Abstract
Symptomatic popliteal artery aneurysms (PAAs) can be managed by open surgery or endovascular exclusion. The authors describe a case of a 68-mm PAA causing compressive symptoms and managed by endovascular exclusion combined with percutaneous sac decompression. Endovascular exclusion allows sac pressure reduction. Additional percutaneous sac aspiration and thrombin injection promote sac shrinking and avoid persistent collateral flow. In challenging cases, matching different techniques can be helpful.
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