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Abstract:

The aim of this research was to perform preoperative examination of distal arterial flow in patients with popliteal artery aneurysms. We performed 47 open surgery procedures in 38 patients with popliteal artery aneurysms. Patients underwent duplex scanning, CT and angiography Duplex scanning was performed in all cases while CT only in 14 (36,8%) cases. Angiography was performed in 29 (76,3%) cases (43 aneurysms).

We revealed that with the increasing duration of the disease increases the number of aneurysms with thrombus (71,8% vs 28,2%, p<0,05). Accordingly increases the number of patients with distal embolisation: 81,6% diseased shin arteries in patients with popliteal aneurysm vs 46,7% in patients without aneurysm (p<0,05). Therefore the longer aneurysm exists the more cases are complicated. In conclusion angiography still plays important role in diagnostics of popliteal aneurysms and helps to make decision for type of revascularization procedure.

 

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