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血管内动脉瘤修复术后肾上腺和肾下主动脉角的变化。

Changes in suprarenal and infrarenal aortic angles after endovascular aneurysm repair.

作者信息

Lee Ho Kyun, Chung Sang Young, Kim Jea Kyu, Yoo Sung Hee, Choi Soo Jin Na

机构信息

Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.

Department of Radiology, Chonnam National University Medical School, Gwangju, Korea.

出版信息

Ann Surg Treat Res. 2014 Oct;87(4):197-202. doi: 10.4174/astr.2014.87.4.197. Epub 2014 Sep 25.

DOI:10.4174/astr.2014.87.4.197
PMID:25317415
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4196438/
Abstract

PURPOSE

We investigated whether suprarenal and infrarenal aortic angles change after the endovascular aneurysm repair (EVAR) procedure and during follow-up, and investigated the correlation between infrarenal aortic angle after EVAR and type Ia endoleaks.

METHODS

Data collected on 70 EVAR procedures for a fusiform infrarenal aortic aneurysm performed between May 2006 and December 2012 were supplemented with a retrospective review of charts and radiographs.

RESULTS

The greater the preoperative infrarenal aortic angle, the greater the suprarenal aortic angle (r = 0.72, P < 0.001). The infrarenal aortic angle decreased after the EVAR procedure and continued to decrease slowly thereafter (all P < 0.001). Suprarenal aortic angle decreased immediately after the EVAR procedure and continued to decrease during the first month (P < 0.001). No differences in angulation were observed based on stent graft type. Type Ia endoleaks occurred with significantly greater incidence in patients with a larger post EVAR infrarenal angle (P = 0.037).

CONCLUSION

The infrarenal aortic angle decreased significantly immediately after the EVAR procedure and continued to decrease slowly thereafter. Suprarenal aortic angle decreased immediately after the EVAR procedure and continued to decrease during the first month. We found a correlation between infrarenal and suprarenal aortic angle. Type Ia endoleaks occurred with greater incidence in patients with a larger infrarenal angle immediately after EVAR.

摘要

目的

我们研究了腹主动脉瘤腔内修复术（EVAR）后及随访期间肾上腹主动脉角和肾下腹主动脉角是否发生变化，并研究了EVAR术后肾下腹主动脉角与Ia型内漏之间的相关性。

方法

收集2006年5月至2012年12月期间进行的70例梭形肾下腹主动脉瘤EVAR手术的数据，并对病历和X光片进行回顾性分析。

结果

术前肾下腹主动脉角越大，肾上腹主动脉角越大（r = 0.72，P < 0.001）。EVAR术后肾下腹主动脉角减小，此后继续缓慢减小（均P < 0.001）。EVAR术后肾上腹主动脉角立即减小，并在第一个月内持续减小（P < 0.001）。根据支架移植物类型未观察到角度差异。EVAR术后肾下腹主动脉角较大的患者中Ia型内漏的发生率显著更高（P = 0.037）。

结论

EVAR术后肾下腹主动脉角立即显著减小，此后继续缓慢减小。EVAR术后肾上腹主动脉角立即减小，并在第一个月内持续减小。我们发现肾上腹主动脉角和肾下腹主动脉角之间存在相关性。EVAR术后肾下腹主动脉角较大的患者中Ia型内漏的发生率更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f25/4196438/115863aab6ae/astr-87-197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f25/4196438/b541f543ec96/astr-87-197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f25/4196438/115863aab6ae/astr-87-197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f25/4196438/b541f543ec96/astr-87-197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f25/4196438/115863aab6ae/astr-87-197-g002.jpg

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本文引用的文献

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Validation of a new standardized method to measure proximal aneurysm neck angulation.验证一种新的标准化方法来测量近端动脉瘤瘤颈角度。
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Dynamics of the aorta before and after endovascular aneurysm repair: a systematic review.血管内动脉瘤修复术前及术后主动脉的动力学：一项系统评价。
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Endoleak management following endovascular aneurysm repair.血管内动脉瘤修复术后内漏的处理
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Influence of pulmonary status and diabetes mellitus on aortic neck dilatation following endovascular repair of abdominal aortic aneurysms: a EUROSTAR report.肺部状况和糖尿病对腹主动脉瘤血管腔内修复术后主动脉颈部扩张的影响：一项欧洲血管内动脉瘤修复注册研究（EUROSTAR）报告
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