ANEURISMA INFLAMATÓRIO DA AORTA ABDOMINAL: REVISÃO
DOI:
https://doi.org/10.48750/acv.187Palavras-chave:
Aneurisma inflamatório da aorta abdominal, intervenção cirúrgica, intervenção endovascularResumo
O aneurisma inflamatório da aorta abdominal caracteriza-se por dor lombar ou abdominal, perda de peso e aumento da velocidade de sedimentação. Frequentemente o doente apresenta febre e leucocitose. Outros marcadores inflamatórios poderão estar aumentados como a PCR, os anticorpos-anti-nucleares e o IgG4. A tomografia computorizada é o exame de eleição, apresentando tipicamente o “sinal do manto”. Os esteroides melhoram a sintomatologia, reduzindo a inflamação, mas não corrigem o aneurisma. A decisão, entre intervenção cirúrgica ou endovascular deve ser considerada de acordo com a experiencia do centro, os fatores de risco do doente, as características anatómicas do aneurisma e a presença de hidronefrose.
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Referências
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inflammatory abdominal aortic aneurysms. Cochrane Database
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2. Hellmann DB1, Grand DJ, Freischlag JA Inflammatory abdominal
aortic aneurysm. JAMA. 2007 Jan 24;297(4):395–400.
3. Rasmussen TE, Hallett JW Jr. Inflammatory aortic aneurysms. A
clinical review with new perspectives in pathogenesis. Ann Surg.
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4. Ketha SS, Warrington KJ, McPhail IR. Inflammatory abdominal
aortic aneurysm: a case report and review of literature. Vasc
Endovascular Surg. 2014 Jan;48(1):65–9.
5. Igari K, Kudo T, Uchiyama H, Toyofuku T, Inoue Y. Progression
of perianeurysmal inflammation after endovascular aneurysm
repair for inflammatory abdominal aortic and bilateral common
iliac artery aneurysms. Ann Vasc Surg. 2015 Feb;29(2):364.e1–4.
6. Paravastu SC, Ghosh J, Murray D, Farquharson FG, Serracino-Inglott
F, Walker MG. A systematic review of open versus endovascular
repair of inflammatory abdominal aortic aneurysms. Eur J
Vasc Endovasc Surg. 2009 Sep;38(3):291–7.
7. Georgakarakos E, Schoretsanitis N, Koufopoulos G, Paulou K,
Lazarides MK. Abdominal Pain in the Presence of Small Abdominal
Aortic Aneurysms: If in Doubt, Cut It Out!Ann Vasc Surg. 2017
Apr;40:300.e17–300.e21.
8. Nuellari E, Prifti E, Esposito G, Kapedani E. Surgical treatment of
inflammatory abdominal aortic aneurysms: outcome and predictors
analysis. Med Arch. 2014 Aug;68(4):244–8.
9. Massoni CB, Stein P, Schernthaner M, Gallitto E, Rengier F, Katzen
BT et al. Endovascular Treatment of Inflammatory Infrarenal
Aortic Aneurysms. Vascular and Endovascular Surgery. 2016, Vol.
50(1) 21–28.
10. Speziale F, Sbarigia E, Grossi R, Maraglino R, Maraglino C, Fioroni
P. Inflammatory Aneurysms of the Abdominal Aorta Involving the
Ureters: Is Combined Treatment Really Necessary? The Journal of
Urology. 2001, Vol. 165: 27–31.
11. McKenna AJ, O’Donnell ME, Collins A, Harkin DW. Endovascular
repair of an inflammatory abdominal aortic aneurysm causing
bilateral ureteric obstruction. Ir J med Sci.2012, Vol 181: 415–418.
12. Tang T, Boyle JR, Dixon Ak, Varty K. Inflammatory Abdominal
Aortic Aneurysm. Eur J Vasc Endovasc Surg.2005, Vol 29: 353–362.
13. Memon NA, Talpur AA, Memon JM. Indication and Complications
of Indwelling Ureteral stenting at NMCH, Nawasbshah. Pakistan
Journal of Surgery. 2007, Vol 23 (3): 187–191.
14. Pansota M, Rasool M, Saleem M, Tabassum S, Hussain. Indications
and complications of Double J Ureteral Stenting. Gomal Journal of
Medical Sciences.2011, Vol 11(1):8–12.
15. Kakkos SK, Papazoglou KO, Tsolakis IA, Lampropoulos G, Papadopoulos
SI, Antoniadis PV. Open Versus Endovascular Repair of
Inflammatory Abdominal Aortic Aneurysms: A Comparative Study
and Meta-Analysis of the Literature. Vascular and Endovascular
Surgery. 2015, Vol. 49(5–6) 110–118
16. Stone WM, Fankhauser GT, Bower TC, Oderich GS, Oldenburg WA,
Kalra M, et al. Comparison of open and endovascular repair of in
ammatory aortic aneurysms. J Vasc Surg. 2012; 56: 951–956.
