Thromboendarterectomy with Posterior Approach for Local Occlusive Lesion of Popliteal Artery: 4 Case Reports

Suzuki J, Aramoto H* and Makino Y

Department of Surgery, Division of Vascular Surgery, Sakakibara Heart Institute, Japan

^*Correspondance to: Haruo Aramoto 

 PDF  Full Text DOI: 10.25107/2474-1647.3650

Abstract

Purpose: Thromboendarterectomy (TEA) is the standard procedure for atherosclerotic lesions in the common femoral artery, which is considered a non-stent region. Although the popliteal artery is also a non-stent territory, endovascular procedures are commonly performed in this artery as well as in the superficial femoral artery. The usefulness of TEA via a posterior approach for localized occlusive lesions in the popliteal artery has been noted. Therefore, we investigated the usefulness of TEA of the popliteal artery by a posterior approach based on cases we have managed at our institution. Methods: We retrospectively analyzed four patients with peripheral arterial disease in the popliteal artery presenting as intermittent claudication who underwent popliteal TEA by the posterior approach in the prone position at our institution from June 2017 to May 2018. Results: The mean postoperative observation period was 18.8 ± 5.6 months (range, 14-25 months). The patch material used was the small saphenous vein in two patients and an expanded polytetrafluoroethylene sheet in two patients. In all patients, claudication improved and recovery of the ankle-brachial pressure index was observed postoperatively. Early stenosis occurred one of the four patients. No patients developed serious complications during the observation period. Conclusion: TEA with a posterior approach for local lesions in the popliteal artery is a useful technique because the great saphenous vein can be preserved using the small saphenous vein or a prosthetic patch. However, if the lesion extends proximally, application of this technique should be carefully considered.

Keywords

Popliteal artery; Peripheral arterial disease; Posterior approach; Thromboendarterectomy

Cite the article

Suzuki J, Aramoto H, Makino Y. Thromboendarterectomy with Posterior Approach for Local Occlusive Lesion of Popliteal Artery: 4 Case Reports. Clin Surg. 2023; 8: 3650..