Venous haemodynamics and the occurrence of leg oedema in patients with popliteal aneurysm
Identifieur interne : 00C479 ( Main/Exploration ); précédent : 00C478; suivant : 00C480Venous haemodynamics and the occurrence of leg oedema in patients with popliteal aneurysm
Auteurs : Rune Haaverstad [Norvège] ; Reidun Fougner [Norvège] ; Hans O. Myhre [Norvège]Source :
- European Journal of Vascular & Endovascular Surgery [ 1078-5884 ] ; 1995.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Angiographie de soustraction digitale, Anévrysme (), Anévrysme (imagerie diagnostique), Artère poplitée (), Artère poplitée (imagerie diagnostique), Circulation collatérale, Complications postopératoires, Femelle, Humains, Hémodynamique, Insuffisance veineuse (imagerie diagnostique), Insuffisance veineuse (étiologie), Jambe (), Lymphoedème (étiologie), Mâle, Oedème (étiologie), Pléthysmographie, Sujet âgé, Sujet âgé de 80 ans ou plus, Système lymphatique (anatomopathologie), Thrombose (imagerie diagnostique), Thrombose (étiologie), Tomodensitométrie, Veine poplitée (imagerie diagnostique), Études prospectives.
- MESH :
- anatomopathologie : Système lymphatique.
- imagerie diagnostique : Anévrysme, Artère poplitée, Insuffisance veineuse, Thrombose, Veine poplitée.
- étiologie : Insuffisance veineuse, Lymphoedème, Oedème, Thrombose.
- Adulte d'âge moyen, Angiographie de soustraction digitale, Anévrysme, Artère poplitée, Circulation collatérale, Complications postopératoires, Femelle, Humains, Hémodynamique, Jambe, Mâle, Pléthysmographie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie, Études prospectives.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Aneurysm (complications), Aneurysm (diagnostic imaging), Aneurysm (surgery), Angiography, Digital Subtraction, Collateral Circulation, Computed tomography (CT), Deep venous thrombosis (DVT), Edema (etiology), Female, Hemodynamics, Humans, Leg (blood supply), Leg oedema, Lymphatic System (pathology), Lymphedema (etiology), Male, Middle Aged, Plethysmography, Popliteal Artery (diagnostic imaging), Popliteal Artery (surgery), Popliteal Vein (diagnostic imaging), Popliteal aneurysm, Postoperative Complications, Prospective Studies, Thrombosis (diagnostic imaging), Thrombosis (etiology), Tomography, X-Ray Computed, Vein compression, Venous Insufficiency (diagnostic imaging), Venous Insufficiency (etiology), Venous haemodynamics.
- MESH :
- blood supply : Leg.
- complications : Aneurysm.
- diagnostic imaging : Aneurysm, Popliteal Artery, Popliteal Vein, Thrombosis, Venous Insufficiency.
- etiology : Edema, Lymphedema, Thrombosis, Venous Insufficiency.
- pathology : Lymphatic System.
- surgery : Aneurysm, Popliteal Artery.
- Aged, Aged, 80 and over, Angiography, Digital Subtraction, Collateral Circulation, Female, Hemodynamics, Humans, Male, Middle Aged, Plethysmography, Postoperative Complications, Prospective Studies, Tomography, X-Ray Computed.
Abstract
Objectives:To see whether popliteal aneurysms cause venous obstruction and to investigate leg oedema and DVT following repair.Design:Prospective open clinical study.Setting:University Department of Surgery.Materials:8 patients undergoing popliteal aneurysm repair in 9 legs (1 bilateral repair).Chief outcome measures:CT and plethysmographic evidence of vein compression, the occurrence of postoperative leg oedema and phlebographic evidence of deep venous thrombosis (DVT).Main results:Preoperative CT investigation showed that the aneurysm compressed the popliteal vein in 6/9 limbs where surgery was planned and in 9/10 limbs with popliteal aneurysms (patent or occluded) of >2 cm diameter (p < 0.01). However, on the CT image, increased collateral network could be observed and most patients had normal venous drainage prior to operation as assessed by air plethysmography. Postoperatively, leg volume was measured by the formula of a truncated cone. Following vascular reconstruction, leg volume increased by 23%. Except for one patient with a confirmed DVT preoperatively, postoperative venous congestion and DVT was not observed in the operated leg as assessed by phlebography and plethysmography.Conclusions:Popliteal artery aneurysms > 2 cm diameter usually compress and dislocate the popliteal vein prior to operation. However, sufficient venous drainage is maintained, possibly because of an increased collateral venous network. Disruption of lymph channels with secondary lymphoedema is probably the most important mechanism behind the leg swelling observed in patients following popliteal aneurysm repair.
