Persistent chronic peri-aortitis (‘inflammatory aneurysm’) after abdominal aortic aneurysm repair: systematic review of the literature

Abstract Data on the outcome of aneurysmal chronic peri-aortitis (‘inflammatory aneurysm’) after open surgical aneurysm repair are few and contradictory. To what extent this inflammatory process is reversed after endovascular aneurysm repair (EVAR) is even more unclear. The objective of this review...

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Bibliographic Details
Published in:Vascular medicine (London, England) England), 2008-11, Vol.13 (4), p.293-303
Main Authors: van Bommel, EFH, van der Veer, SJ, Hendriksz, TR, Bleumink, GS
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Aortography - methods
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Diseases of the aorta
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Humans
Immunosuppressive Agents - therapeutic use
Male
Medical sciences
Middle Aged
Retroperitoneal Fibrosis - complications
Retroperitoneal Fibrosis - diagnostic imaging
Retroperitoneal Fibrosis - surgery
Stents
Tomography, X-Ray Computed
Treatment Outcome
Ureteral Obstruction - etiology
Ureteral Obstruction - surgery
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Summary:Abstract Data on the outcome of aneurysmal chronic peri-aortitis (‘inflammatory aneurysm’) after open surgical aneurysm repair are few and contradictory. To what extent this inflammatory process is reversed after endovascular aneurysm repair (EVAR) is even more unclear. The objective of this review was to study the outcome of peri-aortic fibrosis (PAF) and ureteral obstruction in patients with aneurysmal chronic peri-aortitis treated with open surgery or EVAR. Medical literature was searched for pertinent articles on the outcome of PAF and ureteral obstruction after open surgery or EVAR from 1970 through October 2007. Studies were included if specific follow-up data were available on outcomes of interest. A total of 19 studies were included comprising 478 patients (open surgical, n = 426; EVAR, n = 52). Age, sex and percentage of patients with ureteral obstruction (31% vs 37%) did not differ between groups. Regression of PAF occurred more frequently after open surgery compared to EVAR (86% vs 60%; p 
ISSN:1358-863X
1477-0377
DOI:10.1177/1358863X08091147