TęTniak

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TęTniak

  1. 1. Principles of surgical management in patients with aneurysms of the popliteal artery. Piotr Niedziela, Andrzej Szczepanowski, Paweł Bronikowski, Roman Paduch Praga 2009
  2. 2. Etiology: <ul><li>atherosclerosis (95%) Marfan syndrome post- traumatic changes </li></ul>
  3. 4. Symptoms: <ul><li>claudicatio intermitens rest pain pain of limb - blue color of foot skin </li></ul>
  4. 5. Consequence of asymptomatic aneurysm <ul><li>acute ischaemia of limb thrombosis of popliteal artery compression of surrounding nerves </li></ul>
  5. 6. Diagnosis: <ul><li>case history physical egzamination </li></ul>
  6. 7. Confirmed of diagnosis <ul><li>Ultrasound egzamination Arteriography </li></ul>
  7. 8. Differental diagnosis <ul><li>Becker cyst Neoplastic changes </li></ul>
  8. 9. Two basic types Large Small
  9. 10. The treatment: <ul><li>size of aneurysm shape location patency of crural arteries </li></ul>
  10. 11. Stages of treatment: <ul><li>patency of peripheral vessels excision or ligation of aneurysm - reconstruction of arteries </li></ul>
  11. 12. Types of reconstruction: <ul><li>by- pass veins graft vascular prosthesis </li></ul>
  12. 20. 1. The patients with aneurisms of popliteal arteries required the specialistic diagnosis and most often operative treatment.
  13. 21. 2. The asymptomatic aneurism of the popliteal artery is an indication of the reconstructive intervention.
  14. 22. 3. The better results were obtained when the operation was conducted according to plan and when the own vein of a patient was used to reconstruct the blood flow.
  15. 23. Dziękuję za uwagę

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