Url:
DOI: 10.1016/S1078-5884(05)80091-7
Affiliations:
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Le document en format XML
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Myhre</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Surgery, University Hospital of Trondheim, N-7006 Trondheim</wicri:regionArea><wicri:noRegion>N-7006 Trondheim</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Vascular & Endovascular Surgery</title><title level="j" type="abbrev">YEJVS</title><idno type="ISSN">1078-5884</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1995">1995</date><biblScope unit="volume">9</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="204">204</biblScope><biblScope unit="page" to="210">210</biblScope></imprint><idno type="ISSN">1078-5884</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1078-5884</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Aneurysm (complications)</term><term>Aneurysm (diagnostic imaging)</term><term>Aneurysm (surgery)</term><term>Angiography, Digital Subtraction</term><term>Collateral Circulation</term><term>Computed tomography (CT)</term><term>Deep venous thrombosis (DVT)</term><term>Edema (etiology)</term><term>Female</term><term>Hemodynamics</term><term>Humans</term><term>Leg (blood supply)</term><term>Leg oedema</term><term>Lymphatic System (pathology)</term><term>Lymphedema (etiology)</term><term>Male</term><term>Middle Aged</term><term>Plethysmography</term><term>Popliteal Artery (diagnostic imaging)</term><term>Popliteal Artery (surgery)</term><term>Popliteal Vein (diagnostic imaging)</term><term>Popliteal aneurysm</term><term>Postoperative Complications</term><term>Prospective Studies</term><term>Thrombosis (diagnostic imaging)</term><term>Thrombosis (etiology)</term><term>Tomography, X-Ray Computed</term><term>Vein compression</term><term>Venous Insufficiency (diagnostic imaging)</term><term>Venous Insufficiency (etiology)</term><term>Venous haemodynamics</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Angiographie de soustraction digitale</term><term>Anévrysme ()</term><term>Anévrysme (imagerie diagnostique)</term><term>Artère poplitée ()</term><term>Artère poplitée (imagerie diagnostique)</term><term>Circulation collatérale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Hémodynamique</term><term>Insuffisance veineuse (imagerie diagnostique)</term><term>Insuffisance veineuse (étiologie)</term><term>Jambe ()</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Oedème (étiologie)</term><term>Pléthysmographie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Système lymphatique (anatomopathologie)</term><term>Thrombose (imagerie diagnostique)</term><term>Thrombose (étiologie)</term><term>Tomodensitométrie</term><term>Veine poplitée (imagerie diagnostique)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Système lymphatique</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Aneurysm</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Aneurysm</term><term>Popliteal Artery</term><term>Popliteal Vein</term><term>Thrombosis</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema</term><term>Lymphedema</term><term>Thrombosis</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Anévrysme</term><term>Artère poplitée</term><term>Insuffisance veineuse</term><term>Thrombose</term><term>Veine poplitée</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic System</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Aneurysm</term><term>Popliteal Artery</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Insuffisance veineuse</term><term>Lymphoedème</term><term>Oedème</term><term>Thrombose</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Angiography, Digital Subtraction</term><term>Collateral Circulation</term><term>Female</term><term>Hemodynamics</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Plethysmography</term><term>Postoperative Complications</term><term>Prospective Studies</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Angiographie de soustraction digitale</term><term>Anévrysme</term><term>Artère poplitée</term><term>Circulation collatérale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Hémodynamique</term><term>Jambe</term><term>Mâle</term><term>Pléthysmographie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie</term><term>Études prospectives</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objectives:To see whether popliteal aneurysms cause venous obstruction and to investigate leg oedema and DVT following repair.Design:Prospective open clinical study.Setting:University Department of Surgery.Materials:8 patients undergoing popliteal aneurysm repair in 9 legs (1 bilateral repair).Chief outcome measures:CT and plethysmographic evidence of vein compression, the occurrence of postoperative leg oedema and phlebographic evidence of deep venous thrombosis (DVT).Main results:Preoperative CT investigation showed that the aneurysm compressed the popliteal vein in 6/9 limbs where surgery was planned and in 9/10 limbs with popliteal aneurysms (patent or occluded) of >2 cm diameter (p < 0.01). However, on the CT image, increased collateral network could be observed and most patients had normal venous drainage prior to operation as assessed by air plethysmography. Postoperatively, leg volume was measured by the formula of a truncated cone. Following vascular reconstruction, leg volume increased by 23%. Except for one patient with a confirmed DVT preoperatively, postoperative venous congestion and DVT was not observed in the operated leg as assessed by phlebography and plethysmography.Conclusions:Popliteal artery aneurysms > 2 cm diameter usually compress and dislocate the popliteal vein prior to operation. However, sufficient venous drainage is maintained, possibly because of an increased collateral venous network. Disruption of lymph channels with secondary lymphoedema is probably the most important mechanism behind the leg swelling observed in patients following popliteal aneurysm repair.</div></front></TEI><affiliations><list><country><li>Norvège</li></country></list><tree><country name="Norvège"><noRegion><name sortKey="Haaverstad, Rune" sort="Haaverstad, Rune" uniqKey="Haaverstad R" first="Rune" last="Haaverstad">Rune Haaverstad</name></noRegion><name sortKey="Fougner, Reidun" sort="Fougner, Reidun" uniqKey="Fougner R" first="Reidun" last="Fougner">Reidun Fougner</name><name sortKey="Haaverstad, Rune" sort="Haaverstad, Rune" uniqKey="Haaverstad R" first="Rune" last="Haaverstad">Rune Haaverstad</name><name sortKey="Myhre, Hans O" sort="Myhre, Hans O" uniqKey="Myhre H" first="Hans O." last="Myhre">Hans O. Myhre</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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