BACKGROUND: Long-term results of the posterior approach (PA) for the treatment of popliteal artery @entity439 are lacking in the literature. We reviewed our experience during a 13-year period in @entity1 with popliteal artery @entity439 , comparing those treated through a PA with those operated on through a standard @entity10036 ( @entity10036 ). METHODS: Clinical data of all @entity1 treated between February 1998 and October 2011 were retrospectively reviewed and outcomes analyzed. The Kaplan-Meier method was used to estimate survival, and   (2), Wilcoxon, and log-rank tests were used for analysis. RESULTS: A total of 77 @entity439 were treated in 65 @entity1 (64 @entity1 ). Mean age was 68  years (range, 48-96  years). Thirty-six @entity439 were asymptomatic (47%). Mean sac diameter was 2.8     1  cm. A PA was used in 43 PAAs (55%) and an @entity10036 in 34. The PA and @entity10036 @entity1 differed significantly in age (median being older), smoking history (more frequent in PA), and @entity177 and @entity66 (higher for @entity10036 ). In 42 cases the @entity439 was symptomatic (54.5%) for chronic @entity63 , with @entity613 in 18 @entity1 , acute @entity63 in 17, @entity9971 in 3, compression on adjacent structures in 3, and @entity397 with severe acute @entity158 in 1. All PA repairs consisted of aneurysmectomy with an interposition graft with end-to-end anastomoses; among @entity10036 repairs, 22 interposition grafts and 12 bypasses were performed. A @entity736 graft was used in 54 cases. Five @entity1 had an early @entity715 (two PA and three @entity10036 ). No perioperative @entity204 occurred. Two @entity1 sustained a permanent (PA) and a temporary ( @entity10036 ) peroneal @entity66 . There were no early amputations. The median in-hospital stay was longer for @entity10036 (10  days) than for PA (7  days; P  = .02). Median follow-up was 58.8  months (range, 5 days-166 months). Nine @entity1 died during follow-up of unrelated causes. The 5-year primary and secondary patency rates were 59.6%     8.6% and 96.5%     3.4%, respectively, for PA, and 65.1%     11.1% and 79.4%     9.7%, respectively, for @entity10036 (P  = .53 for primary patency rate and P  = .22 for secondary patency rate). Limb salvage was 100% at 5  years and 93.3%     6.4% at 10  years for PA and 91.1%     6.3% at both time points for @entity10036 (P  = .28). CONCLUSIONS: PA and @entity10036 both achieved satisfactory results in primary and secondary patency rates, as well as limb salvage, during long-term follow-up. The differences between the two groups were small and not statistically significant. PA was burdened by similar @entity260 compared with @entity10036 . The in-hospital stay after PA was significantly lower.

Comparison of posterior and medial approaches for  popliteal artery XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity66 :: ('MESH:D004194', 'Disease') :: ['nerve lesion', 'cerebrovascular disease'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia', 'limb ischemia'] @entity9971 :: ('MESH:D018438', 'Disease') :: ['blue toe syndrome'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative nerve and wound complications'] @entity177 :: ('MESH:D051437', 'Disease') :: ['renal insufficiency'] @entity10036 :: ('MESH:D020423', 'Disease') :: ['medial approach', 'MA'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysm'] @entity613 :: ('MESH:D007383', 'Disease') :: ['intermittent claudication'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity736 :: ('CHEBI:53251', 'Chemical') :: ['polytetrafluoroethylene'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis']
@entity439 :: (MESH:D000783,Disease) :: ['aneurysms']
