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Popliteal artery aneurysm
The following summarized guidelines for the evaluation and management of popliteal artery aneurysm are prepared by our editorial team based on guidelines from the Society for Vascular Surgery (SVS 2022), the European Society for Vascular Surgery (ESVS 2020), and the American Heart Association (AHA/ACC 2006).
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Screening for other aneurysms
Indications for repair: as per SVS 2022 guidelines, perform PAA repair in patients with an asymptomatic aneurysm ≥ 20 mm in diameter to reduce the risk of thromboembolic complications and limb loss.
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Patients with acute limb ischemia: as per SVS 2022 guidelines, stratify interventions for thrombotic and/or embolic complications of PAA by the severity of acute limb ischemia at presentation.
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5.Follow-up and surveillance
Follow-up: as per SVS 2022 guidelines, consider obtaining annual monitoring for changes in symptoms, pulse examination, extent of thrombus, patency of the outflow arteries, and aneurysm diameter in patients with an asymptomatic PAA not offered repair.
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