Materiały źródłowe

• #1 SVS clinical practice guidelines on popliteal artery aneurysms published

  https://vascularspecialistonline.com/svs-publishes-clinical-practice-guidelines-on-popliteal-artery-aneurysms/

  The Society for Vascular Surgery (SVS) has released new clinical practice guidelines to ensure that patients with popliteal artery aneurysms receive appropriate treatment and care. […] Popliteal artery aneurysms can cause limb loss and therefore early diagnosis, careful follow-up, and timely treatment of this condition are paramount. […] Surgical bypass and endovascular stent-grafting, both have a role in treatment of appropriately selected patients and these interventions can prevent leg amputation. […] The goal of treatment should be to prevent aneurysm complications including amputation, and to allow for a patient’s rapid return to their baseline functional level. These guidelines should greatly aid in the achievement of these goals.

• #2 SVS releases clinical practice guidelines on popliteal artery aneurysms

  https://vascularnews.com/svs-releases-clinical-practice-guidelines-on-popliteal-artery-aneurysms/

  The Society for Vascular Surgery (SVS) has released new clinical practice guidelines to ensure that patients with popliteal artery aneurysms receive appropriate treatment and care. […] Popliteal artery aneurysms can cause limb loss and therefore early diagnosis, careful follow-up, and timely treatment of this condition are paramount. […] Surgical bypass and endovascular stent-grafting, both have a role in treatment of appropriately selected patients and these interventions can prevent leg amputation. […] The goal of treatment should be to prevent aneurysm complications including amputation, and to allow for a patient’s rapid return to their baseline functional level.

• #3 Popliteal artery aneurysm | Altru Health System

  https://www.altru.org/health-library/conditions/popliteal-artery-aneurysm

  Smoking and high blood pressure increase the risk of blood vessel problems that can lead to popliteal artery and other aneurysms. Following a heart-healthy lifestyle can help prevent heart disease and blood vessel damage. […] Try these heart-healthy tips: […] Do not smoke. […] Eat a nutritious diet. […] Get regular exercise.

• #4 Mayo Clinic Health Library – Popliteal artery aneurysm | Swiss Medical Network

  https://www.swissmedical.net/en/healtcare-library/con-20248747

  Smoking and high blood pressure increase the risk of blood vessel problems that can lead to popliteal artery and other aneurysms. Following a heart-healthy lifestyle can help prevent heart disease and blood vessel damage. […] Try these heart-healthy tips: Do not smoke. Eat a nutritious diet. Get regular exercise.

• #5 Popliteal Artery Aneurysm: Causes, Symptoms, Risk Factors

  https://www.prepladder.com/neet-pg-study-material/surgery/popliteal-artery-aneurysm-causes-symptoms-risk-factors-diagnosis-treatment-prevention-and-complications

  Smoking and high blood pressure both increase the risk of blood vessel problems, which can lead to aneurysms of the popliteal artery and other vessels. Blood vessel damage and heart disease can be prevented in part by leading a heart-healthy lifestyle. […] Try these tips to maintain heart health: […] Steer clear of smoking. […] Eat a balanced diet. […] Exercise on a regular basis.

• #6

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc1769

  Having a popliteal aneurysm means you may also have a higher risk of heart disease. There are many things you can do to improve your heart health. Doing these things may also prevent more damage to your blood vessels. […] Do not smoke. Smoking can damage blood vessels. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. […] Manage blood pressure. A healthy lifestyle along with medicines may help you lower your blood pressure. […] Manage cholesterol to help keep your blood vessels healthy. A healthy lifestyle along with medicines may help you manage cholesterol. […] Eat heart-healthy foods. These include fruits, vegetables, whole grains, fish, and low-fat or non-fat dairy foods. Limit sodium, alcohol, and sweets.

