Management of concomitant abdominal aortic aneurysm and colorectal cancer

Kouvelos, George; Patelis, Nikolaos; Antoniou, George Α.; Lazaris, Andreas; Bali, Christina; Matsagkas, Miltiadis

doi:10.1016/j.jvs.2016.01.026

Cited by 23 publications

(15 citation statements)

References 40 publications

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“…Both OSR and EVAR of the intact AAA did not increase mortality in patients with a history of cancer. In contrast, previous study by Kouvelos et al of AAA repair in patients with synchronous malignancy showed higher mortality and morbidity [3]. Since we looked at a history of cancer rather than synchronous cancer, there could have been a longer time interval between the cancer treatment and AAA repair.…”

Section: Short-term Mortalitymentioning

confidence: 64%

“…Many studies have analyzed the effect of AAA repair in patients with synchronous malignancy and showed increased short-term mortality and morbidity after both endovascular aortic repair (EVAR) and open surgical repair (OSR) [3]. In addition, patients with intra-abdominal tumors have increased perioperative mortality after OSR of AAA, and the history of intra-abdominal procedures may hinder OSR due to the development of adhesions [4].…”

Section: Introductionmentioning

confidence: 99%

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Outcomes after aortic aneurysm repair in patients with history of cancer: a nationwide dataset analysis

et al. 2020

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Background: Synchronous cancer in patients with abdominal aortic aneurysm (AAA) increases morbidity and mortality after AAA repair. However, little is known about the impact of the history of cancer on mortality after AAA repair. Methods: Patients with intact AAA who were treated with endovascular aneurysm repair or open surgical repair were selected from the Health Insurance and Review Assessment data in South Korea between 2007 and 2016. Primary endpoints included the 30-and 90-day mortality and long-term mortality after AAA repair. The Cox proportional hazards models were constructed to evaluate independent predictors of mortality. Results: A total of 1999 patients (17.0%, 1999/11785) were diagnosed with cancer prior to the AAA repair. History of cancer generally had no effect in short-term mortality at 30 and 90 days. However, short-term mortality rate of patients with a history of lung cancer was more than twice that of patients without it (3.07% vs. 1.06%, P = 0.0038, 6.14% vs. 2.69%, P = 0.0016). Furthermore, the mortality rate at the end of the study period was significantly higher in AAA patients with a history of cancer than in those without a history of cancer (21.21% vs. 17.08%, P < .0001, HR, 1.31, 95% CI, 1.17-1.46). Conclusions: The history of cancer in AAA patients increases long-term mortality but does not affect short-term mortality after AAA repair. However, AAA repair could increase both short-and long-term mortality in patients with lung cancer history, and those cases should be more carefully selected.

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Section: Short-term Mortalitymentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Outcomes after aortic aneurysm repair in patients with history of cancer: a nationwide dataset analysis

et al. 2020

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“…Several studies have reported advantages of EVAR over open repair in managing concomitant cancer and AAA. 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

Abdominal aortic aneurysm with periaortic malignant lymphoma differentiated from aneurysmal rupture by clinical presentation and magnetic resonance imaging

Kamata¹,

Y²,

Idoguchi³

et al. 2018

Journal of Vascular Surgery Cases, Innovations and Techniques

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Abdominal aortic aneurysm (AAA) associated with periaortic malignant lymphoma is difficult to differentiate from aneurysmal rupture because of similarities in their clinical presentation and appearance on computed tomography images. We here report a case of AAA associated with periaortic malignant lymphoma diagnosed preoperatively with an absence of typical symptoms, showing that AAA in periaortic malignant lymphoma can present without any clinical correlates. Magnetic resonance imaging was used to confirm the diagnosis. The patient was treated by endovascular repair, which may be safer and more effective than open surgery for AAA associated with malignant lymphoma because of the tight adhesion between the aneurysm and the lymphoid tissue.

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“…As the aging population increases, the incidence of gastrointestinal cancer and vascular diseases, such as abdominal aortic aneurysm (AAA) and abdominal aortic dissection (AAD), has increased [1, 2]. Though the true incidence is difficult to accurately ascertain, the synchronous presentation of AAA or AAD and gastrointestinal tumor is still rare (0.49% to 2.1% in most series [3, 4]). In the absence of a clear consensus from the literatures, the management of this clinical presentation remains perplexing and controversial, especially in establishing the optimal treatment approach and the benefit of the patients [1, 3].…”

Section: Introductionmentioning

confidence: 99%

Synchronous Gastrointestinal Tumor and Abdominal Aortic Aneurysm or Dissection Treated with Endovascular Aneurysm Repair Followed by Tumor Resection

Zhang

Liu

et al. 2019

Gastroenterology Research and Practice

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Objective To evaluate the strategy in the management of patients with synchronous gastrointestinal tumor and abdominal aortic aneurysm (AAA) or abdominal aortic dissection (AAD) undergoing endovascular repair followed by tumor resection. Materials and Methods Five patients with synchronous gastrointestinal tumor and AAA or AAD were treated by endovascular repair followed by tumor resection. Clinical data were retrospectively analyzed with respect to the management strategy, safety, and outcome. Results Endovascular repair was technically successful in all patients. All the stents were well positioned and well patent, and the AAA (n = 3) or AAD (n = 2) were correctly excluded without endoleaks. After endovascular repair, all patients underwent resection of gastrointestinal tumor. No late mortality or major complications related to the two procedures were observed in the subsequent follow-up. Conclusion Our results demonstrate that EVAR could significantly shorten the delay between AAA and gastrointestinal procedure with an excellent postoperative outcome. If the anatomical criteria are satisfied, EVAR followed by tumor resection might be an effective treatment for concomitant AAA and gastrointestinal tumor.

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Management of concomitant abdominal aortic aneurysm and colorectal cancer

Cited by 23 publications

References 40 publications

Outcomes after aortic aneurysm repair in patients with history of cancer: a nationwide dataset analysis

Outcomes after aortic aneurysm repair in patients with history of cancer: a nationwide dataset analysis

Abdominal aortic aneurysm with periaortic malignant lymphoma differentiated from aneurysmal rupture by clinical presentation and magnetic resonance imaging

Synchronous Gastrointestinal Tumor and Abdominal Aortic Aneurysm or Dissection Treated with Endovascular Aneurysm Repair Followed by Tumor Resection

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