Risk factors associated with dilatation of abdominal aneurysm after endovascular therapy
Main Article Content
Abstract
The purpose was to investigate the characteristics of abdominal aorta and dilatation risk factors after endovascular aortic repair (EVAR). All the aortic parameters of the patients underwent EVAR from January 2018 to September 2019 were recorded. The patients were followed up regularly, all the events were reported in the medical records. 65.2% of patients were from 60 to 80 years old, the average aortic aneurysm neck length was 33.9 ± 11 mm, the neck diameter was 21,2 ± 0,3 mm, the length of abdominal aneurysm was 94,2 ± 13 mm and the largest aneurysm diameter was 60.4 mm. After 12 months follow up, 14.3% (6 patients) had dilatation of aortic aneurysm, 47,6% (20 patients) had over 5 mm aneurysm diameter reduction; 38,1% (16 patients) had 0 to 5 mm reduction. Aging was the main risk factor of aortic dilatation after EVAR.
Article Details
Keywords
abdominal aortic repair, aortic dilatation.
References
1. Kent KC, Zwolak RM, Egorova NN, et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. Journal of vascular surgery. 2010;52(3):539-548.
2. Văn Tần và cộng sự. Tiến bộ điều trị phình động mạch chủ bụng tại Việt Nam. Tạp chí Y học Việt Nam. 2010.
3. Stather P, Sidloff D, Rhema I, Choke E, Bown M, Sayers R. A review of current reporting of abdominal aortic aneurysm mortality and prevalence in the literature. European journal of vascular and endovascular surgery. 2014;47(3):240-242.
4. Erbel R, Aboyans V, Boileau C, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). European Heart Journal. 2014;35(41):2873-2926.
5. Schanzer A, Greenberg RK, Hevelone N, et al. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123(24):2848-2855.
6. Kontopodis N, Metaxa E, Gionis M, Papaharilaou Y, Ioannou CV. Discrepancies in determination of abdominal aortic aneurysms maximum diameter and growth rate, using axial and orhtogonal computed tomography measurements. European journal of radiology. 2013;82(9):1398-1403.
7. Yushkevich PA, Piven J, Hazlett HC, et al. User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Journal of Neuroimage. 2006;31(3):1116-1128.
8. van Keulen JW, Moll FL, Tolenaar JL, Verhagen HJ, van Herwaarden JA. Validation of a new standardized method to measure proximal aneurysm neck angulation. Journal of vascular surgery. 2010;51(4):821-828.
9. Medtronic. Endurant II, Endurant IIs Instruction for use. 2016:Medtronic, Inc - 710 Medtronic Parkway, Minneapolis, MN 55432 USA.
10. Bolton Medical. TREO Abdominal aortic stent graft system - Instruction for use. 2018:799 International parkway sunrise, Florida 33325 USA.
11. Nguyễn Văn Hiệp. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và hình thái tổn thương của bệnh nhân phình động mạch chủ bụng điều trị tại Viện Tim mạch Việt Nam. 2015:Trường Đại học Y Hà Nội, Hà Nội.
12. Đoàn Văn Hoan. Nghiên cứu đặc điểm hình ảnh và giá trị của chụp cắt lớp vi tính xoắn ốc trong chẩn đoán phình động mạch chủ bụng dưới thận. 2009:Trường Đại học Y Hà Nội, Hà Nội.
13. Kim MH, Park HS, Ahn S, et al. Chronological change of the sac after endovascular aneurysm repair. Vascular Specialist International. 2016;32(4):150.
14. Sweeting M, Oliver-Williams C, Thompson S. Lessons learned about prevalence and growth rates of abdominal aortic aneurysms from a 25-year ultrasound population screening programme. British Journal of Surgery. 2018.
15. Chaikof EL, Blankensteijn JD, Harris PL, et al. Reporting standards for endovascular aortic aneurysm repair. Journal of vascular surgery. 2002;35(5):1048-1060.
16. Goncalves FB, Baderkhan H, Verhagen H, et al. Early sac shrinkage predicts a low risk of late complications after endovascular aortic aneurysm repair. The British journal of surgery. 2014;101(7):802.
17. Lalys F, Daoudal A, Gindre J, Göksu C, Lucas A, Kaladji A. Influencing factors of sac shrinkage after endovascular aneurysm repair. Journal of Vascular Surgery. 2017;65(6):1830-1838.
18. Okada M, Handa N, Onohara T, et al. Late sac behavior after endovascular aneurysm repair for abdominal aortic aneurysm. Annals of vascular diseases. 2016:oa. 15-00125.
19. Teijink JA, Power AH, Böckler D, et al. Five Year Outcomes of the Endurant Stent Graft for Endovascular Abdominal Aortic Aneurysm Repair in the ENGAGE Registry. European Journal of Vascular and Endovascular Surgery. 2019;58(2):175-181.
