Differential diagnosis of aortitis.
[Differential diagnosis of aortitis]. Rev Med Interne. 2016 Mar 3; Authors: Rousselin C, Pontana F, Puech P, Lambert M Abstract Aortitis are mainly described in inflammatory disorders such as Takayasu arteritis, giant cell arteritis or Behçet's disease. Aortitis is sometimes qualified as idiopathic. However, differential diagnoses must be searched since they need specific interventions. Infectious aortitis should be ruled out first as its rapid evolution and short-term poor prognosis makes it a therapeutic emergency. Furthermore, rarer differential diagnoses should be known as they require specific care that might sometimes differ from the treatment of inflammatory aortitis, such as retroperitoneal fibrosis mostly idiopathic but also secondary to neoplasia or malignant hemopathies. IgG4 related disease, Erdheim-Chester disease and inflammatory abdominal aortic aneurysm due to atherosclerosis are other differential diagnoses to mention in the presence of aortitis in order to adapt patients' care consequently. PMID: 26948271 [PubMed - as supplied by publisher]
We have previously shown that abdominal aortic aneurysm (AAA) rupture occurs in regions of low wall shear stress, where flow recirculation and intraluminal thrombus (ILT) deposition predominate. We planned to analyze differential matrix metalloproteinase (MMP)12, and interleukin (IL)-6 levels in human AAA tissue. We hypothesized that AAA with higher ILT will have greater macrophage-mediated elastolytic activity, thus, contributing to the differential in sides of the AAA that rupture.
To evaluate the safety and effectiveness of single Proglide use per access site for endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA).
Evidence for the use of neuraxial anesthesia (NA) in the context of open abdominal aortic aneurysm (AAA) repair is sparse. The purpose of this study was to determine the 90-day outcomes of combined general and NA versus general anesthesia without neuraxial (GA) for elective open AAA repair.
A retrospective analysis was conducted of the Vascular Quality Initiative between 2013 and 2018.
A retrospective review was conducted of Medicare beneficiaries>65 years of age between 2013 and 2014 with data from the Vascular Quality Initiative used to estimate total hospital annual volume of open abdominal aortic aneurysm (AAA) repair.
To assess the effect of various preventative interventions, such as remote ischemic preconditioning (RIPC), versus standard therapy or placebo for reducing the incidence of postoperative acute kidney injury (AKI) in patients undergoing elective abdominal aortic aneurysm (AAA) repair.
I read the editorial by Llapis et al.1 with great interest. The title is absolutely correct with the NICE guidelines swinging the pendulum too far. However, I was left disappointed with some of the arguments in the editorial as they swung the pendulum too far the other way.
Roosendaal et al.1 conducted an up to date meta-analysis of mortality outcomes following ruptured abdominal aortic aneurysm (rAAA) in the over 80s, totalling 7 526 patients. The pooled results of eight studies identified an overall mortality rate of 43% at 30 days (27% endovascular aneurysm repair (EVAR), 52% o pen) with a significant advantage of EVAR over open repair. In addition, four studies totalling 2 550 patients reported one year mortality of 47%, also with a relative risk of 0.65 between EVAR and open.
With a focus on renal function, the goal of this multicentre study was to assess peri-operative complications and late mortality of open surgical repair (OSR) of juxtarenal abdominal aortic aneurysms (JRAAA).
Abstract OBJECTIVES: With a focus on renal function, the goal of this multicentre study was to assess peri-operative complications and late mortality of open surgical repair (OSR) of juxtarenal abdominal aortic aneurysms (JRAAA). METHODS: From February 2005 to December 2015, 315 consecutive patients undergoing elective OSR of a JRAAA in five French academic centres were evaluated retrospectively. The definition of JRAAA was an aortic aneurysm extending up to but not involving the renal arteries, i.e., a short neck