Doctor insights on:
Recovery Popliteal Aneurysm Repair
Aneurysm repair: Within 7-10 days staple will come out. Within 2 weeks you can regain regular activities. ...Read more
2-4 weeks: If treated while asymptomatic, popliteal artery aneurysm repair is accomplished with a fem-pop bypass and tying off the aneurysm above and below the aneurysm itself. Recovery in the hospital is often 2-3 days and gradual return to regular activity is usually seen within 2-4 weeks. ...Read more
Variable: If the popliteal aneurysm was thrombosed (completely blocked, causing loss of blood flow to the foot), recovery can be very prolonged (several weeks to months), compared with a relatively short recovery after an elective repair (several days to weeks). Recovery also depends a lot on other factors (open vs endovascular repair, wound healing issues, heart or lung problems, level of fitness prior). ...Read more
Popliteal aneurysms: Bilateral popliteal aneurysm repairs can be done at the same sitting but I prefer staged procedures as it is easier on the patient and the surgeon. Get one leg fixed, make sure it's ok then get the other fixed. Alternatively placement of popliteal stents is a viable option that I prefer to popliteal bypass and aneurysm exclusion. Bypass option is still available if it becomes necessary. ...Read more
Depends upon size: Less then 1.8 CM the yes go an exercise. >1.8 CM have it fixed. ...Read more
Not good...see below: An aneurysm is an dilitation of a blood vessel. This is the result of weakening in the wall of the artery. The weakened wall can rupture, and bleeding into the tissues around the knee occurs, causing tremendous pain and swelling. The blood outside the artery can then impinge on flow to the lower leg and foot, causing ischemia. In all, very bad, and one of the reasons to fix aneurysms electively. ...Read more
Two possibilities...: It could be large enough that the person is aware of a pulsing sensation that keeps him awake. Alternatively, if the aneurysm is thrombosed (clotted), there could be compromised blood flow to the foot which causes pain at night because the leg is elevated (the blood flow is so limited that the person needs the benefit of gravity to get blood to the foot). ...Read more
No: Prednisone is not likely to cause a popliteal aneurysm. The cause is thought to be an inflammatory process. If you have a popliteal aneurysm >2cm, you should consider treatment to avoid it from clotting off. These do not rupture. More importantly, almost 50% of people with popliteal aneurysms have an abdominal aortic aneurysm. Ultrasound screening is recommended. ...Read more
Annually: Once a year by ultrasound should be enough. You don't have to be concerned about treatment until it reaches a diameter of around 2cm. We don't worry about rupture. It is the formation of a blood clot and blockage of flow to the foot which is more likely to occur. These can be fixed surgically by replacing the short segment of artery or stenting. ...Read more
Possibly: The popliteal artery is the third most common location for a aneurysm. These frequently occur in both legs. Patients who have one aneurysm are more likely to develop others in the aorta and femoral (groin) and iliac arteries. These patients are followed closely for early detection. ...Read more
A serious problem: Popliteal aneurysms very rarely rupture, but instead they more commonly thrombose. When this occurs small pieces of clot shower downstream into all of the small artery branches below the knee. This is a vascular surgery emergency. Over half of patients who suffer thrombosis of a popliteal artery aneurysm will require amputation, below or often above the knee. ...Read more
No: Popliteal aneurysms are usually asymptomatic until they become very large (>3 CM in diameter). Symptoms at that stage may be soreness behind the knee, swelling of foot or calf, or numbness/tingling of the foot, along with an easily palpable pulse behind the knee. Popliteal aneurysms are treated once they are >2cm due to the risk of clotting not rupture. ...Read more
What kind of physical rehab would be good for a leg that has had bypass due to a popliteal aneurysm?
What kind of physical rehabilitation would be good for a leg that has had a bypass due to a popliteal aneurysm?
Walking: Many times, supervised physical therapy can be helpful after surgery to build strength and balance and reduce pain. Walking or using a stationary bike can be a great way to start because they are low impact exercises which can really help with reducing swelling and increasing range of motion. ...Read more
Might a popliteal aneurysm cause the upper leg to feel like it is pushing into the lower leg with general tightness in the knee and on the sides?
Possibly: Popliteal aneurysms are a dangerous condition, as most do not cause symptoms until something catastrophic occurs; typically clots form in the aneurysm & embolize to the lower leg. This leads to emergent surgery & many times even with surgery the leg will be lost to amputation. The best way to diagnose is with ultrasound. Larger ones can be appreciated on leg exam. Sometimes tightness occurs. ...Read more
Need doctor's help! What if popliteal aneurysm rehabilitation two bypass leg does not like strain, is this normal or ok?
Popliteal Anuerysm: Yes. With continued rehab your tolerance could improve. ...Read more
Is any form of massage safe to help thigh muscles relax & relieve pain for faster recovery six weeks post bypass surgery to repair popliteal aneursym?
Walking: Walking is probably the best remedy -- talk with your vascular surgeon. ...Read more
Surgery or stent: Some aortic aneurysms occur in the chest. More often, aneurysms occur in the belly. Depending on the anatomy, some of the aneurysms can be surgically repaired and others can be repaired with a stent graft. Surgical repair involves excision and replacement of the aneurysmal segment. A stent graft is a percutaneous procedure. ...Read more
See below: The repair is an operation so you might have pain from the incision. Now if there are complications, you could get many different symptoms depending on the type of complication. The aneurysm itself could cause pain or an abnormal pulsation in the abdomen but most commonly are discover by an x-ray for something else or at the time of a routine physical examination. ...Read more
It's been years since recovering from cerebral aneurysm repair with clip, can problems arise later in life?
Unlikely: If you have done well after an aneurysm clipping and it is many years, it is unlikely that you will have problems that arise later. A couple of things-you should have some type of follow-up angiogram or mr-angiogram (if the clip is mr compatible) to ensure that there is not regrowth of the clipped aneurysm and no new de novo anteurysms. Our neurologist should be able to help out with the followup. ...Read more
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