Noppeney, Thomas and Kopp, Reinhard and Pfister, Karin and Schierling, Wilma and Noppeney, Jeanette and Cucuruz, Beatrix (2019) Treatment of popliteal vein aneurysms. JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 7 (4). pp. 535-542. ISSN 2213-333X,
Full text not available from this repository. (Request a copy)Abstract
Objective: Popliteal vein aneurysms are associated with high risk for deep venous thrombosis (DVT) and pulmonary embolism. The goal of this study was to report treatment strategies for popliteal vein aneurysms and their outcome after long-term follow-up. Methods: All patients between June 1993 and June 2018 with diagnosed popliteal vein aneurysm were enrolled in this study and analyzed retrospectively. They received regular surveillance alone or treatment. Patients were offered aneurysm resection or lifelong anticoagulation if they had aneurysm size of twice normal vein diameter. All patients received clinical examination and duplex ultrasound examination 3 to 6 months after operation or primary diagnosis and annually thereafter. Results: A total of 39 patients (aneurysm size, mean 23.3 mm) were treated by either operation or anticoagulation (31/39 [79%]) or surveillance alone (8/39 [21%]). Patients with an aneurysm >20 mm in diameter had a significantly higher incidence of turbulent flow on duplex ultrasound examination with higher risk for development of DVT (P = .029). Of the 31 patients with a therapeutic approach, 29 (94%) preferred resection, whereas 2 (6%) patients were treated with lifelong anticoagulation and compression. Mean follow-up was 57.9 +/- 12.5 months. Conclusions: According to these results, it seems that patients with large popliteal vein aneurysms experience DVT more frequently. Therefore, popliteal vein aneurysms >20 mm should be considered for surgical treatment or lifelong anticoagulation, depending on the patient's preference.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | VENOUS ANEURYSMS; MANAGEMENT STRATEGIES; ENDOTHELIALIZATION; Popliteal vein aneurysm; Deep venous thrombosis; Therapeutic anticoagulation; Aneurysm resection |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Gefäßchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 03 Apr 2020 09:15 |
| Last Modified: | 03 Apr 2020 09:15 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26668 |
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