• #7 Popliteal Aneurysm: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/popliteal-aneurysm

  Providers believe atherosclerosis is the main cause of a popliteal aneurysm. You may be able to reduce your risk by: […] Avoiding tobacco products. […] Keeping your cholesterol numbers in a normal range. […] Managing your blood pressure if its high. […] Eating heart-healthy foods that are low in saturated fat. […] Exercising for 150 minutes each week.

• #8 What are the Symptoms & Causes of a Popliteal Aneurysm?

  https://legsmatter.org/information-and-support/health-concerns/popliteal-aneurysm/

  There are a number of things you can do to try and avoid the possibility of getting a popliteal aneurysm: […] Don’t smoke […] Manage blood pressure […] Take regular exercise […] Manage cholesterol […] Maintain a healthy weight.

• #9

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc1769

  Stay at a healthy weight. Lose weight if you need to. […] Ask your doctor what type and level of activity is safe for you. If your doctor recommends it, get regular exercise. Walking is a good choice. Bit by bit, increase the amount you walk every day. Try for at least 2 hours a week. You also may want to swim, bike, or do other activities. […] Manage other health problems. If you think you may have a problem with alcohol or drug use, talk to your doctor.

• #10 Aneurysm – UF Health

  https://ufhealth.org/conditions-and-treatments/aneurysm

  Controlling high blood pressure may help prevent many aneurysms. Follow a healthy diet, get regular exercise, and keep your cholesterol at a healthy level to help prevent aneurysms or their complications. […] Do not smoke. If you do smoke, quitting will lower your risk for an aneurysm.

• #11 Popliteal Artery Aneurysms

  https://vascularinstitute.com/blog/8731/Popliteal-Artery-Aneurysms

  Popliteal artery aneurysm (PAA) is the dilation and thinning of the popliteal artery which can occur at any point in the posterior distal thigh or knee. […] Consequently, screening for additional aneurysms upon diagnosis is highly recommended. […] Regardless of whether the aneurysm is symptomatic or not, risk factors should be addressed to mitigate worsening of the condition. […] For asymptomatic presentations of the disease, regular ultra sound screenings should be planned every 6 to 12 months, with more frequent imaging done in patients with aneurysms greater than 1.7 cm in diameter. […] IF YOU HAVE A POPLITEAL ARTERY ANEURYSM, YOU NEED TO SEE A VASCULAR SURGEON RIGHT AWAY. YOU WILL NEED LIFELONG FOLLOW-UP WITH YOUR VASCULAR SURGEON.

• #12 Popliteal Artery Disease Guidelines: SVS Guidelines for Popliteal Artery Aneurysms, ACC/AHA Guidelines for Lower-Extremity Peripheral Arterial Disease

  https://emedicine.medscape.com/article/461910-guidelines

  Guidelines on popliteal artery aneurysms (PAAs) were published in January 2022 by the Society for Vascular Surgery (SVS). The recommendations are summarized below. […] Patients with an asymptomatic PAA at least 20 mm in diameter should undergo repair to reduce their risk of thromboembolic complications and limb loss. […] For selected patients with an asymptomatic PAA of at least 20 mm in diameter who are at higher clinical risk of thromboembolic complications and limb loss, repair can be deferred until the PAA has become at least 30 mm, especially in the absence of thrombus. […] Consider repair for patients with a PAA smaller than 20 mm, in the presence of thrombus and a clinical suspicion of embolism or imaging evidence of poor distal runoff, to prevent thromboembolic complications and possible limb loss. […] Yearly monitoring for changes in symptoms, pulse examination, extent of thrombus, patency of the outflow arteries, and aneurysm diameter is suggested for patients with an asymptomatic PAA who are not offered repair.

