Fatores de risco para crescimento do saco aneurismático pós‐endovascular aneurysm repair: revisão de literatura

Angiologia e Cirurgia Vascular Pub Date : 2015-09-01 DOI:10.1016/j.ancv.2015.07.006

José Oliveira‐Pinto , Sérgio Sampaio , João Rocha‐Neves , Ricardo Castro‐Ferreira , Jorge Costa‐Lima , Adelino Leite‐Moreira , Armando Mansilha , José Fernando Teixeira

{"title":"Fatores de risco para crescimento do saco aneurismático pós‐endovascular aneurysm repair: revisão de literatura","authors":"José Oliveira‐Pinto , Sérgio Sampaio , João Rocha‐Neves , Ricardo Castro‐Ferreira , Jorge Costa‐Lima , Adelino Leite‐Moreira , Armando Mansilha , José Fernando Teixeira","doi":"10.1016/j.ancv.2015.07.006","DOIUrl":null,"url":null,"abstract":"<div><p>About 75% of the Abdominal Aortic Aneurysms (AAA) are currently repaired by endovacular means (EVAR). Aneurysm sac shrinkage post‐EVAR represents the principal marker of absence of rupture or mortality aneurysm related. However, in about 40% of cases aneurysm sac does not shrink or even enlarges.</p><p>Several pre‐operative risk factors may predict aneurysm sac enlargement post‐EVAR. The aim of this review is to summarize all risk factors that may condition an aneurysm sac enlargement so that one could adapt the best follow‐up method to each patient according to the risk score.</p><p>Most of those risk factors are described in this review: advanced age, hostile necks, endoleak occurrence or even systemic inflammation. These constitute important determinants that predict a worst prognosis pre‐operatively.</p><p>The early identification of these risk factors have remarkable implications in the follow up strategy. Patients with none or only one risk factor may be suitable for a US‐Dupplex follow‐up, while those patients with several pre‐operative risk factors could be good candidates for Angio‐Computed Tomography surveillance, which presents more sensivity in the detection of complications, despite its greater iatrogeny.</p></div>","PeriodicalId":30341,"journal":{"name":"Angiologia e Cirurgia Vascular","volume":"11 3","pages":"Pages 171-176"},"PeriodicalIF":0.0000,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ancv.2015.07.006","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Angiologia e Cirurgia Vascular","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1646706X15000798","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

About 75% of the Abdominal Aortic Aneurysms (AAA) are currently repaired by endovacular means (EVAR). Aneurysm sac shrinkage post‐EVAR represents the principal marker of absence of rupture or mortality aneurysm related. However, in about 40% of cases aneurysm sac does not shrink or even enlarges.

Several pre‐operative risk factors may predict aneurysm sac enlargement post‐EVAR. The aim of this review is to summarize all risk factors that may condition an aneurysm sac enlargement so that one could adapt the best follow‐up method to each patient according to the risk score.

Most of those risk factors are described in this review: advanced age, hostile necks, endoleak occurrence or even systemic inflammation. These constitute important determinants that predict a worst prognosis pre‐operatively.

The early identification of these risk factors have remarkable implications in the follow up strategy. Patients with none or only one risk factor may be suitable for a US‐Dupplex follow‐up, while those patients with several pre‐operative risk factors could be good candidates for Angio‐Computed Tomography surveillance, which presents more sensivity in the detection of complications, despite its greater iatrogeny.

查看原文本刊更多论文

血管内动脉瘤修复后动脉瘤囊生长的危险因素:文献综述

目前约75%的腹主动脉瘤(AAA)通过腔内方法(EVAR)修复。EVAR后动脉瘤囊收缩是动脉瘤无破裂或死亡的主要标志。然而，在大约40%的病例中，动脉瘤囊不缩小甚至增大。几个术前危险因素可预测EVAR后动脉瘤囊增大。本综述的目的是总结所有可能导致动脉瘤囊增大的危险因素，以便根据风险评分为每位患者制定最佳的随访方法。这篇综述描述了这些危险因素中的大多数:高龄、敌对颈部、内漏甚至全身性炎症。这些因素构成了预测术前最差预后的重要决定因素。这些风险因素的早期识别对后续策略具有显著的意义。没有或只有一种危险因素的患者可能适合进行US - duplex随访，而那些有多种术前危险因素的患者可能是血管-计算机断层扫描监测的好候选人，尽管其更大的医源性，但在检测并发症方面表现出更高的敏感性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Angiologia e Cirurgia Vascular

自引率

0.00%

发文量

审稿时长

14 weeks