PRELIMINARY-RESULTS OF PERCUTANEOUS THERA PY OF POPLITEAL ANEURYSMS WITH STENTS

Purpose: Are percutaneous stents: a therapeutic alternative to bypass surgery in the treatment of popliteal aneurysms? Material and methods: Three patients with femoropopliteal occlusion related to popliteal an eurysms were treated percutaneously. In two cases coated stents were u sed. In the third patient who underwent prior bypass surgery due to lo cal fibrinolysis a reperfusion of the aneurysm occurred. lie was treat ed with a Wallstent. Results: Primary stent treatment was successful i n all cases. There were no complications. One patient was lost to foll ow-up. One of the two coated stents occluded after one month due to a poor run-off of only one lower limb artery. The other coated stent is still patent after I months: proven by angiography. Conclusion: Percut aneous therapy with coated stents could be an alternative to surgical bypass therapy for popliteal aneurysms. Obviously long-time patency is related to sufficient run-off.