[Treatment of Peripheral Aneurysms - Dual Supera for Popliteal Artery Aneurysms: Immediate and Long-Term Results].

Popliteal aneurysms have the highest incidence of all peripheral aneurysms. The clinical symptoms are dominated by chronic embolism, resulting in irreversible ischemia with the associated risk of amputation and mortality, but rupture is less important. Acute aneurysm thrombosis bears a high risk of amputation and mortality. Endovascular exclusion with covered stents instead of open surgery has gained widespread acceptance and is based on reliable data. The principle of flow diversion for aneurysm treatment is well known for the cerebral vasculature, and is now emerging as a potential alternative with promising results and is challenging the concept of complete endovascular aneurysm exclusion or surgical bypassing. Since 2011, thirty-four out of 142 electively treated popliteal aneurysms and 8 thrombosed aneurysms were treated with a bare metal woven Nitinol stent. In this single centre series with continuous mid- to long-term follow-up, as described below, this option showed reliable results in terms of clinical outcome, material fatigue and preservation of outflow vasculature with the option for conversion. The limitation of the technique is determined by the available maximum outer stent diameter of 7.5 mm.