Inflammatory Abdominal Aortic Aneurysm (IAAA)

Risultato della ricerca: Article

1 Citazione (Scopus)

Abstract

Purpose: The aim of this study is to report our experience about the inflammatory abdominal aortic aneurysm (IAAA).Methods: Between January 1999 and January 2008 we treated 8 cases of IAAA. Two patients underwent surgery in emergency. The preoperative diagnostic procedures were ultrasound (US), computed tomography (CT) and intravenous urography (IVU). In 6 elective patients the diagnosis of IAAA was obtained preoperatively. In one case a left hydroureteronephrosis was demonstrated by intravenous urography (IVU). All patients underwent open surgery with midline incision and transperitoneal access.Results: No 30-days mortality occurred. A case of pancreatitis was treated with conservative therapy. All patients had 60-days corticosteroid therapy.Conclusions: Our data suggest that because IAAA have the same rate of rupture of AAA, they need the same preventive treatment as non inflammatory abdominal aortic aneurysm (AAA) The kind of approach OPEN-EVAR should be chosen with the same criteria as AAA, even if EVAR teatment doesn't allow us to obtain the biopsy. Furthermore there are no sufficient evidences about regression of retroperitoneal fibrosis after EVAR treatment. Also the premature onset should be considered in the choice of treatment.
Lingua originaleEnglish
pagine (da-a)171-176
Numero di pagine6
RivistaANNALI ITALIANI DI CHIRURGIA
Volume80
Stato di pubblicazionePublished - 2009

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Abdominal Aortic Aneurysm
Urography
Retroperitoneal Fibrosis
Preoperative Care
Therapeutics
Pancreatitis
Rupture
Adrenal Cortex Hormones
Emergencies
Tomography
Biopsy
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

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Inflammatory Abdominal Aortic Aneurysm (IAAA). / Pecoraro, Felice; Bajardi, Guido.

In: ANNALI ITALIANI DI CHIRURGIA, Vol. 80, 2009, pag. 171-176.

Risultato della ricerca: Article

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abstract = "Purpose: The aim of this study is to report our experience about the inflammatory abdominal aortic aneurysm (IAAA).Methods: Between January 1999 and January 2008 we treated 8 cases of IAAA. Two patients underwent surgery in emergency. The preoperative diagnostic procedures were ultrasound (US), computed tomography (CT) and intravenous urography (IVU). In 6 elective patients the diagnosis of IAAA was obtained preoperatively. In one case a left hydroureteronephrosis was demonstrated by intravenous urography (IVU). All patients underwent open surgery with midline incision and transperitoneal access.Results: No 30-days mortality occurred. A case of pancreatitis was treated with conservative therapy. All patients had 60-days corticosteroid therapy.Conclusions: Our data suggest that because IAAA have the same rate of rupture of AAA, they need the same preventive treatment as non inflammatory abdominal aortic aneurysm (AAA) The kind of approach OPEN-EVAR should be chosen with the same criteria as AAA, even if EVAR teatment doesn't allow us to obtain the biopsy. Furthermore there are no sufficient evidences about regression of retroperitoneal fibrosis after EVAR treatment. Also the premature onset should be considered in the choice of treatment.",
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N2 - Purpose: The aim of this study is to report our experience about the inflammatory abdominal aortic aneurysm (IAAA).Methods: Between January 1999 and January 2008 we treated 8 cases of IAAA. Two patients underwent surgery in emergency. The preoperative diagnostic procedures were ultrasound (US), computed tomography (CT) and intravenous urography (IVU). In 6 elective patients the diagnosis of IAAA was obtained preoperatively. In one case a left hydroureteronephrosis was demonstrated by intravenous urography (IVU). All patients underwent open surgery with midline incision and transperitoneal access.Results: No 30-days mortality occurred. A case of pancreatitis was treated with conservative therapy. All patients had 60-days corticosteroid therapy.Conclusions: Our data suggest that because IAAA have the same rate of rupture of AAA, they need the same preventive treatment as non inflammatory abdominal aortic aneurysm (AAA) The kind of approach OPEN-EVAR should be chosen with the same criteria as AAA, even if EVAR teatment doesn't allow us to obtain the biopsy. Furthermore there are no sufficient evidences about regression of retroperitoneal fibrosis after EVAR treatment. Also the premature onset should be considered in the choice of treatment.

AB - Purpose: The aim of this study is to report our experience about the inflammatory abdominal aortic aneurysm (IAAA).Methods: Between January 1999 and January 2008 we treated 8 cases of IAAA. Two patients underwent surgery in emergency. The preoperative diagnostic procedures were ultrasound (US), computed tomography (CT) and intravenous urography (IVU). In 6 elective patients the diagnosis of IAAA was obtained preoperatively. In one case a left hydroureteronephrosis was demonstrated by intravenous urography (IVU). All patients underwent open surgery with midline incision and transperitoneal access.Results: No 30-days mortality occurred. A case of pancreatitis was treated with conservative therapy. All patients had 60-days corticosteroid therapy.Conclusions: Our data suggest that because IAAA have the same rate of rupture of AAA, they need the same preventive treatment as non inflammatory abdominal aortic aneurysm (AAA) The kind of approach OPEN-EVAR should be chosen with the same criteria as AAA, even if EVAR teatment doesn't allow us to obtain the biopsy. Furthermore there are no sufficient evidences about regression of retroperitoneal fibrosis after EVAR treatment. Also the premature onset should be considered in the choice of treatment.

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JO - ANNALI ITALIANI DI CHIRURGIA

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