ABSTRACT

Endovascular Aneurysm Repair can be performed under GA or spinal anaesthesia. Endovascular repair with percutaneously delivered covered stents has become an alternative to open repair, but long-term results are unknown. Percutaneous transluminal angioplasty (PTA) is a less invasive intervention in the treatment of popliteal artery occlusive disease. PTA is indicated for short lesions in patients who have claudication and good runoff. However, PTA may be a reasonable alternative to open surgery for limb salvage indications in patients with prohibitive surgical risks. Most patients with occlusion of the popliteal artery have some component of CAD or another comorbid condition. Careful cardiac monitoring must be used in the operative intervention of popliteal artery thrombosis. The cardiac patients usually have significant comorbid conditions that increase the risk of stroke, myocardial infarction, or bleeding episodes. Severe vascular complications are rare but if they occur, therapy is difficult and requires emergency management and surgery because of bleeding problems.