Contemporary outcomes of open and endovascular repair for popliteal artery aneurysms

This study aimed to compare the 1-year outcomes of open surgical repair using vein grafts (VG) and prosthetic grafts (PG) versus endovascular grafts (EG) for popliteal artery aneurysms (PAAs). The findings indicate that VG repair is associated with significantly better outcomes, including lower rates of major adverse limb events, reinterventions, and mortality across various clinical presentations, suggesting it should be the preferred approach when suitable vein is available. In contrast, PG showed modest benefits over EG, highlighting the importance of a vein-first strategy in PAA management.