Abstract:
:Objective Reports on inflammatory aortic abdominal aneurysm treatment are scarce. Traditionally, open surgery has been validated as the gold standard of treatment; however, high technical skills are required. Endovascular aortic repair has been suggested as a less invasive treatment by some authors offering good results. The purpose of our study was to report our experience and outcomes in the treatment of inflammatory aortic abdominal aneurysm using both approaches. Material and methods A retrospective review and data collection of all patients treated for inflammatory aortic abdominal aneurysm between 2000 and 2015 was done in one academic center. Diagnosis of inflammatory aortic abdominal aneurysm was based on preoperative CT-scan imaging. Type of treatment, postoperative and long-term morbidity and mortality are described. Abdominal compressive symptoms (hydronephrosis) severity and relief after treatment are described. Results Thirty-four patients with intact inflammatory aortic abdominal aneurysm were included. Twenty-nine (85.3%) patients were treated by open means and the remaining five (14.7%) with endovascular aortic repair. Nearly 90% were considered high-risk patients. Median follow-up was 46 months (range 24-112). The two groups were comparable, except for the age and preoperative hydronephrosis. There was no statistical significance in blood transfusion requirements, intensive care hospitalization, 30-day and long-term mortality between the two groups. Preoperative hydronephrosis was diagnosed in four (13.8%) patients in the open surgery group and three (60%) patients in the endovascular aortic repair group. Improvement of hydronephrosis was recognized in three out of the four patients in the open repair group and two out of the three in the endovascular aortic repair group. Renal function remained stable in both groups during follow-up. Conclusions Open surgery remains a safe and valid option for the treatment of inflammatory aortic abdominal aneurysm. Although our study included a small number of patients with endovascular aortic repair treatment, results are promising. Further randomized controlled studies may be necessary to assess long-term effectiveness of endovascular aortic repair treatment in this disease.
journal_name
Vascularjournal_title
Vascularauthors
Duque Santos Á,Reyes Valdivia A,Romero Lozano MA,Aracil Sanus E,Ocaña Guaita J,Gandarias Cdoi
10.1177/1708538117728865subject
Has Abstractpub_date
2018-04-01 00:00:00pages
203-208issue
2eissn
1708-5381issn
1708-539Xjournal_volume
26pub_type
杂志文章相关文献
Vascular文献大全abstract::Objectives Peripheral arterial disease most commonly presents as intermittent claudication (IC). Early evidence has suggested that extracorporeal shockwave therapy is efficacious in the short term for the management of intermittent claudication. The objective of this pilot trial was to evaluate the medium-term efficac...
journal_title:Vascular
pub_type: 杂志文章,随机对照试验
doi:10.1177/1708538118773618
更新日期:2018-10-01 00:00:00
abstract::We present a case of an endovascular aneurysm repair for a Q-fever-infected acute abdominal aortic aneurysm with aortocaval fistula. Type 2 endoleak persisted after successful endovascular repair. ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114562658
更新日期:2015-12-01 00:00:00
abstract::Studies on hyperhomocysteinemia in vascular occlusive disease have included mostly patients with arterial occlusion. However, more recent studies have included cases of venous occlusive disease as well. Our present study is aimed at comparing the prevalence of hyperhomocysteinemia in venous occlusive disease vis-à-vis...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2007.00031
更新日期:2007-05-01 00:00:00
abstract::The diagnosis of a lower extremity glomus tumor (GT) is often delayed owing to the lack of awareness and low level of suspicion by the treating physician. GT is thought to arise from cutaneous arteriovenous connections, often involving the nail beds. The unusual location of the lower extremity often leads to missed or...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2008.00064
更新日期:2008-11-01 00:00:00
abstract::During an 8-year period, 355 patients underwent endovascular repair of mainly true (97%) infrarenal aneurysms. After a mean follow-up of 48 months, 11 (3.1%) patients required conversion to open repair and 10 were eligible for open surgical intervention. Via a midline incision, explantation of the endograft was perfor...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/rsmvasc.13.3.135
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:Vascular access site complications after percutaneous transfemoral cardiovascular procedures remain a common cause of morbidity and mortality. We evaluated the SiteSeal® VCD for achieving hemostasis following diagnostic cardiac catheterization. METHODS:We conducted a prospective case control single center s...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538120934573
更新日期:2020-07-27 00:00:00
abstract::The LifeSite Hemodialysis System (Vasca, Inc., Tewksbury, MA) is totally subcutaneous, incorporating two silicone catheters positioned in the central venous system and connected to a stainless steel-titanium valve implanted in a subcutaneous pocket. A randomized trial and nonrandomized clinical experience have demonst...
