A Comparison of Aortoiliac Disease between Eastern and Western Countries

Joh, Jin Hyun; Cho, Sungsin

doi:10.5758/vsi.2019.35.4.184

Cited by 6 publications

(5 citation statements)

References 31 publications

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“… 12 Recently, a significant narrowing of large blood vessels in the abdomen has been observed. 13 Initial reports suggest that aPL carriers may have arterial stenosis, which is linked to thrombosis and vasculitis. 14 Subsequent cases have documented stenosis of visceral vessels such as the coeliac trunk, mesenteric artery and renal artery.…”

Section: Discussionmentioning

confidence: 99%

Chronic abdominal aortic occlusive disease related to antiphospholipid syndrome: a rare presentation

Jiang,

Shi,

Liu

et al. 2024

RMD Open

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ObjectiveChronic abdominal aortic occlusive disease (CAAOD) is an uncommon manifestation of antiphospholipid syndrome (APS), impacting cardiovascular health and peripheral arterial circulation. We investigated CAAOD in antiphospholipid antibodies (aPL)-positive patients, aimed to offer comprehensive clinical and radiological insights.MethodsaPL-positive patients with arterial thrombotic events were categorised into CAAOD and non-CAAOD. Extensive data, including clinical features, radiological images and outcomes, were analysed.ResultsThis case-control study involved 114 patients who experienced arterial events from 2013 to 2021, revealing 12 patients with abdominal aortic stenosis or occlusion. The CAAOD group, predominantly young (36.67±11.83) males (75.00%), exhibited significantly higher rates of critical smoking habits (66.67% vs 25.49%, p=0.006) and hyperhomocysteinaemia (66.67% vs 31.37%, p=0.026). Radiological findings showed long-segment infrarenal aorta stenosis in CAAOD, occasionally involving renal and common iliac arteries. The lesions presented varying degrees of stenosis, including smooth lumen narrow and total vascular occlusion. Treatment modalities typically involved interventions or surgery, complementing anticoagulation therapy.ConclusionThe study shed light on the rare occurrence of CAAOD in APS, highlighting the roles of smoking and hyperhomocysteinaemia as notable risk factors. These findings emphasised the significance of early diagnosis and management of CAAOD.

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Section: Discussionmentioning

confidence: 99%

Chronic abdominal aortic occlusive disease related to antiphospholipid syndrome: a rare presentation

Jiang,

Shi,

Liu

et al. 2024

RMD Open

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“…Individual anatomical differences further complicate ascending endovascular repair and affect surgical outcomes and the risk of aortoiliac disease. 18,19 The aortoiliac anatomy in Caucasians differs significantly from that of Asians, particularly in the length of the common iliac arteries and infrarenal abdominal aorta, and in the transverse diameter of the common, external iliac, and common femoral arteries. 20 LaBounty et al 21 found that that Africans had a smaller BSA-indexed aortic sinus and ascending Several cardiac biomarkers and inflammatory cytokines may play roles in diagnosis and prognosis of ascending aortic diseases.…”

Section: Discussionmentioning

confidence: 99%

“…Individual anatomical differences further complicate ascending endovascular repair and affect surgical outcomes and the risk of aortoiliac disease 18,19 . The aortoiliac anatomy in Caucasians differs significantly from that of Asians, particularly in the length of the common iliac arteries and infrarenal abdominal aorta, and in the transverse diameter of the common, external iliac, and common femoral arteries 20 .…”

Section: Discussionmentioning

confidence: 99%

Zone 0 thoracic endovascular aortic repair in high risk patients: A retrospective case series

Yen¹,

Chen²,

Kao³

et al. 2022

Cathet Cardio Intervent

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To report our experience applying endovascular stent graft repair to treat ascending aortic diseases in high-risk patients and to evaluate the safety and feasibility of this approach. Patients with comorbid conditions or older age are not suitable for open procedures but may be considered suitable for ascending endovascular repair.Eleven high-risk patients received zone 0 thoracic endovascular aortic repair from September 2014 to May 2020. All patients were followed up until death or December 2021. Primary outcomes were in-hospital and long-term all-cause mortality as well as in-hospital and long-term aorta-related mortality. The mean follow-up duration of all patients was 35.78 months. The cohort comprised of three pathology subgroups: penetrating atherosclerotic ulcer (PAU) (n =6), acute dissection (AD) (n = 3), and chronic dissecting aneurysm (CDA) (n = 2). The in-hospital all-cause mortality rates were 0%, 33.33% and 0% for PAU, AD, and CDA groups, respectively. Long-term all-cause mortality were 33.33%, 33.33%, and 50% for PAU, AD, and CDA groups, respectively. There was only one in-hospital death related to acute aortic dissection, and no long-term aorta-related deaths occurred during the study period. During the follow-up time, the majority of patients had good remodeling of ascending aorta, slow progression in cases with endoleak, and no aorta-related mortality. Ascending endovascular aortic repair appears to be a safe and feasible procedure for emergent aortic repair in carefully selected patients with prohibitive surgical risk who are not candidates for open procedures.

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“…Focal infrarenal stenosis of the aorta is relatively uncommon and disproportionately affects women [5][6][7]. This classically presents with symptoms of bilateral claudication and is often also related to hypoplastic aortoiliac syndrome which can make surgical endarterectomy and bypass a more complex and challenging procedure with greater risks [7,8].…”

Section: Discussionmentioning

confidence: 99%

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2020

OAJCS

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We report a case of a 72-year-old female patient who presented with disabling short distance bilateral buttock claudication due to severe calcific stenosis of the infrarenal aorta. A balloon mounted stent graft was deployed to treat the aortic stenosis. During deployment of the stent graft, the balloon burst, and only partial retrieval was achieved via the introducer sheath. Surgical groin exploration was performed in order to remove the retained balloon fragment. Attempts to retrieve the balloon had caused an iliac artery dissection which was treated with a self-expanding stent insertion. The procedure was further complicated by distal embolism into the superficial femoral artery which was manage with surgical embolectomy.

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A Comparison of Aortoiliac Disease between Eastern and Western Countries

Cited by 6 publications

References 31 publications

Chronic abdominal aortic occlusive disease related to antiphospholipid syndrome: a rare presentation

Chronic abdominal aortic occlusive disease related to antiphospholipid syndrome: a rare presentation

Zone 0 thoracic endovascular aortic repair in high risk patients: A retrospective case series

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