P152 Aortic Bifurcation Angle as an Independent Risk Factor for Aortoiliac Occlusive Disease

Bavil, Abolhassan Shakeri; Tubbs, R. Shane; Shoja, Mohajel; Nosratinia, H; Oakes, W. Jerry; Nemati, Masoud

doi:10.1016/s1567-5688(10)70219-1

Cited by 9 publications

(11 citation statements)

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“…It has been postulated that local, individual specific arterial geometry is a potential risk factor that might result in or exaggerate atherosclerosis [31–33]. The aortic bifurcation divides the high pressure blood of the abdominal aorta into the 2 common iliac arteries.…”

Section: Discussionmentioning

confidence: 99%

“…The aortic bifurcation divides the high pressure blood of the abdominal aorta into the 2 common iliac arteries. Subsequently, the bifurcation of each common iliac artery distributes blood to the lower limbs through the external iliac artery and to the pelvis through the internal iliac artery [33]. As reported by Moore et al [32], the aorto-iliac segment is a typical site of clinically significant atherosclerosis that displays nontrivial hemodynamics expected to be sensitive to geometric variations.…”

Section: Discussionmentioning

confidence: 99%

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The normal growth of cross-sectional areas of the aorto-iliac segment in human fetuses – an anatomical, digital, and statistical study

Szpinda

Flisiński

2013

Med Sci Monit Basic Res

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The normal growth of cross-sectional areas of the aorto-iliac segment in human fetuses – an anatomical, digital, and statistical study

Szpinda

Flisiński

2013

Med Sci Monit Basic Res

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“…Results of a study by Moore et al (1994) demonstrated a predisposition to the development of atheromatous lesions in the infrarenal abdominal aorta due to oscillations in blood flow and low values of wall shear stress in this aortic section. In a study by Shakeri et al (2007), logistic regression analysis revealed that the bifurcation angle alone was a significant independent risk factor for aortoiliac atherosclerosis. Other factors influencing the susceptibility to plaque formation in this aortic section include the decreasing diameter of the aorta as it gives off visceral branches and the structure of the aortic wall itself.…”

Section: Anatomy and Classificationmentioning

confidence: 99%

Anatomical significance in aortoiliac occlusive disease

et al. 2014

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Aortoiliac occlusive disease is a subset of peripheral arterial disease involving an atheromatous occlusion of the infrarenal aorta, common iliac arteries, or both. The disease, as it is known today, was described by the French surgeon René Leriche as a thrombotic occlusion of the end of the aorta. Leriche successfully linked the anatomic location of the occlusion with a unique triad of symptoms, including claudication, impotence, and decreased peripheral pulses. The anatomical location of the atheromatous lesions also has a direct influence on classification of the disease, as well as choice of treatment modality. Considering its impact on diagnosis and treatment, we aimed to provide a detailed understanding of the anatomical structures involved in aortoiliac occlusive disease. Familiarity with these structures will aid the physician in interpretation of radiologic images and surgical planning.

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“…Previous studies have reported that the bifurcation angle was both independent and significant as a risk factor for the development of aortoiliac atherosclerosis [19]. In a study of patients from western countries, the mean bifurcation angle was 34.6°±7.3° in normal individuals and 58.2°±11.2° in patients with aortoiliac atherosclerosis [24]. However, a study by Thai reported that the mean bifurcation angle in normal cadavers was 54° [25].…”

Section: Aortoiliac Occlusive Diseasementioning

confidence: 99%

A Comparison of Aortoiliac Disease between Eastern and Western Countries

Joh

Cho

2019

VSI

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A variety of diseases are known to develop in the aortoiliac segment; these include abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease. This review summarizes several differences of aortoiliac diseases between eastern and western populations. The prevalence of AAA was higher in western countries (4.57% to 19%) than in eastern countries (0.89% to 4.9%). Greater aortic bifurcation angles were observed in the eastern population, while longer common iliac arteries and aneurysm necks were found in the western population with AAA. However, the angle of the aneurysm was found to be more acute in patients from western countries. Several differences were found between patients from western countries and those from eastern countries regarding the diseases that occur in the aortoiliac segment and their anatomical characteristics. Therefore, different approaches to the treatment of aortoiliac diseases in these two groups should be considered.

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P152 Aortic Bifurcation Angle as an Independent Risk Factor for Aortoiliac Occlusive Disease

Cited by 9 publications

References 0 publications

The normal growth of cross-sectional areas of the aorto-iliac segment in human fetuses – an anatomical, digital, and statistical study

The normal growth of cross-sectional areas of the aorto-iliac segment in human fetuses – an anatomical, digital, and statistical study

Anatomical significance in aortoiliac occlusive disease

A Comparison of Aortoiliac Disease between Eastern and Western Countries

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