20. Abdulrasak M, Sonesson B, Singh B, Resch T, Dias NV. Long-term outcomes of infrarenal endovascular aneurysm repair with a commercially available stent graft. Journal of Vascular Surgery. 2019.
21. Cieri E, De Rango P, Isernia G, et al. Effect of stentgraft model on aneurysm shrinkage in 1,450 endovascular aortic repairs. European Journal of Vascular Endovascular Surgery. 2013;46(2):192-200.
2. Văn Tần và cộng sự. Tiến bộ điều trị phình động mạch chủ bụng tại Việt Nam. Tạp chí Y học Việt Nam. 2010.
3. Stather P, Sidloff D, Rhema I, Choke E, Bown M, Sayers R. A review of current reporting of abdominal aortic aneurysm mortality and prevalence in the literature. European journal of vascular and endovascular surgery. 2014;47(3):240-242.
4. Erbel R, Aboyans V, Boileau C, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). European Heart Journal. 2014;35(41):2873-2926.
5. Schanzer A, Greenberg RK, Hevelone N, et al. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123(24):2848-2855.
6. Kontopodis N, Metaxa E, Gionis M, Papaharilaou Y, Ioannou CV. Discrepancies in determination of abdominal aortic aneurysms maximum diameter and growth rate, using axial and orhtogonal computed tomography measurements. European journal of radiology. 2013;82(9):1398-1403.
7. Yushkevich PA, Piven J, Hazlett HC, et al. User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Journal of Neuroimage. 2006;31(3):1116-1128.
8. van Keulen JW, Moll FL, Tolenaar JL, Verhagen HJ, van Herwaarden JA. Validation of a new standardized method to measure proximal aneurysm neck angulation. Journal of vascular surgery. 2010;51(4):821-828.
9. Medtronic. Endurant II, Endurant IIs Instruction for use. 2016:Medtronic, Inc - 710 Medtronic Parkway, Minneapolis, MN 55432 USA.
10. Bolton Medical. TREO Abdominal aortic stent graft system - Instruction for use. 2018:799 International parkway sunrise, Florida 33325 USA.
11. Nguyễn Văn Hiệp. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và hình thái tổn thương của bệnh nhân phình động mạch chủ bụng điều trị tại Viện Tim mạch Việt Nam. 2015:Trường Đại học Y Hà Nội, Hà Nội.
12. Đoàn Văn Hoan. Nghiên cứu đặc điểm hình ảnh và giá trị của chụp cắt lớp vi tính xoắn ốc trong chẩn đoán phình động mạch chủ bụng dưới thận. 2009:Trường Đại học Y Hà Nội, Hà Nội.
13. Kim MH, Park HS, Ahn S, et al. Chronological change of the sac after endovascular aneurysm repair. Vascular Specialist International. 2016;32(4):150.
14. Sweeting M, Oliver-Williams C, Thompson S. Lessons learned about prevalence and growth rates of abdominal aortic aneurysms from a 25-year ultrasound population screening programme. British Journal of Surgery. 2018.
15. Chaikof EL, Blankensteijn JD, Harris PL, et al. Reporting standards for endovascular aortic aneurysm repair. Journal of vascular surgery. 2002;35(5):1048-1060.
16. Goncalves FB, Baderkhan H, Verhagen H, et al. Early sac shrinkage predicts a low risk of late complications after endovascular aortic aneurysm repair. The British journal of surgery. 2014;101(7):802.
17. Lalys F, Daoudal A, Gindre J, Göksu C, Lucas A, Kaladji A. Influencing factors of sac shrinkage after endovascular aneurysm repair. Journal of Vascular Surgery. 2017;65(6):1830-1838.
18. Okada M, Handa N, Onohara T, et al. Late sac behavior after endovascular aneurysm repair for abdominal aortic aneurysm. Annals of vascular diseases. 2016:oa. 15-00125.
19. Teijink JA, Power AH, Böckler D, et al. Five Year Outcomes of the Endurant Stent Graft for Endovascular Abdominal Aortic Aneurysm Repair in the ENGAGE Registry. European Journal of Vascular and Endovascular Surgery. 2019;58(2):175-181.
20. Abdulrasak M, Sonesson B, Singh B, Resch T, Dias NV. Long-term outcomes of infrarenal endovascular aneurysm repair with a commercially available stent graft. Journal of Vascular Surgery. 2019.
21. Cieri E, De Rango P, Isernia G, et al. Effect of stentgraft model on aneurysm shrinkage in 1,450 endovascular aortic repairs. European Journal of Vascular Endovascular Surgery. 2013;46(2):192-200.