Detail publikace

Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment

Luboš Kubíčeka, Robert Staffa, Robert Vlachovský , Stanislav Polzer, Peter Kružliak

Originální název

Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment

Typ

článek v časopise ve Web of Science, Jimp

Jazyk

angličtina

Originální abstrakt

Aim Abdominal aortic aneurysm rupture (AAA) threatens a patient's life, requiring an urgent open repair or endovascular surgery. If an asymptomatic AAA is found before a rupture the next steps are directed by its diameter – if it is less than 55 mm the patient is dispensarized, and if it is more a repair is indicated. According to literary sources 10–24% of ruptured AAA are less than 55 mm in diameter, thus a significant portion of dispensarized patients are threatened by a rupture. The objective of our study was to determine a portion of small ruptured AAA repaired in our center in the last four years and try to identify potential risk factor. The secondary goal was to show our experience with a modern method of rupture prediction, using CT scans to compute the wall stress of AAA and thus predict its rupture risk. Methods A retrospective study of documentation of patients with ruptured AAA in last four years. CT findings were used to measure maximal diameter of ruptured AAA and portion of small AAA was determined. Some other important information from patient's medical history were also compared in both groups and statistically evaluated. Results 41 patients underwent an open repair of ruptured AAA. Out of this number 7 ruptured AAA were small, which is equivalent to 17.1%. Conclusion This finding shows us the shortages of the present indication criteria based on an AAA diameter. In accordance to these criteria patients with small AAA are dispensarized and thus a significant part of them are in risk of rupture.

Klíčová slova

Abdominal aortic aneurysm; Rupture; Small AAA; Prediction; Wall stress assessment

Autoři

Luboš Kubíčeka, Robert Staffa, Robert Vlachovský , Stanislav Polzer, Peter Kružliak

Rok RIV

2015

Vydáno

12. 3. 2015

Nakladatel

Elsevier

ISSN

0010-8650

Periodikum

Cor at Vasa

Ročník

57

Číslo

2

Stát

Česká republika

Strany od

127

Strany do

132

Strany počet

6

URL

http://www.sciencedirect.com/science/article/pii/S0010865015000168

BibTex

@article{BUT119251,
  author="Stanislav {Polzer}",
  title="Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment",
  journal="Cor at Vasa",
  year="2015",
  volume="57",
  number="2",
  pages="127--132",
  doi="10.1016/j.crvasa.2015.02.005",
  issn="0010-8650",
  url="http://www.sciencedirect.com/science/article/pii/S0010865015000168"
}