Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.

Expansion of ligated Popliteal Artery Aneurysms (PAAs) is a well-documented entity post bypass surgery. Endoaneurysmorrhaphy and ligation of branches within the sac has been the main treatment for such cases, while there are recent reports of endovascular repair with transfemoral coil embolization....

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Main Authors: Christos Lioupis, Vikash Prasad, Luc Francoeur
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Annals of Vascular Surgery - Brief Reports and Innovations
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772687822000113
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author Christos Lioupis
Vikash Prasad
Luc Francoeur
author_facet Christos Lioupis
Vikash Prasad
Luc Francoeur
author_sort Christos Lioupis
collection DOAJ
description Expansion of ligated Popliteal Artery Aneurysms (PAAs) is a well-documented entity post bypass surgery. Endoaneurysmorrhaphy and ligation of branches within the sac has been the main treatment for such cases, while there are recent reports of endovascular repair with transfemoral coil embolization. We present two patients with enlarging ligated PAAs treated successfully with direct sac embolization with copolymer embolic agents (Onyx and Squid). The availability of simple endovascular techniques may change the treatment paradigm of ligated PAA expansion in a similar way that type 2 endoleaks post EVAR have been treated in asymptomatic patients with sac growth.
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spelling doaj.art-f7ad6da1243641679fb121d81fbe2e442023-07-04T05:11:39ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782022-03-0121100047Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.Christos Lioupis0Vikash Prasad1Luc Francoeur2Department of Vascular Surgery, The Moncton City Hospital, Dalhousie University, Moncton, NB, Canada; Corresponding author.Department of Interventional Radiology, The Moncton City Hospital, Dalhousie University, Moncton, NB, CanadaDepartment of Interventional Radiology, The Moncton City Hospital, Dalhousie University, Moncton, NB, CanadaExpansion of ligated Popliteal Artery Aneurysms (PAAs) is a well-documented entity post bypass surgery. Endoaneurysmorrhaphy and ligation of branches within the sac has been the main treatment for such cases, while there are recent reports of endovascular repair with transfemoral coil embolization. We present two patients with enlarging ligated PAAs treated successfully with direct sac embolization with copolymer embolic agents (Onyx and Squid). The availability of simple endovascular techniques may change the treatment paradigm of ligated PAA expansion in a similar way that type 2 endoleaks post EVAR have been treated in asymptomatic patients with sac growth.http://www.sciencedirect.com/science/article/pii/S2772687822000113Popliteal artery aneurysmsExpanded popliteal aneurysmsLigated popliteal aneurysmsEndovascular repairDirect sac punctureSac embolization
spellingShingle Christos Lioupis
Vikash Prasad
Luc Francoeur
Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.
Annals of Vascular Surgery - Brief Reports and Innovations
Popliteal artery aneurysms
Expanded popliteal aneurysms
Ligated popliteal aneurysms
Endovascular repair
Direct sac puncture
Sac embolization
title Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.
title_full Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.
title_fullStr Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.
title_full_unstemmed Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.
title_short Direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass.
title_sort direct sac puncture approach to expanded popliteal artery aneurysms after exclusion and bypass
topic Popliteal artery aneurysms
Expanded popliteal aneurysms
Ligated popliteal aneurysms
Endovascular repair
Direct sac puncture
Sac embolization
url http://www.sciencedirect.com/science/article/pii/S2772687822000113
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AT lucfrancoeur directsacpunctureapproachtoexpandedpoplitealarteryaneurysmsafterexclusionandbypass