Repair recommended for patients with asymptomatic PAA \u226520 mm in diameter to cut risk for thromboembolic complications, limb loss<\/p>\n<\/h3>\n
<\/b><\/p>\n
<\/b><\/p>\n
THURSDAY, July 22, 2021 (HealthDay News) — In a clinical practice guideline issued by the Society for Vascular Surgery (SVS) and published in the Journal of Vascular Surgery<\/em>, recommendations are presented for the medical management of popliteal artery aneurysms (PAAs).<\/p>\n Alik Farber, M.D., from the Boston University School of Medicine, and colleagues developed recommendations relating to PAA screening, indications for intervention, repair strategy, and management and follow-up of PAAs.<\/p>\n The authors recommend that patients presenting with PAA are screened for contralateral PAA and abdominal aortic aneurysm (strong recommendation; moderate quality of evidence). To reduce the risk for thromboembolic complications and limb loss, repair is recommended for patients with asymptomatic PAA \u00e2\u0089\u00a520 mm in diameter (strong recommendation; moderate quality of evidence). Open PAA repair is suggested for asymptomatic patients with a life expectancy of at least five years, provided that an adequate saphenous vein is present (weak recommendation; low quality of evidence). For patients with a reduced life expectancy, endovascular repair should be considered if intervention is indicated (weak recommendation; low quality of evidence). Intervention for thrombotic and\/or embolic complications of PAA should be stratified by the severity of acute limb ischemia at presentation (strong recommendation; moderate quality of evidence).<\/p>\n “Physical finding of a bounding popliteal pulse or a history of an abdominal aortic aneurysm or a popliteal aneurysm in another limb should lead to an ultrasound of the popliteal artery, a widely available and inexpensive test,” Farber said in a statement. “Surgical bypass and endovascular stent-grafting, both have a role in treatment of appropriately selected patients and these interventions can prevent leg amputation.”<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n