal of vascular surgery Vol. 19; no. 4; pp. 754 - 757
• Main Authors: Marin, Michael L., Veith, Frank J., Panetta, Thomas F., Cynamon, Jacob, Bakal, Curtis W., Suggs, William D., Wengerter, Kurt R., Baronè, Hector D., Schonholz, Claudio, Parodi, Juan C.
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.04.1994; Elsevier
• Subjects: Aneurysm - epidemiology; Aneurysm - surgery; Biological and medical sciences; Blood Vessel Prosthesis; Diseases of the cardiovascular system; Follow-Up Studies; Humans; Male; Medical sciences; Middle Aged; Polytetrafluoroethylene; Popliteal Artery; Prosthesis Design; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Stents; Human; Vascular disease; Case study; Arteriopathy; Endoprosthesis; Endoluminal route; Aneurysm; Instrumentation therapy; Cardiovascular disease; Popliteal artery; Elderly; Stent
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/S0741-5214(94)70052-4

This report describes the use of an endoluminally placed stented graft to repair a large (2.6 by 2.6 by 15 cm) popliteal aneurysm in a 63-year-old man with advanced heart disease. Two balloon-expandable stents were attached to a 6 mm polytetrafluoroethylene graft, which was inserted with the patient receiving local anesthetic through a proximal superficial femoral artery arteriotomy. Repeat arteriography and duplex ultrasonography performed up to 3 months after the procedure documented graft and distal artery patency and complete aneurysmal exclusion without distal emboli. This experience demonstrates technical feasibility and early graft patency. However, additional experience and follow-up will be needed to assess the value of this minimally invasive procedure in the management of popliteal aneurysmal disease. (J V ASC S URG 1994;19:754-7.)