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Poplitea-Aneurysmen — operative Versorgung versus konservatives Vorgehen

  • A. Schröder
  • J. Gohlke
  • W. Groß-Fengels
  • R. Horstmann
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Zusammenfassung

217 Patienten mit 349 Poplitea-Aneurysmen (PA) wurden analysiert. 45% wiesen symptomatische Komplikationen auf, vor allem Thrombosen (21% akute, 15% chronische) und Embolien (7%). Der mittlere Durchmesser akut thrombosierter (2,69 cm) war signifikant größer als der nicht-thrombosierter PA (2,15 cm). Die Amputationsrate bei notfallmäßig behandelten Patienten betrug 36,1% nach 2 Jahren. Der Unterschied zu Patienten mit Bypass im asymptomatischen Stadium (4 Jahre Durchgängigkeit 89%, Extremitätenerhalt 100%) ist hochsignifikant. Von 128 konservativ behandelten PA waren nach 5 Jahren 53% komplikationsfrei. Prophylaktische Operationen von PA mit hohem Komplikationsrisiko sind u. E. gerechtfertigt, die Charakteristika dieser Fälle sind jedoch noch schlecht definiert.

Schlüsselwörter

Poplitea-Aneurysma Prophylaktische Operation Behandlungsergebnis 

Popliteal Aneurysms — Operative Versus Conservative Management

Summary

217 patients with 349 popliteal aneurysms (PA) were studied. 45% presented with symptomatic complications, mainly thrombosis (21% acute, 15% chronic) and em-bolisation (7%). The mean diameter was significantly larger in acutely thrombosed (2.69 cm) than in patent PA (2.15 cm). The amputation rate in patients requiring emergency treatment was 36.1% after 2 years. The difference to patients undergoing bypass surgery in an asymptomatic stage (4-year graft patency 89%, limb salvage 100%) is highly significant. Of 128 PA treated conservatively, 53% were free of complications after 5 years. We conclude that prophylactic surgery of PA is justified in cases at high risk of developing complications, but that characteristics of those cases are not yet well defined.

Key words

Popliteal aneurysm Prophylactic surgery Treatment outcome 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • A. Schröder
    • 1
  • J. Gohlke
    • 1
  • W. Groß-Fengels
    • 1
  • R. Horstmann
    • 1
  1. 1.Allgemeines Krankenhaus HarburgHamburgDeutschland

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