Outcomes of women treated for popliteal artery aneurysms

Syed Peeran, Randall R De Martino, Ying Huang, Mark Fleming, Maju Kalra, Gustavo Oderich, Audra A. Duncan, Thomas C. Bower, Peter Gloviczki

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background Popliteal artery aneurysms (PAAs) in women are rare and their outcomes compared with men with PAA are unknown. The purpose of this study was to compare the surgical outcomes of PAA of women with men. Methods All patients who underwent PAA repair at a single institution from 1985 to 2013 were reviewed. All women with degenerative PAA treated during that time frame were matched on year of repair to men. Presentation, mode of repair, and outcomes were reviewed. Survival and amputation-free survival were evaluated by life table analysis. Results During the study interval, 8 women with degenerative PAA underwent surgical treatment (1.6% of 485 total PAA repairs). The overall median follow-up was 5 years (range 1 month to 19 years), but the median follow-up was shorter for women than men (1.6 vs. 6 years, P = 0.04). At the time of repair, women were of similar age compared with men (73.5 vs. 71.7 years) and had similar aneurysm size (2.7 vs. 2.9 cm). Women had similar urgency (25 vs. 17.5% emergent) and symptomatic status (50% vs. 55% acute) even though 7 of the 8 women had a thrombosed PAA at the time of repair. Operative time, approach, graft type, and inflow and outflow sources were similar between genders. No women received endovascular repair (0% vs. 10%, P = 0.5). One patient of each gender underwent major amputation (one woman on post-operative day 158 and one man on post-operative day 3). Overall, women had lower survival and amputation-free survival at 2 years (51% vs. 100% and 20% vs. 94%, P < 0.01 for both, standard error 0.2). Conclusions PAA requiring intervention in women is a rare clinical occurrence. Although our series is limited, women requiring PAA repair had higher long-term mortality compared with men with a similar pathology and treatment strategy.

Original languageEnglish (US)
Pages (from-to)187-192
Number of pages6
JournalAnnals of Vascular Surgery
Volume34
DOIs
StatePublished - Jul 1 2016

Fingerprint

Popliteal Artery
Aneurysm
Amputation
Survival
Life Tables
Operative Time

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Outcomes of women treated for popliteal artery aneurysms. / Peeran, Syed; De Martino, Randall R; Huang, Ying; Fleming, Mark; Kalra, Maju; Oderich, Gustavo; Duncan, Audra A.; Bower, Thomas C.; Gloviczki, Peter.

In: Annals of Vascular Surgery, Vol. 34, 01.07.2016, p. 187-192.

Research output: Contribution to journalArticle

Peeran, S, De Martino, RR, Huang, Y, Fleming, M, Kalra, M, Oderich, G, Duncan, AA, Bower, TC & Gloviczki, P 2016, 'Outcomes of women treated for popliteal artery aneurysms', Annals of Vascular Surgery, vol. 34, pp. 187-192. https://doi.org/10.1016/j.avsg.2015.12.010
Peeran, Syed ; De Martino, Randall R ; Huang, Ying ; Fleming, Mark ; Kalra, Maju ; Oderich, Gustavo ; Duncan, Audra A. ; Bower, Thomas C. ; Gloviczki, Peter. / Outcomes of women treated for popliteal artery aneurysms. In: Annals of Vascular Surgery. 2016 ; Vol. 34. pp. 187-192.
@article{3e0016c82157478ea3d38adef6094c84,
title = "Outcomes of women treated for popliteal artery aneurysms",
abstract = "Background Popliteal artery aneurysms (PAAs) in women are rare and their outcomes compared with men with PAA are unknown. The purpose of this study was to compare the surgical outcomes of PAA of women with men. Methods All patients who underwent PAA repair at a single institution from 1985 to 2013 were reviewed. All women with degenerative PAA treated during that time frame were matched on year of repair to men. Presentation, mode of repair, and outcomes were reviewed. Survival and amputation-free survival were evaluated by life table analysis. Results During the study interval, 8 women with degenerative PAA underwent surgical treatment (1.6{\%} of 485 total PAA repairs). The overall median follow-up was 5 years (range 1 month to 19 years), but the median follow-up was shorter for women than men (1.6 vs. 6 years, P = 0.04). At the time of repair, women were of similar age compared with men (73.5 vs. 71.7 years) and had similar aneurysm size (2.7 vs. 2.9 cm). Women had similar urgency (25 vs. 17.5{\%} emergent) and symptomatic status (50{\%} vs. 55{\%} acute) even though 7 of the 8 women had a thrombosed PAA at the time of repair. Operative time, approach, graft type, and inflow and outflow sources were similar between genders. No women received endovascular repair (0{\%} vs. 10{\%}, P = 0.5). One patient of each gender underwent major amputation (one woman on post-operative day 158 and one man on post-operative day 3). Overall, women had lower survival and amputation-free survival at 2 years (51{\%} vs. 100{\%} and 20{\%} vs. 94{\%}, P < 0.01 for both, standard error 0.2). Conclusions PAA requiring intervention in women is a rare clinical occurrence. Although our series is limited, women requiring PAA repair had higher long-term mortality compared with men with a similar pathology and treatment strategy.",
author = "Syed Peeran and {De Martino}, {Randall R} and Ying Huang and Mark Fleming and Maju Kalra and Gustavo Oderich and Duncan, {Audra A.} and Bower, {Thomas C.} and Peter Gloviczki",
year = "2016",
month = "7",
day = "1",
doi = "10.1016/j.avsg.2015.12.010",
language = "English (US)",
volume = "34",
pages = "187--192",
journal = "Annals of Vascular Surgery",
issn = "0890-5096",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Outcomes of women treated for popliteal artery aneurysms

