{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:03:38Z","timestamp":1790172218497,"version":"4.1.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"13","license":[{"start":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T00:00:00Z","timestamp":1612569600000},"content-version":"vor","delay-in-days":928,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Popliteal artery aneurysms (PAAs) are generally complicated by thrombosis and distal embolization, whereas rupture is rare. The aim of this study was to describe the clinical characteristics and outcome in a cohort of patients who had surgery for ruptured PAA (rPAA).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Operations for rPAA were identified from the Swedish Vascular Registry, Swedvasc, 1987\u20132012. Medical records and imaging were reviewed. Comparison was made with patients treated for PAA without rupture.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Forty-five patients with rPAA were identified. The proportion with rupture among those operated on for PAA was 2\u00b75 per cent. Patients with rPAA were 8 years older (77\u00b77 versus 69\u00b77 years; P &amp;lt; 0\u00b7001), had more lung and heart disease (P = 0\u00b7003 and P = 0\u00b7019 respectively), and a larger mean popliteal aneurysm diameter (63\u00b77 versus 30\u00b79 mm; P &amp;lt; 0\u00b7001) than patients with PAA treated for other indications. At time of surgery, 22 of 45 patients were already receiving anticoagulants, seven for concomitant deep venous thrombosis (DVT) in the affected leg. There was extensive swelling of the whole leg in 20 patients. In 27 patients, the initial diagnosis was DVT or a Baker's cyst. All patients underwent surgery, all but three by the open method. There were four amputations, all performed within 1 week of surgery. One year after surgery, 26 of the 45 patients were alive. Among these, the reconstructions were patent in 20 of 22 patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The diagnosis of rPAA is difficult, and often delayed. The condition affects old patients, who often are on anticoagulation treatment and have large aneurysms. The immediate surgical results are acceptable, but the condition is associated with a high risk of death within the first year after surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.10953","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T06:39:46Z","timestamp":1532500786000},"page":"1753-1758","source":"Crossref","is-referenced-by-count":55,"title":["Ruptured popliteal artery aneurysm"],"prefix":"10.1093","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2560-9501","authenticated-orcid":false,"given":"A","family":"Cervin","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden"},{"name":"Department of Hybrid and Interventional Surgery, Unit of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Ravn","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden"},{"name":"Department of Vascular Surgery, Kolding Hospital, University of Southern Denmark, Kolding, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Bj\u00f6rck","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,7,24]]},"reference":[{"key":"2021020616462526500_bjs10953-bib-0001","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1136\/jms.9.2.92","article-title":"Screening and management of asymptomatic popliteal aneurysms","volume":"9","author":"Trickett","year":"2002","journal-title":"J Med Screen"},{"key":"2021020616462526500_bjs10953-bib-0002","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1161\/CIRCULATIONAHA.111.030379","article-title":"Low prevalence of abdominal aortic aneurysm among 65-year-old Swedish men indicates a change in the epidemiology of the disease","volume":"124","author":"Svensj\u00f6","year":"2011","journal-title":"Circulation"},{"key":"2021020616462526500_bjs10953-bib-0003","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1002\/bjs.10173","article-title":"Impact of the first 5 years of a national abdominal aortic aneurysm screening programme","volume":"103","author":"Jacomelli","year":"2016","journal-title":"Br J Surg"},{"key":"2021020616462526500_bjs10953-bib-0004","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1002\/bjs.6074","article-title":"Risk of new aneurysms after surgery for popliteal artery aneurysm","volume":"95","author":"Ravn","year":"2008","journal-title":"Br J Surg"},{"key":"2021020616462526500_bjs10953-bib-0005","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jvs.2015.08.056","article-title":"Contemporary outcomes of open and endovascular popliteal artery aneurysm repair","volume":"63","author":"Leake","year":"2016","journal-title":"J Vasc Surg"},{"key":"2021020616462526500_bjs10953-bib-0006","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1002\/bjs.5755","article-title":"Nationwide study of the outcome of popliteal artery aneurysms treated surgically","volume":"94","author":"Ravn","year":"2007","journal-title":"Br J Surg"},{"key":"2021020616462526500_bjs10953-bib-0007","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.ejvs.2015.03.026","article-title":"Treatment of popliteal aneurysm by open and endovascular surgery: a contemporary study of 592 procedures in Sweden","volume":"50","author":"Cervin","year":"2015","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2021020616462526500_bjs10953-bib-0008","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.ejvs.2006.11.040","article-title":"Popliteal artery aneurysm with acute ischemia in 229 patients. 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