17. Ferreira J, Fructuoso M, Sepúlveda L, Salvador F. Acute Kidney
Injury after Endovascular Inflammatory Abdominal Aortic
Aneurysm Repair : A Case Report. Annals of Clinical Case Reports.
2016, Vol.1 (116).
inflammatory abdominal aortic aneurysms. Cochrane Database
Syst Rev. 2015 Apr 16;(4).
2. Hellmann DB1, Grand DJ, Freischlag JA Inflammatory abdominal
aortic aneurysm. JAMA. 2007 Jan 24;297(4):395–400.
3. Rasmussen TE, Hallett JW Jr. Inflammatory aortic aneurysms. A
clinical review with new perspectives in pathogenesis. Ann Surg.
1997 Feb;225(2):155–64.
4. Ketha SS, Warrington KJ, McPhail IR. Inflammatory abdominal
aortic aneurysm: a case report and review of literature. Vasc
Endovascular Surg. 2014 Jan;48(1):65–9.
5. Igari K, Kudo T, Uchiyama H, Toyofuku T, Inoue Y. Progression
of perianeurysmal inflammation after endovascular aneurysm
repair for inflammatory abdominal aortic and bilateral common
iliac artery aneurysms. Ann Vasc Surg. 2015 Feb;29(2):364.e1–4.
6. Paravastu SC, Ghosh J, Murray D, Farquharson FG, Serracino-Inglott
F, Walker MG. A systematic review of open versus endovascular
repair of inflammatory abdominal aortic aneurysms. Eur J
Vasc Endovasc Surg. 2009 Sep;38(3):291–7.
7. Georgakarakos E, Schoretsanitis N, Koufopoulos G, Paulou K,
Lazarides MK. Abdominal Pain in the Presence of Small Abdominal
Aortic Aneurysms: If in Doubt, Cut It Out!Ann Vasc Surg. 2017
Apr;40:300.e17–300.e21.
8. Nuellari E, Prifti E, Esposito G, Kapedani E. Surgical treatment of
inflammatory abdominal aortic aneurysms: outcome and predictors
analysis. Med Arch. 2014 Aug;68(4):244–8.
9. Massoni CB, Stein P, Schernthaner M, Gallitto E, Rengier F, Katzen
BT et al. Endovascular Treatment of Inflammatory Infrarenal
Aortic Aneurysms. Vascular and Endovascular Surgery. 2016, Vol.
50(1) 21–28.
10. Speziale F, Sbarigia E, Grossi R, Maraglino R, Maraglino C, Fioroni
P. Inflammatory Aneurysms of the Abdominal Aorta Involving the
Ureters: Is Combined Treatment Really Necessary? The Journal of
Urology. 2001, Vol. 165: 27–31.
11. McKenna AJ, O’Donnell ME, Collins A, Harkin DW. Endovascular
repair of an inflammatory abdominal aortic aneurysm causing
bilateral ureteric obstruction. Ir J med Sci.2012, Vol 181: 415–418.
12. Tang T, Boyle JR, Dixon Ak, Varty K. Inflammatory Abdominal
Aortic Aneurysm. Eur J Vasc Endovasc Surg.2005, Vol 29: 353–362.
13. Memon NA, Talpur AA, Memon JM. Indication and Complications
of Indwelling Ureteral stenting at NMCH, Nawasbshah. Pakistan
Journal of Surgery. 2007, Vol 23 (3): 187–191.
14. Pansota M, Rasool M, Saleem M, Tabassum S, Hussain. Indications
and complications of Double J Ureteral Stenting. Gomal Journal of
Medical Sciences.2011, Vol 11(1):8–12.
15. Kakkos SK, Papazoglou KO, Tsolakis IA, Lampropoulos G, Papadopoulos
SI, Antoniadis PV. Open Versus Endovascular Repair of
Inflammatory Abdominal Aortic Aneurysms: A Comparative Study
and Meta-Analysis of the Literature. Vascular and Endovascular
Surgery. 2015, Vol. 49(5–6) 110–118
16. Stone WM, Fankhauser GT, Bower TC, Oderich GS, Oldenburg WA,
Kalra M, et al. Comparison of open and endovascular repair of in
ammatory aortic aneurysms. J Vasc Surg. 2012; 56: 951–956.
17. Ferreira J, Fructuoso M, Sepúlveda L, Salvador F. Acute Kidney
Injury after Endovascular Inflammatory Abdominal Aortic
Aneurysm Repair : A Case Report. Annals of Clinical Case Reports.
2016, Vol.1 (116).
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Publicado
2017-09-30
Como Citar
1.
Ferreira J, Braga S, Carrilho C, Correia Simões J, Mesquita A. ANEURISMA INFLAMATÓRIO DA AORTA ABDOMINAL: REVISÃO. Angiol Cir Vasc [Internet]. 30 de Setembro de 2017 [citado 23 de Novembro de 2024];13(3):23-9. Disponível em: https://acvjournal.com/index.php/acv/article/view/187
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