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    • Popliteal Artery Stenting is A Controversial Treatment, A Study Analysis

    Ahmed Gamal Eldin Fouad¹, Ahmed Faraghaly¹, Ahmed Elmarakby¹, Fatma Zeinhom²
    1Assistant Professor of Vascular Surgery, Kasr Aini Hospital, Cairo University 2Assistant Professor of radiology Surgery, Kasr Aini Hospital, Cairo University

    Purpose: To evaluate the efficacy & complications of popliteal artery stenting as a treatment for popliteal occlusive or aneurysmal diseases. Materials & Methods: 54 patients were exposed to popliteal artery stenting either for occlusion or aneurysmal lesions from January 2012 to December 2015, we analyzed the data of these procedures as regard the patency rates (primary & secondary) and the complications incidence including stents fracture & acute thrombosis. Results: 54 patients were treated by stenting of popliteal artery. 50 patients had popliteal artery occlusive lesions & the remaining 4 were treated for aneurysmal disease. The primary techniqual success after popliteal artery stenting was 100%. One year primary & secondary patency rate was 64.7%% & 70.5 % respectively. We had two non-procedure related mortality (3.7%). The total major amputation rate was 16.6%. The total stents fracture rate was 24% at one year. Conclusion: Popliteal artery stenting can be a good option of treatment for the aneurysmal dilation with low incidence of complications while for the atherosclerotic occlusive lesions; stents should be deployed as an selective and not as primary option. With new development of stents manufacture e.g. Supera, primary popliteal artery stenting can be considered but prospective randomized large studies are needed to document the efficacy. Key Words: Popliteal artery, stenting, aneurysmal, occlusive disease.

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