Inflammatory aortic aneurysms: Single center experiences with endovascular repair of inflammatory abdominal aortic aneurysms

被引:0
作者
Strube H. [1 ]
Treitl M. [1 ]
Reiser M. [1 ]
Steckmeier B. [2 ]
Sadeghi-Azandaryani M. [2 ]
机构
[1] Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität München, Campus Innenstadt, 80336 München
[2] Funktionsbereich Gefäßchirurgie, Chirurgische Klinik und Poliklinik, Campus Innenstadt
来源
Der Radiologe | 2010年 / 50卷 / 10期
关键词
Abdominal aortic aneurysm; Computed tomography; Hydronephrosis; Periaortitis; Stent;
D O I
10.1007/s00117-010-2006-9
中图分类号
学科分类号
摘要
We report our single center experience of renal function, hydronephrosis and changes in perianeurysmal fibrosis (PAF) after endovascular repair (EVAR) of inflammatory abdominal aortic aneurysms (IAAA). A total of 6 patients were treated for IAAA with EVAR and the technical success was 100%. During the follow-up period 5 patients showed regression of PAF and 1 patient showed minor progression of PAF on computed tomography scans. In 2 patients hydronephrosis was regressive postoperatively but no patients died within 30 days. There were no secondary complications to report and no secondary intervention was necessary. In the long-term course one patient exhibited complete regression of PAF. In appropriate cases EVAR is a safe method for aneurysm repair for IAAA. In patients with acute inflammation or hydronephrosis individual treatment concepts are required. © 2010 Springer-Verlag.
引用
收藏
页码:894 / 900
页数:6
相关论文
共 23 条
  • [1] Barrett J.A., Wells I.P., Roobottom C.A., Et al., Progression of peri-aortic fibrosis despite endovascular repair of an inflammatory aneurysm, Eur. J. Vasc. Endovasc. Surg., 21, pp. 567-568, (2001)
  • [2] Boyle J.R., Thompson M.M., Nasim A., Et al., Endovascular repair of an inflammatory aortic aneurysm, Eur. J. Vasc. Endovasc. Surg., 13, pp. 328-329, (1997)
  • [3] Deleersnijder R., Daenens K., Fourneau I., Et al., Endovascular repair of inflammatory abdominal aortic aneurysms with special reference to concomitant ureteric obstruction, Eur. J. Vasc. Endovasc. Surg., 24, pp. 146-149, (2002)
  • [4] Faizer R., Derose G., Tl F., Et al., Midterm follow-up of inflammatory abdominal aortic aneurysms following endovascular repair, Ann. Vasc. Surg., 19, pp. 636-640, (2005)
  • [5] Hechelhammer L., Wildermuth S., Ml L., Et al., Endovascular repair of inflammatory abdominal aneurysm: A retrospective analysis of CT follow-up, J. Vasc. Interv. Radiol., 16, pp. 737-741, (2005)
  • [6] Hinchliffe R.J., Macierewicz J.A., Hopkinson B.R., Endovascular repair of inflammatory abdominal aortic aneurysms, J. Endovasc Ther., 9, pp. 277-281, (2002)
  • [7] Iino M., Kuribayashi S., Imakita S., Et al., Sensitivity and specificity of CT in the diagnosis of inflammatory abdominal aortic aneurysms, J. Comput. Assist. Tomogr., 26, pp. 1006-1012, (2002)
  • [8] Lange C., Hobo R., Leurs L.J., Et al., Results of endovascular repair of inflammatory abdominal aortic aneurysms. A report from the EUROSTAR database, Eur. J. Vasc. Endovasc. Surg., 29, pp. 363-370, (2005)
  • [9] Meester D.J., Van Muiswinkel K.W., Ameye F., Et al., Endovascular treatment of a ureteroiliac fistula associated with ureteral double J-stenting and an aortic-bifemoral stent graft for an inflammatory abdominal aortic aneurysm, Ann. Vasc. Surg., 20, pp. 408-410, (2006)
  • [10] Nevelsteen A., Lacroix H., Stockx L., Et al., Inflammatory abdominal aortic aneurysm and bilateral complete ureteral obstruction: Treatment by endovascular graft and bilateral ureteric stenting, Ann. Vasc. Surg., 13, pp. 222-224, (1999)