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

J 2015

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

KUBÍČEK, Luboš, Robert STAFFA, Robert VLACHOVSKÝ, Stanislav POLZER, Peter KRUŽLIAK et. al.

Základní údaje

Originální název

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

Název česky

Incidence ruptury malých aneurysmat břišní aorty, vliv komorbidit a naše zkušenosti s predikcí ruptury založené na určení napětí cévní stěny

Autoři

KUBÍČEK, Luboš (203 Česká republika, garant, domácí), Robert STAFFA (203 Česká republika, domácí), Robert VLACHOVSKÝ (203 Česká republika, domácí), Stanislav POLZER (203 Česká republika) a Peter KRUŽLIAK (203 Česká republika)

Vydání

Cor et Vasa, Praha, Česká kardiologická společnost, 2015, 0010-8650

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/15:00084654

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.crvasa.2015.02.005

UT WoS

000409986100013

Klíčová slova anglicky

abdominal aortic aneurysm; rupture; small AAA; prediction; wall stress assessment

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 28. 12. 2015 10:58, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Abstract 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.

Citovat

KUBÍČEK, Luboš, Robert STAFFA, Robert VLACHOVSKÝ, Stanislav POLZER a Peter KRUŽLIAK. Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment. Cor et Vasa. Praha: Česká kardiologická společnost, 2015, roč. 57, č. 2, s. "e127"-"e132", 6 s. ISSN 0010-8650. Dostupné z: https://dx.doi.org/10.1016/j.crvasa.2015.02.005.

@article{1316966,
   author = {Kubíček, Luboš and Staffa, Robert and Vlachovský, Robert and Polzer, Stanislav and Kružliak, Peter},
   article_location = {Praha},
   article_number = {2},
   doi = {http://dx.doi.org/10.1016/j.crvasa.2015.02.005},
   keywords = {abdominal aortic aneurysm; rupture; small AAA; prediction; wall stress assessment},
   language = {eng},
   issn = {0010-8650},
   journal = {Cor et Vasa},
   title = {Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment},
   volume = {57},
   year = {2015}
}

TY  - JOUR
ID  - 1316966
AU  - Kubíček, Luboš - Staffa, Robert - Vlachovský, Robert - Polzer, Stanislav - Kružliak, Peter
PY  - 2015
TI  - Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment
JF  - Cor et Vasa
VL  - 57
IS  - 2
SP  - "e127"-"e132"
EP  - "e127"-"e132"
PB  - Česká kardiologická společnost
SN  - 00108650
KW  - abdominal aortic aneurysm
KW  - rupture
KW  - small AAA
KW  - prediction
KW  - wall stress assessment
N2  - Abstract 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.
ER  -

KUBÍČEK, Luboš, Robert STAFFA, Robert VLACHOVSKÝ, Stanislav POLZER a Peter KRUŽLIAK. Incidence of small abdominal aortic aneurysms rupture, impact of comorbidities and our experience with rupture risk prediction based on wall stress assessment. \textit{Cor et Vasa}. Praha: Česká kardiologická společnost, 2015, roč.~57, č.~2, s.~''e127''-''e132'', 6 s. ISSN~0010-8650. Dostupné z: https://dx.doi.org/10.1016/j.crvasa.2015.02.005.

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