• #13 Aneurysm – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/aneurysm/

  Popliteal artery aneurysm […] Multifactorial (i.e., inflammatory, immune, genetic, and mechanical components) […] Usually asymptomatic mass in the popliteal fossa (bilateral in 50% of patients) […] Knee pain […] Acute limb ischemia (6 Ps) […] See Treatment in Popliteal artery aneurysm. […] All patients […] Screen for contralateral popliteal artery aneurysm and AAA. […] Risk stratify for acute limb ischemia, e.g., using Rutherford grading. […] Begin management of acute limb ischemia, e.g., anticoagulation, if present. […] Optimize management of ASCVD. […] Surgery […] The decision to repair is multifactorial and depends on aneurysm size, thromboembolic risk, perioperative risk assessment, and the patient’s life expectancy. […] Indications include:

• #14 Aneurysm – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/aneurysm/

  Diameter 2 cm […] Presence of thrombus and/or suspicion of embolism […] Distal arterial insufficiency […] Conservative management […] Long-term clinical monitoring […] Serial imaging […] Complications […] Acute limb ischemia and possible loss of limb […] Chronic thrombus and/or distal embolization, e.g., blue toe syndrome […] Rupture (rare)

• #15 Management of Popliteal Artery Aneurysm

  https://www.acc.org/education-and-meetings/patient-case-quizzes/management-of-popliteal-artery-aneurysm

  Popliteal artery aneurysms (PAA) are the most common peripheral arterial aneurysm after the aortic-iliac segment aneurysms. Indications for repair are based on symptoms of ischemia (thrombosis or embolism), local compression or from rupture (rare). PAA 2 cm in size in asymptomatic patients is also an indication for repair to decrease risk of thrombosis or embolism. […] The gold standard treatment has been open surgical approach, but endovascular approach is increasingly being utilized. […] Safe endovascular approach needs at least 1 cm of normal artery to obtain adequate stent graft fixation. […] Based on the above factors and his lower surgical risk, open surgical repair was done in this patient, making answer A the best option. […] The patient is at risk of developing thrombus in the aneurysm, and, therefore, frequent examination is not the solution. […] Studies are very limited and are unable to show if warfarin sodium or antiplatelet agents alone decrease the risk of thrombosis.

• #16 Popliteal Artery Aneurysm – Treatment and Symptoms | Apollo Hospitals

  https://www.apollohospitals.com/diseases-and-conditions/popliteal-artery-aneurysm-treatment-and-symptoms

  Popliteal aneurysms are frequently bigger than 2.5cm, posing a significant risk of clotting and subsequent consequences. They should be evaluated for use as a preventative measure. […] When a popliteal aneurysm causes a blood deficit in the leg, it presents an emergency. It should be treated as a high-risk wound regardless of its size to avoid amputation of the lower leg. […] Its critical that you regularly monitor your blood pressure, and if required, take medication to control it.

• #17 Endovascular Treatment of Popliteal Aneurysm | Thoracic Key

  https://thoracickey.com/endovascular-treatment-of-popliteal-aneurysm/

  The primary goals of repairing popliteal artery aneurysms are the prevention of thromboembolic complications and limb loss. […] Thus in all ambulatory patients, elective repair of popliteal artery aneurysms greater than 2 cm in diameter, especially those with mural thrombus, should be undertaken to prevent embolization, thrombosis, and major amputation. […] Clopidogrel therapy is initiated before or immediately after endovascular repair to limit the risk of endograft thrombosis.

• #18 Popliteal artery aneurysms | Gore Medical Asia Pacific

  https://www.goremedical.com/ap/products/viabahn/clinical-uses/popliteal-artery-aneurysms

  The GORE VIABAHN Endoprosthesis is an established PAA treatment option associated with short and mid-term clinical results that are comparable to surgical bypass. […] The GORE VIABAHN Endoprosthesis with PROPATEN Bioactive Surface is an excellent alternative to surgical repair of popliteal aneurysms and offers lower morbidity as well as a shorter length of stay.

