Femoral And Popliteal AneurysmsWhat is Femoral And Popliteal Aneurysms?Because femoral and popliteal aneurysms occur in the two major peripheral arteries, they're also known as peripheral arterial aneurysms. They may be fusiform (spindle-shaped) or saccular (pouch like). Fusiform types are three times more common. They may be singular or multiple segmental lesions, in many instances affecting both legs, and may accompany other arterial aneurysms located in the abdominal aorta or iliac arteries. This condition is most common in men over age 5O. Elective surgery before complications arise greatly improves the prognosis. Causes of Femoral And Popliteal AneurysmsFemoral and popliteal aneurysms usually result from progressive atherosclerotic changes in the arterial walls(medial layer). Rarely, they result from congenital weakness in the arterial wall. They may also result from traurrta (blunt or penetrating), bacterial infection, or peripheral vascular reconstructive surgery (which causes "suture line" aneurysms, also called false aneurysms,whereby a blood clot forms a second lumen). Diagnostic TestsArteriography or ultrasonography may help resolve doubtful situations. Arteriography may also detect associated aneurysms, especially those in the abdominal aorta and the iliac arteries. Ultrasonography may also help determine the size of the femoral or popliteal artery. TreatmentFemoral and popliteal aneurysms require surgical bypass and reconstruction of the artery, usually with an autogenous saphenous vein graft replacement. Arterial occlusion that causes severe ischemia and gangrene may require leg amputation. |
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