Management and Course of Hydronephrosis Secondary to Inflammatory Aneurysms of the Abdominal Aorta

Arroyo, Agustín; Rodríguez, Jorge; Porto, J; Gesto, Ricardo

doi:10.1007/s10016-003-0041-y

Cited by 8 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…42,45 Hence, 19 studies were included in our statistical analysis. [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] The following data were extracted from each article: number of study patients with inflammatory AAA; age (years) and sex of the patients; followup duration after the intervention (months); number of patients with uni-or bilateral ureteral obstruction at presentation; type of procedure (open surgical or EVAR); number of patients with concurrent ureterolysis during open surgical aneurysm repair; number of patients with pre-operative CT scanning and at follow-up; number of patients with persistent ureteral obstruction after aneurysm repair; CTdocumented evolution of peri-aortic fibrosis (complete, partial or no regression; progression).…”

Section: Selection and Data Extractionmentioning

confidence: 99%

Persistent chronic peri-aortitis (‘inflammatory aneurysm’) after abdominal aortic aneurysm repair: systematic review of the literature

et al. 2008

View full text Add to dashboard Cite

Data on the outcome of aneurysmal chronic peri-aortitis ('inflammatory aneurysm') after open surgical aneurysm repair are few and contradictory. To what extent this inflammatory process is reversed after endovascular aneurysm repair (EVAR) is even more unclear. The objective of this review was to study the outcome of peri-aortic fibrosis (PAF) and ureteral obstruction in patients with aneurysmal chronic peri-aortitis treated with open surgery or EVAR. Medical literature was searched for pertinent articles on the outcome of PAF and ureteral obstruction after open surgery or EVAR from 1970 through October 2007. Studies were included if specific follow-up data were available on outcomes of interest. A total of 19 studies were included comprising 478 patients (open surgical, n = 426; EVAR, n = 52). Age, sex and percentage of patients with ureteral obstruction (31% vs 37%) did not differ between groups. Regression of PAF occurred more frequently after open surgery compared to EVAR (86% vs 60%; p < 0.0001). Complete regression of PAF was more frequent after open surgery compared to EVAR (52% vs 14%; p < 0.0001). After excluding patients in whom concurrent ureterolysis was performed, the frequency of persistent ureteral obstruction remained lower in patients treated surgically compared to patients treated with EVAR, albeit not statistically significant (32% vs 56%; p = 0.09). In conclusion, although open surgery is superior to EVAR in achieving regression of chronic periaortitis, the frequency of persistent PAF and/or ureteral obstruction is not negligible. Additional medical and/or urological treatment should be considered in selected cases of aneurysmal chronic peri-aortitis.

show abstract