journal_title:Vascular
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1258/rsmvasc.12.4.256
更新日期:2004-07-01 00:00:00
abstract::Mycotic pseudoaneurysms of the peripheral arteries are rare and can occur as an extension of localized infection or from systemic sepsis. In some cases, no obvious source of infection may be identified. Both endovascular and open surgical management options are available for this important condition. We report a mycot...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2008.00060
更新日期:2009-05-01 00:00:00
abstract::Open surgery remains the gold standard by which endovascular treatment of superficial chronic venous insufficiency is measured. This meta-analysis of randomized controlled trials reviews the current evidence base, comparing open and endovascular treatment of varicose veins. Systematic review of studies reporting duple...
journal_title:Vascular
pub_type: 杂志文章,meta分析
doi:10.2310/6670.2010.00013
更新日期:2010-07-01 00:00:00
abstract::Commercially available aortic stent grafts differ in construction and clinical advantage such that creating hybrid endografts by combining components from different manufacturers is sometimes useful. We describe a multicenter experience using hybrid endografts to treat patients with challenging anatomy. Hospital recor...
journal_title:Vascular
pub_type: 杂志文章,多中心研究
doi:10.1258/rsmvasc.12.2.106
更新日期:2004-03-01 00:00:00
abstract::Objective Management of type 2 endoleaks after endovascular aneurysm repair has been controversial. Some advocate for conservative management, while others believe that intervention is indicated. This study investigated the natural history of type 2 endoleaks in order to derive direction in management. Methods Patient...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538118766103
更新日期:2018-10-01 00:00:00
abstract::Objectives There is paucity of information regarding critical limb ischemia-related readmission rates in patients admitted with critical limb ischemia. We studied 30-day critical limb ischemia-related readmission rate, its predictors, and clinical outcomes using a nationwide real-world dataset. Methods We did a second...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538117727955
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:Post-carotid endarterectomy hypertension is a well-recognized phenomenon closely related to surgical complications. This study aimed to determine whether different kinds of perioperative antihypertensive drugs had a protective effect on post-carotid endarterectomy hypertension and influence on intraoperative ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538120946538
更新日期:2020-08-09 00:00:00
abstract::The aim of this study was to evaluate middle-term clinical results of robot-assisted laparoscopic surgery (RALS) to treat aortoiliac occlusive disease (AIOD). Between 2002 and 2007, 28 consecutive patients received robot-assisted laparoscopic aortobifemoral bypass grafting (n = 24) or aortoiliac endarterectomy (n = 4)...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/vasc.2010.oa0249
更新日期:2011-02-01 00:00:00
abstract::The AngioSculpt Scoring Balloon Catheter (AngioScore, Inc., Fremont, CA) is composed of a semicompliant balloon encircled by three nitinol spiral struts providing targeted lesion scoring on balloon inflation. Between April 2005 and April 2006, procedural and follow-up data on 31 patients (mean age 76 years; 54.8% male...
