Özgür ÇAKIR, Şadan YAVUZ, Ercüment ÇİFTÇİ, Hasan Tahsin SARISOY, Sevtap GÜMÜŞTAŞ, Nagihan İNAN, Muhip KANKO

Popliteal arter hastalıklarında anjiyografik bulgular

Amaç: Bu çalışmada popliteal arter hastalıklarının dijital çıkarmalı anjiyografi bulguları ortaya konularak, klinik özellikleri ve tedavi yöntemleri araştırıldı. Çalışma planı: Şubat 2001 - Kasım 2010 yılları arasında, bölümümüzde alt ekstremite dijital çıkarmalı anjiyografisi yapılan ve tüm verilerine ulaşılabilen 690 hastanın (566 erkek, 124 kadın; ort yaş 64 yıl; dağılım 8-85 yıl) toplam 1263 popliteal arteri retrospektif olarak incelendi. Popliteal arterleri etkileyen hastalıklar ateroskleroz, anevrizma, travma, akut tromboembolizm, popliteal tuzak sendromu, Burger hastalığı ve diğer vaskülitler olarak sınıflandırıldı. Hastaların klinik semptomları ve tedavi yöntemleri yukarıdaki bulgular doğrultusunda değerlendirildi. Bulgular: Toplam 1263 popliteal arterin dijital çıkarmalı anjiyografik incelemesinde 731 arterde lezyon saptandı. Bu lezyonların 695’i ateroskleroz lezyonları, dokuzu anevrizma, 12’si travma, ikisi akut tromboemboli, ikisi popliteal tuzak sendromu ve 11’i Buerger hastalığı lezyonu idi. Sonuç: Dijital çıkarmalı anjiyografi popliteal arter hastalıklarının tanısında değerli bir yöntemdir ve tedaviyi yönlendirmede etkilidir.

Angiographic findings in popliteal artery diseases

Background: In this trial, we aimed to investigate the clinical features and treatment methods of popliteal artery diseases using digital subtraction angiographic findings. Methods: A total of 1263 popliteal arteries of 690 patients (566 males, 124 females; mean age 64 years; range 8 to 85 years) for whom all clinical data were available and who underwent lower extremity digital subtraction angiography in our department between February 2001 and November 2010 were investigated retrospectively. The diseases that affect popliteal arteries were classified as atherosclerosis, aneurysm, trauma, acute thromboembolism, popliteal entrapment syndrome, Buerger’s disease and other forms of vasculitis. The clinical symptoms and treatment methods of the patients were evaluated in the light of the above-mentioned findings. Results: Lesions were found in 731 arteries in the digital subtraction angiographic examination of 1263 arteries in total. Of these lesions 695 were atherosclerosis lesions, nine were aneurysms, 12 were traumas, two were acute thromboembolus, two were entrapment syndromes and 10 were Buerger’s disease lesions. Conclusion: Digital subtraction angiography is a valuable method in the diagnosis of popliteal artery disease and effective in determining the treatment method.

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