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Inflammatory abdominal aortic aneurysm: clinical features and long term outcome in comparison with atherosclerotic abdominal aortic aneurysm
Alternative TitleInflammatory abdominal aortic aneurysm: clinical features and long term outcome in comparison with atherosclerotic abdominal aortic aneurysm
Yin Mingdi1; Zhang Jian2; Wang Shaoye2; Duan Zhiquan2; Xin Shijie2
2010
Source PublicationCHINESE MEDICAL JOURNAL
ISSN0366-6999
Volume123Issue:10Pages:1255-1258
AbstractBackground Inflammatory abdominal aortic aneurysms (IAAAs) are rare but distinct clinical entities of atherosclerotic abdominal aortic aneurysms (aAAAs). In this study we report a 20-year single institution experience for IAAA and analyze their clinical features and long term outcome in comparison with aAAA.
Other AbstractBackground Inflammatory abdominal aortic aneurysms (IAAAs) are rare but distinct clinical entities of atherosclerotic abdominal aortic aneurysms (aAAAs). In this study we report a 20-year single institution experience for IAAA and analyze their clinical features and long term outcome in comparison with aAAA. Methods Between 1988 and 2008, 412 cases of abdominal aortic aneurysms (AAAs) underwent elective surgical operations, 11 (2.7%) of whom were diagnosed as IAAAs and 389 (94.4%) were diagnosed as aAAAs. The former group was matched in a case control fashion to a group of 33 patients with aAAAs having similar characteristics of age, gender, and preoperative risk factors. All available clinical, pathologic, and postoperative variables were retrospectively reviewed, and the two groups were compared. Results The two groups did not differ significantly in clinical characteristics and preoperative risk factors, although patients with IAAAs were significantly more symptomatic (100% vs. 42.4%, P=0.001) and had larger aneurysms on admission ((7.4±0.7) cm vs. (6.3±0.9) cm, P=0.006). In IAAAs, the preoperative erythrocyte sedimentation rate was found to be significantly elevated compared to aAAA group ((44.5±9.1) mm/h vs. (11.4±5.4) mm/h, P >0.05). Surgical morbidity and mortality rates did not differ between the two groups. The operation time for patients with IAAAs was significantly longer than that for patients with aAAAs ((308±36) minutes vs. (224±46) minutes, P >0.05), but the cross-clamp time was similar in both groups ((41.5±6.2) minutes vs. (41.8±6.2) minutes, P=0.92). A five-year survival rate analysis showed no significant difference between the two groups (P=0.711). Conclusions Despite having more symptoms, larger size and longer operation time, patients with IAAA can now be treated with approaches that cause low morbidity and mortality, similar to patients with aAAA. Long term outcome of IAAA patients is of no difference from aAAA patients.
KeywordENDOVASCULAR REPAIR aneurysm aortic inflammatory atherosclerosis
Indexed ByCSCD
Language英语
CSCD IDCSCD:3889180
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Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/143545
Collection中国科学院金属研究所
Affiliation1.中国科学院合肥物质科学研究院肿瘤医院
2.中国科学院金属研究所
Recommended Citation
GB/T 7714
Yin Mingdi,Zhang Jian,Wang Shaoye,et al. Inflammatory abdominal aortic aneurysm: clinical features and long term outcome in comparison with atherosclerotic abdominal aortic aneurysm[J]. CHINESE MEDICAL JOURNAL,2010,123(10):1255-1258.
APA Yin Mingdi,Zhang Jian,Wang Shaoye,Duan Zhiquan,&Xin Shijie.(2010).Inflammatory abdominal aortic aneurysm: clinical features and long term outcome in comparison with atherosclerotic abdominal aortic aneurysm.CHINESE MEDICAL JOURNAL,123(10),1255-1258.
MLA Yin Mingdi,et al."Inflammatory abdominal aortic aneurysm: clinical features and long term outcome in comparison with atherosclerotic abdominal aortic aneurysm".CHINESE MEDICAL JOURNAL 123.10(2010):1255-1258.
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