Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Mar;28(1):5-10.
doi: 10.1055/s-0038-1676792. Epub 2019 Jan 2.

Management of Asymptomatic Popliteal Artery Aneurysms

Tanner I Kim  1 , Bauer E Sumpio  1
Affiliations
Review

Management of Asymptomatic Popliteal Artery Aneurysms

Tanner I Kim et al. Int J Angiol. 2019 Mar.

Abstract

Popliteal artery aneurysms (PAAs) are the most common peripheral artery aneurysms. They are frequently symptomatic and are associated with high rates of morbidity and limb loss. PAA can be treated by open or endovascular means, although there are no specified recommendations guiding treatment choice. This article delineates many of the differences between open and endovascular repair of asymptomatic PAA, and highlights several key articles comparing open and endovascular repair to guide decision making. Proper diagnosis and choice of repair can lead to good outcomes in the treatment of asymptomatic PAA.

Keywords: aneurysm; artery; endovascular procedure; ischemia; peripheral arterial disease; popliteal aneurysm; popliteal artery.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Computed tomography angiography (CTA) demonstrating left lower extremity popliteal artery aneurysm (PAA). Preoperative angiogram demonstrating left lower extremity angiogram.
Fig. 2
Fig. 2
Patient placed in prone position. All parts of the body are carefully positioned and padded.
Fig. 3
Fig. 3
“Lazy-S” incision marked over the popliteal fossa. Intraoperative exposure of large popliteal artery aneurysm (PAA) with the surrounding nerves and veins isolated. Interposition graft with Propaten (W. L. Gore & Associates, Flagstaff, AZ).
Fig. 4
Fig. 4
Total expected quality-adjusted life-years (QALYs) for greater saphenous vein bypass (GSVB), stenting, and optimal medical therapy (OMT) at the age of initial intervention. Adapted from Hogendoorn et al.
See this image and copyright information in PMC

References

    1. Dawson I, Sie R B, van Bockel J H. Atherosclerotic popliteal aneurysm. Br J Surg. 1997;84(03):293–299. - PubMed
    1. Lawrence P F, Lorenzo-Rivero S, Lyon J L.The incidence of iliac, femoral, and popliteal artery aneurysms in hospitalized patients J Vasc Surg 19952204409–415., discussion 415–416 - PubMed
    1. Diwan A, Sarkar R, Stanley J C, Zelenock G B, Wakefield T W. Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms. J Vasc Surg. 2000;31(05):863–869. - PubMed
    1. Shortell C K, DeWeese J A, Ouriel K, Green R M.Popliteal artery aneurysms: a 25-year surgical experience J Vasc Surg 19911406771–776., discussion 776–779 - PubMed
    1. Carpenter J P, Barker C F, Roberts B, Berkowitz H D, Lusk E J, Perloff L J.Popliteal artery aneurysms: current management and outcome J Vasc Surg 1994190165–72., discussion 72–73 - PubMed