journal_title:Vascular
pub_type: 杂志文章,多中心研究
doi:10.2310/6670.2009.00001
更新日期:2009-01-01 00:00:00
abstract::Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascu...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114538623
更新日期:2015-04-01 00:00:00
abstract::The objective of this study was to systematically review the literature reporting on the chimney technique and perform an analysis of the outcomes. A search of electronic databases was undertaken to identify all studies reporting on the outcome of the chimney technique. The selected articles were divided into those re...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1258/vasc.2011.ra0056
更新日期:2012-10-01 00:00:00
abstract:AIM:To identify morphologic factors affecting aortic expansion in patients with uncomplicated type B aortic dissections. METHODS:Computed tomography data of 24 patients (18 male; median age: 61 years), diagnosed with acute uncomplicated type B aortic dissections between 2002 and 2013, were retrospectively reviewed. Al...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115591941
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:Endovascular therapy using balloon expandable stents has become the treatment standard for most iliac atherosclerotic lesions. We aimed to assess the safety and performance of the Dynamic stainless-steel balloon-expanding stent system in this location. METHODS:BIODYNAMIC is a retrospective single center stu...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538120945422
更新日期:2020-08-02 00:00:00
abstract::Survivors of ischemic stroke are still at a significant risk for recurrence. Antiplatelet agents are the treatment of first choice for long-term secondary prevention of vascular events. This study aims to assess a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients i...
journal_title:Vascular
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/1708538116666159
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:Upper extremity arterial access is often required for endovascular procedures, especially for antegrade access to the visceral aortic branches. Radial arterial access has been shown previously to have low complication rates, and patients tolerate the procedure well and are able to recover quickly. However, t...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538118797556
更新日期:2019-02-01 00:00:00
abstract::Arterial pseudoaneurysms associated with osteochondromas are rare and most publications on this topic are case reports. The management of this double entity is not standardized. We wanted to update it. Literature searches on MEDLINE and EMBASE were performed using the keywords "artery pseudoaneurysm" and "osteochondro...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1177/1708538116634532
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:This study was designed to test the effects of different types of preconditioning and postconditioning methods on spinal cord protection following aortic clamping. METHODS:The animals (rabbits) were divided into sham-operated, ischemic preconditioning, remote ischemic preconditioning, simultaneous aortic and...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114568702
更新日期:2015-12-01 00:00:00
abstract::Power Doppler ultrasonography displays an estimate of the entire power contained in that part of the received radiofrequency ultrasound signal for which a phase shift corresponding to the motion of the target is detected. In contrast, conventional color Doppler imaging displays Doppler frequency shift information. Few...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/rsmvasc.12.5.293
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND AND AIM:Recognition of structured training in endovascular aortic repair (EVAR) for vascular trainees is increasing. Nevertheless, how trainees can achieve sufficient skills in EVAR sizing and graft selection is sparsely described. The aim of this study was to investigate the effect of systematic training in...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538120913719
更新日期:2020-08-01 00:00:00
abstract::At present approximately 70% of carotid endarterectomy and stenting in the United States is being performed for asymptomatic carotid stenosis (ACS). This is based on historical risks of ACS that no longer pertain in the era of intensive medical therapy with statins and other therapies. In the past, the surgical risk o...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00023
更新日期:2010-05-01 00:00:00
abstract::This case report describes a rare vascular tumor (epithelioid hemangioma) in the ulnar artery of a young male patient, treated by excision and bypass grafting. ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00043
更新日期:2010-09-01 00:00:00
abstract::Structural failure and collapse of thoracic stent grafts may cause fatal complications that are easily overlooked on follow-up imaging. A young man with multiple injuries from a motorcycle crash was treated with endografting for an aortic transection. The clinical course was initially satisfactory but deteriorated one...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/vasc.2010.cr0246
更新日期:2011-10-01 00:00:00
abstract::Currently available conduits for in situ reconstruction after excision of infected aortic grafts have significant limitations. The Omniflow II vascular prosthesis is a biosynthetic graft associated with a low incidence of infection that has succesfully been used in the treatment of infected infrainguinal bypass. We re...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115621195
更新日期:2016-12-01 00:00:00
abstract::Patients diagnosed with steal syndrome after hemodialysis access surgery have a few options for symptom relief while maintaining vascular access. These include fistula lengthening, banding, distal revascularization with interval ligation (DRIL), revision using distal inflow (RUDI) or proximalization of the arterial in...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2007.00047
更新日期:2007-07-01 00:00:00