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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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| Published in: | Vascular medicine (London, England) England), 2008-11, Vol.13 (4), p.293-303 |
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| container_title | Vascular medicine (London, England) |
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| creator | van Bommel, EFH van der Veer, SJ Hendriksz, TR Bleumink, GS |
| description | 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 |
| doi_str_mv | 10.1177/1358863X08091147 |
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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 < 0.0001). Complete regression of PAF was more frequent after open surgery compared to EVAR (52% vs 14%; p < 0.0001). After excluding patients in whom concurrent ureterolysis was performed, the frequency of persistent ureteral obstruction remained lower in patients treated surgically compared to patients treated with EVAR, albeit not statistically significant (32% vs 56%; p = 0.09). In conclusion, although open surgery is superior to EVAR in achieving regression of chronic peri-aortitis, the frequency of persistent PAF and/or ureteral obstruction is not negligible. Additional medical and/or urological treatment should be considered in selected cases of aneurysmal chronic peri-aortitis.</description><identifier>ISSN: 1358-863X</identifier><identifier>EISSN: 1477-0377</identifier><identifier>DOI: 10.1177/1358863X08091147</identifier><identifier>PMID: 18940906</identifier><language>eng</language><publisher>London, England: Sage Publications</publisher><subject>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</subject><ispartof>Vascular medicine (London, England), 2008-11, Vol.13 (4), p.293-303</ispartof><rights>2008 INIST-CNRS</rights><rights>SAGE Publications © Nov 2008</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-6bb8de13079a60df915004470c7339a8905a07d558c0440d6b36df74c12e524a3</citedby><cites>FETCH-LOGICAL-c534t-6bb8de13079a60df915004470c7339a8905a07d558c0440d6b36df74c12e524a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,79364</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20833099$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18940906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-00571379$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>van Bommel, EFH</creatorcontrib><creatorcontrib>van der Veer, SJ</creatorcontrib><creatorcontrib>Hendriksz, TR</creatorcontrib><creatorcontrib>Bleumink, GS</creatorcontrib><title>Persistent chronic peri-aortitis (‘inflammatory aneurysm’) after abdominal aortic aneurysm repair: systematic review of the literature</title><title>Vascular medicine (London, England)</title><addtitle>Vasc Med</addtitle><description>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 < 0.0001). Complete regression of PAF was more frequent after open surgery compared to EVAR (52% vs 14%; p < 0.0001). After excluding patients in whom concurrent ureterolysis was performed, the frequency of persistent ureteral obstruction remained lower in patients treated surgically compared to patients treated with EVAR, albeit not statistically significant (32% vs 56%; p = 0.09). In conclusion, although open surgery is superior to EVAR in achieving regression of chronic peri-aortitis, the frequency of persistent PAF and/or ureteral obstruction is not negligible. Additional medical and/or urological treatment should be considered in selected cases of aneurysmal chronic peri-aortitis.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortography - methods</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Humans</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retroperitoneal Fibrosis - complications</subject><subject>Retroperitoneal Fibrosis - diagnostic imaging</subject><subject>Retroperitoneal Fibrosis - surgery</subject><subject>Stents</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ureteral Obstruction - etiology</subject><subject>Ureteral Obstruction - surgery</subject><issn>1358-863X</issn><issn>1477-0377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp1kUFrFDEUxwdRbK3ePUkQFHsYfZlkkom3UqwVFtqDgrfwJpNxU2Yma5Kp7K1nP4H9ev0kZt1lCwUvSXjv9_-_JP-ieEnhPaVSfqCsbhrBvkMDilIuHxWHeZUlMCkf53Nul5v-QfEsxisAkELRp8UBbRQHBeKw-H1pQ3Qx2SkRswx-coasbHAl-pBccpG8u7v546Z-wHHE5MOa4GTnsI7j3c3tMcE-2UCw7fzoJhzIP5nZMyTYFbrwkcR1npENci_Ya2d_Ed-TtLRkcNkA0xzs8-JJj0O0L3b7UfHt7NPX0_NycfH5y-nJojQ146kUbdt0ljKQCgV0vaI1AOcSjGRMYaOgRpBdXTcml6ETLRNdL7mhla0rjuyoON76LnHQq-BGDGvt0enzk4Xe1ABqSZlU1zSzb7fsKvifs41Jjy4aOwz5gX6OWiihVEN5Bl8_AK_8HPKPRF1VTAoOosoQbCETfIzB9vvxFPQmUP0w0Cx5tfOd29F294Jdghl4swMwGhz6gJNxcc9V0DAGSmWu3HIRf9j7y_138F-UO7fs</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>van Bommel, EFH</creator><creator>van der Veer, SJ</creator><creator>Hendriksz, TR</creator><creator>Bleumink, GS</creator><general>Sage Publications</general><general>Arnold</general><general>Sage Publications Ltd</general><general>SAGE Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope></search><sort><creationdate>20081101</creationdate><title>Persistent chronic peri-aortitis (‘inflammatory aneurysm’) after abdominal aortic aneurysm repair: systematic review of the literature</title><author>van Bommel, EFH ; van der Veer, SJ ; Hendriksz, TR ; Bleumink, GS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-6bb8de13079a60df915004470c7339a8905a07d558c0440d6b36df74c12e524a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortography - methods</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - instrumentation</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Humans</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retroperitoneal Fibrosis - complications</topic><topic>Retroperitoneal Fibrosis - diagnostic imaging</topic><topic>Retroperitoneal Fibrosis - surgery</topic><topic>Stents</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Ureteral Obstruction - etiology</topic><topic>Ureteral Obstruction - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Bommel, EFH</creatorcontrib><creatorcontrib>van der Veer, SJ</creatorcontrib><creatorcontrib>Hendriksz, TR</creatorcontrib><creatorcontrib>Bleumink, GS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Vascular medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Bommel, EFH</au><au>van der Veer, SJ</au><au>Hendriksz, TR</au><au>Bleumink, GS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent chronic peri-aortitis (‘inflammatory aneurysm’) after abdominal aortic aneurysm repair: systematic review of the literature</atitle><jtitle>Vascular medicine (London, England)</jtitle><addtitle>Vasc Med</addtitle><date>2008-11-01</date><risdate>2008</risdate><volume>13</volume><issue>4</issue><spage>293</spage><epage>303</epage><pages>293-303</pages><issn>1358-863X</issn><eissn>1477-0377</eissn><abstract>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 < 0.0001). Complete regression of PAF was more frequent after open surgery compared to EVAR (52% vs 14%; p < 0.0001). After excluding patients in whom concurrent ureterolysis was performed, the frequency of persistent ureteral obstruction remained lower in patients treated surgically compared to patients treated with EVAR, albeit not statistically significant (32% vs 56%; p = 0.09). In conclusion, although open surgery is superior to EVAR in achieving regression of chronic peri-aortitis, the frequency of persistent PAF and/or ureteral obstruction is not negligible. Additional medical and/or urological treatment should be considered in selected cases of aneurysmal chronic peri-aortitis.</abstract><cop>London, England</cop><pub>Sage Publications</pub><pmid>18940906</pmid><doi>10.1177/1358863X08091147</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Vascular medicine (London, England), 2008-11, Vol.13 (4), p.293-303 |
| issn | 1358-863X 1477-0377 |
| language | eng |
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| source | Sage Journals Online |
| 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 |
| title | Persistent chronic peri-aortitis (‘inflammatory aneurysm’) after abdominal aortic aneurysm repair: systematic review of the literature |
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