Skip to main content

Advertisement

SpringerLink
Log in

Endovascular repair of inflammatory abdominal aortic aneurysm: serial changes of periaortic fibrosis demonstrated by CT

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

Inflammatory abdominal aortic aneurysm (IAAA) is characterized by inflammatory and/or fibrotic changes in the periaortic regions of the retroperitoneum. Surgical repair is usually selected for this disease. However, the perioperative mortality associated with open surgical repair of IAAs is three times higher than that with noninflammatory aortic aneurysms due to inflammation and periaortic fibrosis (PAF). Endovascular aneurysm repair of IAAs excludes the aneurysm and seems to reduce the size of the aneurysmal sac and the extent of PAF with acceptable peri-interventional and long-term morbidity. We describe the successful endovascular repair of an IAAA and the serial CT findings after repair.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Puchner S, Bucek RA, Loewe C et al. (2006) Endovascular repair of inflammatory aortic aneurysms: long-term results. AJR 186:1144–1147

    Article  PubMed  Google Scholar 

  2. Stella A, Gargiulo M, Faggioli GL et al. (1993) Postoperative course of inflammatory abdominal aortic aneurysms. Ann Vasc Surg 7:229–238

    Article  PubMed  CAS  Google Scholar 

  3. Baskerville PA, Blakeney CG, Young AE, Browse NL (1983) The diagnosis and treatment of peri-aortic fibrosis (‘inflammatory’ aneurysms). Br J Surg 70:381–385

    Article  PubMed  CAS  Google Scholar 

  4. Lacquet JP, Lacroix H, Nevelsteen A, Suy R (1997) Inflammatory abdominal aortic aneurysms: a retrospective study of 110 cases. Acta Chir Belg 97:286–292

    PubMed  CAS  Google Scholar 

  5. Pennell RC, Hollier LH, Lie JT et al. (1985) Inflammatory abdominal aortic aneurysms: a 30-year review. J Vasc Surg 2:859–869

    Article  PubMed  CAS  Google Scholar 

  6. Crawford JL, Stowe CL, Safi HJ, Hallman CH, Crawford ES (1985) Inflammatory aneurysms of the aorta. J Vasc Surg 2:113–124

    Article  PubMed  CAS  Google Scholar 

  7. Puchner S, Bucek RA, Rand T, Schoder M et al. (2005) Endovascular therapy of inflammatory aortic aneurysms: a meta-analysis. J Endovasc Ther 12:560–567

    Article  PubMed  Google Scholar 

  8. Rose AG, Dent DM (1981) Inflammatory variant of abdominal atherosclerotic aneurysm. Arch Pathol Lab Med 105:409–413

    PubMed  CAS  Google Scholar 

  9. Elkouri S, Gloviczki P, McKusick MA et al. (2004) Perioperative complications and early outcome after endovascular and open surgical repair of abdominal aortic aneurysms. J Vasc Surg 39:497–505

    Article  PubMed  Google Scholar 

  10. Lee WA, Carter JW, Upchurch G, Seeger JM, Huber TS (2004) Perioperative outcomes after open and endovascular repair of intact abdominal aortic aneurysms in the United States during 2001. J Vasc Surg 39:491–496

    Article  PubMed  Google Scholar 

  11. Patel AP, Langan EM III, Taylor SM et al. (2003) An analysis of standard open and endovascular surgical repair of abdominal aortic aneurysms in octogenarians. Am Surg 69:744–747

    PubMed  Google Scholar 

  12. Arrive L, Correas JM, Leseche G, Ghebontni L, Tubiana JM (1995) Inflammatory aneurysms of the abdominal aorta: CT findings. AJR 165:1481–1484

    PubMed  CAS  Google Scholar 

  13. Amv L, Hricak H, Tavares NJ, Miller TA (1989) Malignant versus nonmalignant retroperitoneal fibrosis: differentiation with MR imaging. Radiology 172:139–143

    Google Scholar 

  14. Johnson G, MacDevitt NB, Proctor HJ, Mandel SA, Peacock JB (1980) Emergent or elective operation for symptomatic abdominal aortic aneurysm. Arch Surg 115:51–53

    PubMed  Google Scholar 

  15. Swartbol P, Truedsson L, Norgren L (2001) The inflammatory response and its consequence for the clinical outcome following aortic aneurysm repair. Eur J Vasc Endovasc Surg 21:393–400

    Article  PubMed  CAS  Google Scholar 

  16. Hinchliffe RJ, Macierewicz JA, Hopkinson BR (2002) Endovascular repair of inflammatory abdominal aortic aneurysms. J Endovasc Ther 9:277–281

    Article  PubMed  Google Scholar 

  17. Rasmussen TE, Hallett JW Jr (1997) Inflammatory aortic aneurysms: a clinical review with new perspectives in pathogenesis. Ann Surg 225:155–164

    Article  PubMed  CAS  Google Scholar 

  18. von Fritschen U, Malzfeld E, Clasen A, Kortmann H (1999) Inflammatory abdominal aortic aneurysm: a postoperative course of retroperitoneal fibrosis. J Vasc Surg 30:1090–1098

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan

    Eijun Sueyoshi, Ichiro Sakamoto & Masataka Uetani

Authors
  1. Eijun Sueyoshi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ichiro Sakamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Masataka Uetani
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eijun Sueyoshi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sueyoshi, E., Sakamoto, I. & Uetani, M. Endovascular repair of inflammatory abdominal aortic aneurysm: serial changes of periaortic fibrosis demonstrated by CT. Abdom Imaging 34, 523–526 (2009). https://doi.org/10.1007/s00261-008-9407-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-008-9407-5

Keywords

Search

Navigation