Midterm Results of the Treatment of Penetrating Abdominal Aortic or Iliac Artery Ulcer with the BeGraft Balloon-Expandable Covered Stent—A Single-Center Experience

Kruszyna, Łukasz; Dzieciuchowicz, Łukasz; Strauss, Ewa; Oszkinis, Grzegorz

doi:10.1016/j.avsg.2020.05.056

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…Finally, 6 articles with 121 patients were included in the analysis. [15][16][17][18][19][20][21] Figure 1 shows the process and results of the literature search. The MINORS data are presented in Table 1.…”

Section: Literature Search Resultsmentioning

confidence: 99%

“…25 However, there remains a risk of complicated IMH, SA, or arterial rupture in patients with symptomatic or progressive aPAU, as demonstrated in several retrospective studies. 15-19 IMH is an important cause of progression and is found in approximately 80% of patients on CT. 26 aPAU complicated by IMH can lead to a more fragile vascular wall; therefore, it is critical to evaluate the location of IMH before surgical treatment. 27 SA is associated with an increased risk of arterial rupture and its symmetry and size are key factors.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Although the name (PAU) is created to describe a pathological feature, its diagnosis is more often based on imaging examinations, such as CT, magnetic resonance imaging, and aortic angiography, and most cases documented in the literature have no histopathological evidence. [15][16][17][18][19] With the development of imaging technology and in-depth understanding of the disease in recent years, aPAU has been increasingly reported. The general patient demographics in our analysis were similar to those previously reported.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal Penetrating Aortic Ulcer and Endovascular Treatments: A Systematic Review and Meta-Analysis

Wang

Qiu

et al. 2023

Vasc Endovascular Surg

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Background Abdominal penetrating aortic ulcer (aPAU) is defined as an ulceration of the aortic intima and media lamina, even with rupture of the internal elastic lamina. Recently, there have been an increasing number of publications on endovascular treatment for aPAU. This review aimed to assess the efficacy and safety of endovascular treatment and provide clinicians with the latest evidence-based medical data. Methods 3 academic databases (Embase, PubMed, and Scopus) were systematically searched for literature reporting on aPAU from 1986 (the earliest appearance of the concept of aPAU) to September 1, 2021, and related data were collected and evaluated. A fixed/random effects model was used to construct the forest plots. Funnel plots and linear regression tests were used to assess the publication bias. Results 6 articles including 121 patients were included in the analysis. The average age was 71.4 years, with 72.7% of males and 85.6% with hypertension. Saccular aneurysms (SA) were the most prevalent complication (35.5%). Endovascular treatment had a perioperative mortality rate of .24% (95% CI, .00-2.70). The technical success rate was 99.15% (95% CI, 96.49-100). The type-II endoleak rate was 5.69% (95% CI, .00-12.13). The 1-year survival rate was 95.69% (95% CI, 90.49-100). The revascularization rate was 7.20% (95% CI, .07-14.32). Endovascular treatments for aPAU would lead to a high rate of technical success, few complications, and satisfactory 1-year survival. Conclusions aPAU are a common disease that mainly affects elderly males with hypertension and hyperlipidemia. Endovascular treatment is required when an ulcer progresses rapidly or manifests symptoms. Endovascular treatment is associated with high technical success, low complication, and satisfactory 1-year survival. Further investigation into the long-term results of endovascular treatment is necessary.

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