Management of Popliteal Artery Aneurysm
A 62-year-old male with pertinent past medical history of hypertension, dyslipidemia, type II diabetes mellitus, and peripheral vascular disease (PVD) is seen as a new patient in your clinic. His PVD history includes above-the-knee amputation of his left leg for thrombosis involving left popliteal artery aneurysm (PAA) and stent graft on left superficial femoral artery (SFA). He also had 4 cm PAA on his right leg, which was treated with popliteal stent graft in the past along with a SFA stent. These procedures were done at an outside facility, and he now wants to follow up with you, as he recently moved to the area. The patient currently has no symptoms, and the duplex ultrasound that you ordered reveals another right popliteal artery aneurysm (2.2 cm) between the previous SFA stent and a popliteal artery stent.
Review his computed tomography angiogram (CTA) (Figure 1).
Which of the following describes the best approach to treat this patient’s PAA?