AU - Peeran, Syed

AU - De Martino, Randall R

AU - Huang, Ying

AU - Fleming, Mark

AU - Kalra, Maju

AU - Oderich, Gustavo

AU - Duncan, Audra A.

AU - Bower, Thomas C.

AU - Gloviczki, Peter

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Background Popliteal artery aneurysms (PAAs) in women are rare and their outcomes compared with men with PAA are unknown. The purpose of this study was to compare the surgical outcomes of PAA of women with men. Methods All patients who underwent PAA repair at a single institution from 1985 to 2013 were reviewed. All women with degenerative PAA treated during that time frame were matched on year of repair to men. Presentation, mode of repair, and outcomes were reviewed. Survival and amputation-free survival were evaluated by life table analysis. Results During the study interval, 8 women with degenerative PAA underwent surgical treatment (1.6% of 485 total PAA repairs). The overall median follow-up was 5 years (range 1 month to 19 years), but the median follow-up was shorter for women than men (1.6 vs. 6 years, P = 0.04). At the time of repair, women were of similar age compared with men (73.5 vs. 71.7 years) and had similar aneurysm size (2.7 vs. 2.9 cm). Women had similar urgency (25 vs. 17.5% emergent) and symptomatic status (50% vs. 55% acute) even though 7 of the 8 women had a thrombosed PAA at the time of repair. Operative time, approach, graft type, and inflow and outflow sources were similar between genders. No women received endovascular repair (0% vs. 10%, P = 0.5). One patient of each gender underwent major amputation (one woman on post-operative day 158 and one man on post-operative day 3). Overall, women had lower survival and amputation-free survival at 2 years (51% vs. 100% and 20% vs. 94%, P < 0.01 for both, standard error 0.2). Conclusions PAA requiring intervention in women is a rare clinical occurrence. Although our series is limited, women requiring PAA repair had higher long-term mortality compared with men with a similar pathology and treatment strategy.

AB - Background Popliteal artery aneurysms (PAAs) in women are rare and their outcomes compared with men with PAA are unknown. The purpose of this study was to compare the surgical outcomes of PAA of women with men. Methods All patients who underwent PAA repair at a single institution from 1985 to 2013 were reviewed. All women with degenerative PAA treated during that time frame were matched on year of repair to men. Presentation, mode of repair, and outcomes were reviewed. Survival and amputation-free survival were evaluated by life table analysis. Results During the study interval, 8 women with degenerative PAA underwent surgical treatment (1.6% of 485 total PAA repairs). The overall median follow-up was 5 years (range 1 month to 19 years), but the median follow-up was shorter for women than men (1.6 vs. 6 years, P = 0.04). At the time of repair, women were of similar age compared with men (73.5 vs. 71.7 years) and had similar aneurysm size (2.7 vs. 2.9 cm). Women had similar urgency (25 vs. 17.5% emergent) and symptomatic status (50% vs. 55% acute) even though 7 of the 8 women had a thrombosed PAA at the time of repair. Operative time, approach, graft type, and inflow and outflow sources were similar between genders. No women received endovascular repair (0% vs. 10%, P = 0.5). One patient of each gender underwent major amputation (one woman on post-operative day 158 and one man on post-operative day 3). Overall, women had lower survival and amputation-free survival at 2 years (51% vs. 100% and 20% vs. 94%, P < 0.01 for both, standard error 0.2). Conclusions PAA requiring intervention in women is a rare clinical occurrence. Although our series is limited, women requiring PAA repair had higher long-term mortality compared with men with a similar pathology and treatment strategy.

UR - http://www.scopus.com/inward/record.url?scp=84971632045&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84971632045&partnerID=8YFLogxK

U2 - 10.1016/j.avsg.2015.12.010

DO - 10.1016/j.avsg.2015.12.010

M3 - Article

C2 - 27116904

AN - SCOPUS:84971632045

VL - 34

SP - 187

EP - 192

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

SN - 0890-5096

ER -