EVAR in Octogenarians
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repair of abdominal aortic aneurysm. N Engl J Med 2010;362: 1881e9. 25 Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 2004;351:1607e18. 26 Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG. participants Et. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 2004;364:843e8. 27 Boyle JR, Goodall S, Thompson JP, Bell PR, Thompson MM. Endovascular AAA repair attenuates the inflammatory and renal responses associated with conventional surgery. J Endovasc Ther 2000;7:359e71.
28 Thompson JP, Boyle JR, Thompson MM, Strupish J, Bell PR, Smith G. Cardiovascular and catecholamine responses during endovascular and conventional abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 1999;17:326e33. 29 van Marrewijk CJ, Fransen G, Laheij RJ, Harris PL, Buth J. EUROSTAR Collaborators. Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg 2004;27:128e37. 30 Carpenter JP, Fairman RM, Barker CF, Golden MA, Velazquez OC, Mitchell ME, et al. Endovascular AAA repair in patients with renal insufficiency: strategies for reducing adverse renal events. Cardiovasc Surg 2001;9:559e64. 31 Torella F. Effect of improved endograft design on outcome of endovascular aneurysm repair. J Vasc Surg 2004;40:216e21.
Eur J Vasc Endovasc Surg (2017) 54, 463
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Late Presentation of Popliteal Angiosarcoma After Previously Treated Popliteal Artery Aneurysm M. Cherchi
a,b,*
, S. Camparini
b
a
University of Cagliari, Cagliari, Italy b Department of Thoraco-Vascular Surgery, Azienda Ospedaliera Brotzu, Cagliari, Italy
A 64 year old woman presented with leg oedema and a painful pulseless lump in the left popliteal fossa. The patient was pyrexial (>39 C) and anaemic. She had undergone a medial approach prosthetic femoropopliteal bypass for a popliteal artery aneurysm 4 years previously. No histological analysis had been performed at the time. Computed tomography angiography confirmed femoropopliteal bypass patency (arrow, panel A) including a mixed solid-cystic mass which was excised. Histological analysis (haematoxylin and eosin stain showing irregular vascular channels, mitoses, atypia, panel B) revealed a high grade angiosarcoma (CD31þ, CD34þ factor VIIIþ). The patient died 17 days after diagnosis. * Corresponding author. Department of Thoraco-Vascular Surgery, Azienda Ospedaliera G. Brotzu, Piazzale Alessandro Ricchi, 1, 09134 Cagliari CA, Italy. E-mail address: [email protected] (M. Cherchi). Twitter: @Manuela_Cherchi 1078-5884/Ó 2017 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. http://dx.doi.org/10.1016/j.ejvs.2017.07.015
463
repair of abdominal aortic aneurysm. N Engl J Med 2010;362: 1881e9. 25 Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 2004;351:1607e18. 26 Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG. participants Et. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 2004;364:843e8. 27 Boyle JR, Goodall S, Thompson JP, Bell PR, Thompson MM. Endovascular AAA repair attenuates the inflammatory and renal responses associated with conventional surgery. J Endovasc Ther 2000;7:359e71.
28 Thompson JP, Boyle JR, Thompson MM, Strupish J, Bell PR, Smith G. Cardiovascular and catecholamine responses during endovascular and conventional abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 1999;17:326e33. 29 van Marrewijk CJ, Fransen G, Laheij RJ, Harris PL, Buth J. EUROSTAR Collaborators. Is a type II endoleak after EVAR a harbinger of risk? Causes and outcome of open conversion and aneurysm rupture during follow-up. Eur J Vasc Endovasc Surg 2004;27:128e37. 30 Carpenter JP, Fairman RM, Barker CF, Golden MA, Velazquez OC, Mitchell ME, et al. Endovascular AAA repair in patients with renal insufficiency: strategies for reducing adverse renal events. Cardiovasc Surg 2001;9:559e64. 31 Torella F. Effect of improved endograft design on outcome of endovascular aneurysm repair. J Vasc Surg 2004;40:216e21.
Eur J Vasc Endovasc Surg (2017) 54, 463
COUP D’OEIL
Late Presentation of Popliteal Angiosarcoma After Previously Treated Popliteal Artery Aneurysm M. Cherchi
a,b,*
, S. Camparini
b
a
University of Cagliari, Cagliari, Italy b Department of Thoraco-Vascular Surgery, Azienda Ospedaliera Brotzu, Cagliari, Italy
A 64 year old woman presented with leg oedema and a painful pulseless lump in the left popliteal fossa. The patient was pyrexial (>39 C) and anaemic. She had undergone a medial approach prosthetic femoropopliteal bypass for a popliteal artery aneurysm 4 years previously. No histological analysis had been performed at the time. Computed tomography angiography confirmed femoropopliteal bypass patency (arrow, panel A) including a mixed solid-cystic mass which was excised. Histological analysis (haematoxylin and eosin stain showing irregular vascular channels, mitoses, atypia, panel B) revealed a high grade angiosarcoma (CD31þ, CD34þ factor VIIIþ). The patient died 17 days after diagnosis. * Corresponding author. Department of Thoraco-Vascular Surgery, Azienda Ospedaliera G. Brotzu, Piazzale Alessandro Ricchi, 1, 09134 Cagliari CA, Italy. E-mail address: [email protected] (M. Cherchi). Twitter: @Manuela_Cherchi 1078-5884/Ó 2017 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. http://dx.doi.org/10.1016/j.ejvs.2017.07.015
