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Risk of Psoas Muscle Atrophy After Endovascular Aneurysm Repair Assessed by Cross-Sectional Psoas Muscle Area

  • Clinical Investigation
  • ARTERIAL INTERVENTIONS
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Abstract

Purpose

We evaluated possible association of decreased psoas muscle area (PMA) after endovascular aneurysm repair (EVAR) by measuring the area of muscle in computed tomographic (CT) images.

Materials and Methods

We retrospectively reviewed CT images of 201 consecutive patients who underwent EVAR at our institution between April 1, 2015, and November 9, 2018, and compared them with images of 75 consecutive patients with no history of EVAR, who served as controls and underwent thoracic endovascular aortic repair (TEVAR) during the same period. We investigated EVAR and possible associated factors that might be potential predictors of decrease in PMA.

Results

Those patients with a history of EVAR demonstrated significantly greater mean decrease in PMA than those with a history of TEVAR after the repair procedure (mean 6.25% (8.5); P < 0.001; odds ratio [OR], 3.63; 95% confidence interval [CI] 1.90–6.90).

Conclusion

Although EVAR is a less stressful procedure than other major abdominal surgeries, we identified it as an independent predictor of decreased area of the psoas muscle. Thus, our results might encourage post-procedural evaluation of frailty associated with psoas muscle function and prescription of appropriate rehabilitation interventions after EVAR to help prevent deterioration of patients’ abilities.

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Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Radiology, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-Ku, Tokyo, 105-8461, Japan

    Kotaro Ouchi, Yohei Oki, Toru Sakuma & Hiroya Ojiri

Authors
  1. Kotaro Ouchi
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  2. Yohei Oki
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  3. Toru Sakuma
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  4. Hiroya Ojiri
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Corresponding author

Correspondence to Kotaro Ouchi.

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The authors declare that they have no conflict of interest.

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The institutional review boards of the participating institutions approved this retrospective study and waived the need for documentation of informed consent. Informed consent was obtained in the form of opt-out on the Web site [Approval Number: 31-285(9784)].

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Ouchi, K., Oki, Y., Sakuma, T. et al. Risk of Psoas Muscle Atrophy After Endovascular Aneurysm Repair Assessed by Cross-Sectional Psoas Muscle Area. Cardiovasc Intervent Radiol 43, 981–986 (2020). https://doi.org/10.1007/s00270-020-02500-x

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  • DOI: https://doi.org/10.1007/s00270-020-02500-x

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