• #19 Treatment of a large popliteal aneurysm | Gore Medical Asia Pacific

  https://www.goremedical.com/ap/products/viabahn/case-studies/popliteal-artery-aneurysms

  The new, low-profile 0.018″ compatible GORE VIABAHN Endoprosthesis with PROPATEN Bioactive Surface* is ideal for treatment of popliteal aneurysms. […] The use of the 0.018″ wire and the lower profile GORE VIABAHN Delivery System minimized the risk of distal embolization of thrombus within the aneurysm. […] Further, the lower profile system allowed the procedure to be performed through a 7 Fr contralateral sheath rather than an 8 Fr sheath which would have been required for both the 7 mm and 8 mm 0.035″ compatible GORE VIABAHN Devices. […] The new, low profile GORE VIABAHN Delivery System not only minimized the chances of distal embolization, it also reduced the risk of access site bleeding complications by allowing use of a smaller introducer sheath. […] The GORE VIABAHN Endoprosthesis with PROPATEN Bioactive Surface* is an excellent alternative to surgical repair of popliteal aneurysms and offers lower morbidity as well as a shorter length of stay.

• #20 Conservative treatment of giant popliteal aneurysm with edoxaban in an elderly man

  https://www.imrpress.com/journal/JMCM/3/1/10.31083/j.jmcm.2020.01.005/htm

  Although popliteal aneurysm is an uncommon condition, it is the most common peripheral artery aneurysm. […] The optimal management strategy for unoperated popliteal aneurysm and the prophylaxis of thromboembolism in high-risk patients remains to be determined. […] The optimal management strategy for unoperated PA and of thromboembolism prophylaxis in high-risk patients remains unsettled. We decided to treat our patient with 30 mg of edoxaban daily, to reduce the risk of thrombosis and distal embolism. […] A conservative approach with DOACs and non-invasive periodic surveillance might be a possible strategy for the management of patients at high surgical risk, limited life expectancy, or who refuse operative repair. More research and evidence are needed to support DOAC prescription for unoperated PA.

• #21 Conservative treatment of giant popliteal aneurysm with edoxaban in an elderly man

  https://www.imrpress.com/journal/JMCM/3/1/10.31083/j.jmcm.2020.01.005

  Although popliteal aneurysm is an uncommon condition, it is the most common peripheral artery aneurysm. […] The optimal management strategy for unoperated popliteal aneurysm and the prophylaxis of thromboembolism in high-risk patients remains to be determined. […] The patient was treated with 30 mg of edoxaban daily to reduce the risk of thrombosis and distal embolism. […] These results suggest that a conservative approach with direct oral anticoagulation and periodic surveillance might be an effective strategy for patients at high surgical risk, with limited life expectancy or who refuse operative repair. […] However, further research and evidence are needed to support direct oral anticoagulation for conservative popliteal aneurysm treatment.

• #22 Endovascular Treatment of Popliteal Aneurysm – Clinical Tree

  https://clinicalpub.com/endovascular-treatment-of-popliteal-aneurysm/

  The primary goals of repairing popliteal artery aneurysms are the prevention of thromboembolic complications and limb loss. Complication rates of 15% to 25% at 1 year and 60% to 75% at 5 years have been reported for untreated popliteal artery aneurysms. Thus in all ambulatory patients, elective repair of popliteal artery aneurysms greater than 2 cm in diameter, especially those with mural thrombus, should be undertaken to prevent embolization, thrombosis, and major amputation. […] Clopidogrel therapy is initiated before or immediately after endovascular repair to limit the risk of endograft thrombosis.

• #23 Aneurysm: What It Is, Types, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22769-aneurysm

  How can I prevent an aneurysm? Unruptured aneurysms are common. You cant always prevent them. But you can reduce your risk of developing an aneurysm by maintaining a healthy lifestyle: Eat a heart-healthy diet. Exercise regularly. Maintain a healthy weight. Avoid or quit smoking. […] Your provider can monitor and treat an aneurysm to reduce the risk of it bursting. If an aneurysm does rupture, its a medical emergency. You need to seek medical attention immediately.

Zobacz więcej