Treatment of popliteal artery occlusion lesions：An analysis of 69 cases        DIAO Yong-peng，GUO Li-long，SONG Xiao-jun，et al. Department of Vascular Surgery，Peking Union Medical College Hospital，Peking Union Medical College，Chinese Academy of Medical Science，Beijing 100730，China
Corresponding author：LI Yong-jun，E-mail：yongj_93@hotmail.com
Abstract    Objective    To summarize the treatment experience and effect of the popliteal artery occlusion lesions. Methods    The clinical data of patients with popliteal artery occlusion (69 patients, 82 limbs) admitted from January 2010 to December 2012 in Peking Union Medical College Hospital were analyzed retrospectively. 26 patients had underwent operative therapy，and 43 patient had underwent endovascular therapy. Results    The mean follow-up was (21.9±8.8) months. Operative therapy：symptoms of 25 limbs were relieved; restenosis occurred in 6 limbs（3 limbs were amputated）; primary patency rate was 80.6%; limb salvage rate was 90.3%; complication occurred in 2 cases（7.7%）. Endovascular therapy：symptoms of 42 limbs(82.4%) were relieved; restenosis occurred in 17 limbs（6 limbs were amputated among 9 limbs which had clinical symptoms）; primary patency rate was 66.7%; limb salvage rate was 88.2%; complication occurred in 5 cases（11.6%）. None died during perioperative period. Conclusion    Endovascular therapy should be the preferred method if the popliteal artery occlusion is caused by atherosclerosis. Surgical treatment should be reserved in those endovascular treatment failed and the outflow tract without stenosis.