POPLITEAL ARTERY ANEURYSM TREATED WITH A MINIMALLY INVASIVE ENDOVASCULAR APPROACH - AN INITIAL REPORT

Purpose: To report a minimally invasive approach to popliteal artery a neurysm (PAA) treatment. Methods and Results: A 48-year-old male with a 3-cm PAA was treated electively with an endovascular in situ sapheno us vein bypass and transluminal antegrade coil embolization of the PAA prior to completion of the proximal anastomosis. Two short incisions at the anastomosis sites resulted in no wound complications, and the p atient was discharged after 2 days. After 14 months of follow-up, the patient is asymptomatic with continued patency of the in situ bypass a nd occlusion of the PAA. Conclusions: This endovascular approach for m inimally invasive femoropopliteal in situ saphenous vein bypass grafti ng appears feasible for treatment of PAAs. This method may reduce the rate of wound complications attending classic open in situ bypass graf ts.