Surgical treatment of inflammatory abdominal aortic aneurysms: Outcome and predictors analysis

Nuellari, Edmond; Prifti, Edvin; Esposito, Giampiero; Kuçi, Saimir; Kapedani, Edmond

doi:10.1556/imas.6.2014.3.2

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…Inflammatory mediators play key pathophysiological roles in the course of AAA. 15,16 C-reactive protein, a positive acute-phase reactant, impairs endothelial progenitor cells and increases collagen degradation and platelet activation in chronic inflammation. 16 C-reactive protein is also an active participant in atherogenesis and has been widely accepted as a potent risk indicator, independently predicting future cardiovascular (CV) events.…”

Section: Discussionmentioning

confidence: 99%

Association of C-Reactive Protein-to-Albumin Ratio With the Presence and Progression of Abdominal Aortic Aneurysm

Çerşit¹,

Öcal²,

Keskin³

et al. 2020

Angiology

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Aortic dilatation due to inflammation may lead to an increase in C-reactive protein (CRP) levels. We investigated the possible relationship between CRP-to-albumin ratio (CAR) and presence and progression of abdominal aortic aneurysms (AAAs). The study included 150 patients previously diagnosed with AAA (diameter 40-54 mm) and 100 normal controls. Clinical and laboratory parameters and maximal cross-sectional AAA diameters (measured by computed tomography angiography) were obtained from all participants at baseline assessment as well as after 1 year for those with an AAA. The patients with AAA had significantly higher serum CAR compared with controls at baseline (P < .001). Increased serum CAR was found to be an independent predictor of the presence of AAA (odds ratio: 3.162, 95% CI: 1.690-5.126, P = .001) after multivariate logistic regression analysis. There was a significant increase in aortic diameter and CAR after 1 year in the patients with AAA ( P < .001; P = .003); a significant correlation was found between changes in the diameter of AAAs and CAR ( r = 0.414; P = .005). Serum CAR may be useful as an inflammatory biomarker for the presence and progression of AAA.

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Section: Discussionmentioning

confidence: 99%

Association of C-Reactive Protein-to-Albumin Ratio With the Presence and Progression of Abdominal Aortic Aneurysm

Çerşit¹,

Öcal²,

Keskin³

et al. 2020

Angiology

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“…A systematic review of 999 patients with inflammatory aortic aneurysm confirmed that EVAR is associated with decreased mortality compared with open repair. [495][496][497][498][499][500] Horseshoe kidney. A horseshoe kidney occurs in 0.25% of the general population and in 0.12% of patients presenting with an aortic aneurysm.…”

Section: Special Considerationsmentioning

confidence: 99%

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Chaikof

Dalman

Eskandari

et al. 2018

Journal of Vascular Surgery

1,982

1,478

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Important new recommendations are provided for the care of patients with an AAA, including suggestions to improve mutual decision-making between the treating physician and the patients and their families as well as a number of new strategies to enhance perioperative outcomes for patients undergoing elective and emergent repair. Areas of uncertainty are highlighted that would benefit from further investigation in addition to existing limitations in diagnostic tests, pharmacologic agents, intraoperative tools, and devices.

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“…7,9 Although inflammatory aneurysms are less likely to rupture than are the atherosclerotic variant, mycotic aneurysms have a greater risk of rupture, with associated high mortality, given its associated morbidity contributors, such as the development of sepsis. 8,10,11 A high suspicion of a mycotic AAA in the setting of a symptomatic, active, and novel viral infection was our rationale for performing an urgent intervention. Postoperatively, our patient restarted her dual antiplatelet therapy and was prescribed a daily prophylactic dosage of lowmolecular-weight heparin.…”

Section: Discussionmentioning

confidence: 99%

Development of symptomatic inflammatory aneurysm treated with endovascular repair in coronavirus disease 2019 infected patient

Riley

Teixeira

2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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The sequelae and complications of coronavirus disease 2019 infection have continued to emerge during this pandemic era. Although the long-term effects are continually being monitored and studied, we have been seeing more acute and subacute medical complications requiring a thorough discussion and, sometimes, adjustment of our standard of care and intervention. In the present report, we describe a case of an acute, symptomatic inflammatory or mycotic abdominal aortic aneurysm in a patient with coronavirus disease 2019 who had undergone urgent endovascular repair.

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Surgical treatment of inflammatory abdominal aortic aneurysms: Outcome and predictors analysis

Cited by 5 publications

References 21 publications

Association of C-Reactive Protein-to-Albumin Ratio With the Presence and Progression of Abdominal Aortic Aneurysm

Association of C-Reactive Protein-to-Albumin Ratio With the Presence and Progression of Abdominal Aortic Aneurysm

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Development of symptomatic inflammatory aneurysm treated with endovascular repair in coronavirus disease 2019 infected patient

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