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Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report

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Harvard

Grip, O, Mani, K, Altreuther, M, Bastos Gonçalves, F, 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 : the official journal of the European Society for Vascular Surgery, bind 60, nr. 5, s. 721-729. https://doi.org/10.1016/j.ejvs.2020.07.005

APA

Grip, O., Mani, K., Altreuther, M., Bastos Gonçalves, F., 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 : the official journal of the European Society for Vascular Surgery, 60(5), 721-729. https://doi.org/10.1016/j.ejvs.2020.07.005

CBE

Grip O, Mani K, Altreuther M, Bastos Gonçalves F, 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 : the official journal of the European Society for Vascular Surgery. 60(5):721-729. https://doi.org/10.1016/j.ejvs.2020.07.005

MLA

Vancouver

Author

Grip, Olivia ; Mani, Kevin ; Altreuther, Martin ; Bastos Gonçalves, Frederico ; 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. I: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 2020 ; Bind 60, Nr. 5. s. 721-729.

Bibtex

@article{105c4f32fda64e398e61863cbce8b7e1,
title = "Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries: A Vascunet Report",
abstract = "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 grafts should be reconsidered based on these results.",
keywords = "Acute Disease/epidemiology, Aged, Amputation/statistics & numerical data, Aneurysm/complications, Australia/epidemiology, Brazil/epidemiology, Elective Surgical Procedures/adverse effects, Endovascular Procedures/adverse effects, Europe/epidemiology, Female, Global Burden of Disease, Humans, Incidence, Ischemia/epidemiology, Limb Salvage/adverse effects, Male, Middle Aged, New Zealand/epidemiology, Popliteal Artery/pathology, Prospective Studies, Registries/statistics & numerical data, Retrospective Studies, Risk Factors, Thrombosis/epidemiology, Treatment Outcome, Vascular Grafting/adverse effects, Vascular Patency",
author = "Olivia Grip and Kevin Mani and Martin Altreuther and {Bastos Gon{\c c}alves}, Frederico and Barry Beiles and Kevin Cassar and Lazar Davidovic and Nikolaj Eldrup and Thomas Lattmann and Elin Laxdal and Gabor Menyhei and Carlo Setacci and Nicla Settembre and Ian Thomson and Maarit Venermo and Martin Bj{\"o}rck",
note = "Copyright {\textcopyright} 2020 The Author(s). Published by Elsevier B.V. All rights reserved.",
year = "2020",
month = nov,
doi = "10.1016/j.ejvs.2020.07.005",
language = "English",
volume = "60",
pages = "721--729",
journal = "European Journal of Vascular Surgery",
issn = "1078-5884",
publisher = "W.B./Saunders Co. Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - Contemporary Treatment of Popliteal Artery Aneurysms in 14 Countries

T2 - A Vascunet Report

AU - Grip, Olivia

AU - Mani, Kevin

AU - Altreuther, Martin

AU - Bastos Gonçalves, Frederico

AU - Beiles, Barry

AU - Cassar, Kevin

AU - Davidovic, Lazar

AU - Eldrup, Nikolaj

AU - Lattmann, Thomas

AU - Laxdal, Elin

AU - Menyhei, Gabor

AU - Setacci, Carlo

AU - Settembre, Nicla

AU - Thomson, Ian

AU - Venermo, Maarit

AU - Björck, Martin

N1 - Copyright © 2020 The Author(s). Published by Elsevier B.V. All rights reserved.

PY - 2020/11

Y1 - 2020/11

N2 - 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 grafts should be reconsidered based on these results.

AB - 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 grafts should be reconsidered based on these results.

KW - Acute Disease/epidemiology

KW - Aged

KW - Amputation/statistics & numerical data

KW - Aneurysm/complications

KW - Australia/epidemiology

KW - Brazil/epidemiology

KW - Elective Surgical Procedures/adverse effects

KW - Endovascular Procedures/adverse effects

KW - Europe/epidemiology

KW - Female

KW - Global Burden of Disease

KW - Humans

KW - Incidence

KW - Ischemia/epidemiology

KW - Limb Salvage/adverse effects

KW - Male

KW - Middle Aged

KW - New Zealand/epidemiology

KW - Popliteal Artery/pathology

KW - Prospective Studies

KW - Registries/statistics & numerical data

KW - Retrospective Studies

KW - Risk Factors

KW - Thrombosis/epidemiology

KW - Treatment Outcome

KW - Vascular Grafting/adverse effects

KW - Vascular Patency

U2 - 10.1016/j.ejvs.2020.07.005

DO - 10.1016/j.ejvs.2020.07.005

M3 - Journal article

C2 - 32807672

VL - 60

SP - 721

EP - 729

JO - European Journal of Vascular Surgery

JF - European Journal of Vascular Surgery

SN - 1078-5884

IS - 5

ER -

ID: 62412515