Even if popliteal artery aneurysm (PAA) is the most common peripheral aneurysm, no single surgeon or institution has enough patients to study this disease with appropriate scientific methods, and no population-based investigation exists.PAA epidemiology, treatment, management, and outcome were studied in a population-based study of 571 patients (717 legs) primarily operated on for PAAs and 100 episodes of preoperative thrombolysis in Sweden between 1987 and 2002. Patients were identified in the Swedish Vascular Registry and case-records were reviewed. Information on amputation and survival was obtained for all patients, and 190 patients were re-examined with ultrasound, after mean 7.2 years (range 2-18)Median age was 71 years; 5.8% were women. Patients with unilateral…
Contents
Introduction
Definition
Historical notes
Epidemiology
Clinical presentation
Diagnosis
Indications for treatment
Treatment
Outcome after PAA-repair
Long-term survival
Follow-up
Swedvasc
Aims
Patients and Methods
The Swedvasc registry
Patient selection
Data collection
Variables collected from the patient records
Thrombolysis
Cross-checking against the national population registry
Cross-checking for amputations
Validation of the Swedvasc
Telephone inquiry
Re-examination
Ethics
Statistics
Results
Epidemiology – Paper I
Symptoms
Distribution of extra popliteal aneurysms
Outcome
Acute treatment of PAA – Paper II
Operative technique
Outcome
Surgical technique used on 717 legs operated on for PAA – Paper III
Patency
Expansion
Amputation rate
Re-examination of 190 patients – Paper IV
Factors associated with the development of AAA
Factors associated with multi-aneurysmal diseases
General discussion
Incidence
Outcome
Acute treatment
Surgical technique
Multiple aneurysm disease
Conclusions
Future perspectives of continued research on PAA disease
Ruptured PAA
Women and PAA
Re-examination of the 59 patients with no additional aneurysms
Blood samples
(Summary in Swedish)
Delarbete I
Delarbete II
Delarbete III
Delarbete IV
Sammanfattning
(Summary in Danish)
Delarbejde I
Delarbejde II
Delarbejde III
Delarbejde IV
Sammenfatning
Acknowledgements
References
Author: Ravn, Hans
Source: Uppsala University Library
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