血管腔内腹主动脉瘤修复术后氟脱氧葡萄糖摄取增加：内漏的预测指标？
Increased fluorodeoxyglucose uptake following endovascular abdominal aortic aneurysm repair: a predictor of endoleak?
作者信息
Paraskevas Kosmas I, Tzovaras Alexandros A, Stathopoulos Vassilios, Gentimi Fotini, Mikhailidis Dimitri P
机构信息
Department of Vascular Surgery, Red Cross Hospital, Athens, Greece.
出版信息
Open Cardiovasc Med J. 2010 Apr 8;4:117-9. doi: 10.2174/1874192401004010117.
Abstract
The main criterion for abdominal aortic aneurysm (AAA) repair is an AAA diameter >/=5.5 cm. However, some AAAs rupture when they are smaller. Size alone may therefore not be a sufficient criterion to determine rupture risk. Fluorodeoxyglucose (FDG) uptake is increased in the presence of inflammation and it was suggested that this may be a better predictor of rupture risk than AAA size. Furthermore, increased FDG uptake following endovascular AAA repair may be an indirect predictor of continuous AAA sac enlargement due to the presence of an endoleak (even if this is not detected by imaging modalities) and/or increased AAA rupture risk. The role of FDG uptake needs to be explored further in the management of AAAs.
摘要
腹主动脉瘤（AAA）修复的主要标准是AAA直径≥5.5厘米。然而，一些AAA在较小时就会破裂。因此，仅尺寸可能不是确定破裂风险的充分标准。在存在炎症的情况下，氟脱氧葡萄糖（FDG）摄取会增加，有人认为这可能比AAA尺寸更能预测破裂风险。此外，血管内AAA修复后FDG摄取增加可能是由于存在内漏（即使影像学检查未检测到）和/或AAA破裂风险增加导致AAA瘤腔持续扩大的间接预测指标。FDG摄取在AAA的管理中的作用需要进一步探索。
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本文引用的文献
1
Oxidative stress in the pathogenesis of abdominal aortic aneurysms: a possible pathway for the effect of statins?
Angiology. 2010 Feb;61(2):226-7; author reply 227-8. doi: 10.1177/0003319709353168. Epub 2009 Nov 18.
2
Regarding "Increased 18F-fluorodeoxyglucose uptake in abdominal aortic aneurysms in positron emission/computed tomography is associated with inflammation, aortic wall instability, and acute symptoms".
J Vasc Surg. 2009 Jun;49(6):1631; author reply 1631-2. doi: 10.1016/j.jvs.2008.08.093.
3
Is F 18 fluorodeoxyglucose positron emission tomography too sensitive for the diagnosis of vascular endograft infection?
Vascular. 2008 Nov-Dec;16(6):346-9. doi: 10.2310/6670.2008.00049.
4
Aneurysm rupture after EVAR: can the ultimate failure be predicted?
Eur J Vasc Endovasc Surg. 2009 Jan;37(1):15-22. doi: 10.1016/j.ejvs.2008.10.011. Epub 2008 Nov 12.
5
In vivo imaging of abdominal aortic aneurysms: increased FDG uptake suggests inflammation in the aneurysm wall.
J Endovasc Ther. 2008 Aug;15(4):462-7. doi: 10.1583/08-2447.1.
6
Increased 18F-fluorodeoxyglucose uptake in abdominal aortic aneurysms in positron emission/computed tomography is associated with inflammation, aortic wall instability, and acute symptoms.
J Vasc Surg. 2008 Aug;48(2):417-23; discussion 424. doi: 10.1016/j.jvs.2008.03.059. Epub 2008 Jun 24.
7
Follow-up of endovascular aneurysm repair: plain radiography, ultrasound, CT/CT angiography, MR imaging/MR angiography, or what?
J Vasc Interv Radiol. 2008 Jun;19(6 Suppl):S27-36. doi: 10.1016/j.jvir.2008.03.009.
8
Are statins an option in the management of abdominal aortic aneurysms?
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9
Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population.
N Engl J Med. 2008 Jan 31;358(5):464-74. doi: 10.1056/NEJMoa0707348.
10
Statins exert multiple beneficial effects on patients undergoing percutaneous revascularization procedures.
Curr Drug Targets. 2007 Aug;8(8):942-51. doi: 10.2174/138945007781386893.
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