Posouzení možnosti rizika ruptury břišních výdutí aorty

Assessing the potential risk of rupture of abdominal aortic aneurysms

článek v časopise ve Web of Science, Jimp

en

Abdominal aortic aneurysms (AAAs) involve complex interplays between inflammatory and biomechanical factors that can be elucidated with anatomical and functional imaging. Although AAA size has been well-established in the literature to correlate with risk of rupture (and subsequent need for vascular intervention), there are other less-well-known characteristics about AAAs that also contribute to higher risk of rupture. This review focuses on biomechanical, radiological, and epidemiological characteristics of AAAs that are associated with higher rupture risk. For clinicians, knowing and considering a wide variety of risk factors in addition to AAA size is important to initiate early and proper intervention for AAA repair. Although there is no official quantitative risk score of AAA rupture risk that takes other nonsize- related variables into account, if clinicians are aware of these other parameters, it is hoped that intervention can be appropriately performed for higher-risk AAAs that have not met the size-threshold for elective repair

Břišní výdutě aorty (AAA) zahrnují komplexní interakci mezi zánětlivými a biomechanickými faktory, které mohou být osvětleny pomocí zobrazovacích metod. I když velikost AAA koreluje s rizikem prasknutí (a následné potřebě cévní intervence), existují i ​​jiné charakteristiky o AAA, které rovněž přispívají k vyššímu riziku prasknutí a které jsou méně prozkoumány. Tento článek se zaměřuje na biomechanické, radiologické a epidemiologické charakteristiky AAA, které jsou spojeny s vyšším rizikem ruptury. Pro lékaře je důležité zvážit kromě velikosti AAA také celou řadu jiných rizikových faktorů, k rozhodnutí o správné léčbě.

Abdominal aortic aneurysms (AAAs) involve complex interplays between inflammatory and biomechanical factors that can be elucidated with anatomical and functional imaging. Although AAA size has been well-established in the literature to correlate with risk of rupture (and subsequent need for vascular intervention), there are other less-well-known characteristics about AAAs that also contribute to higher risk of rupture. This review focuses on biomechanical, radiological, and epidemiological characteristics of AAAs that are associated with higher rupture risk. For clinicians, knowing and considering a wide variety of risk factors in addition to AAA size is important to initiate early and proper intervention for AAA repair. Although there is no official quantitative risk score of AAA rupture risk that takes other nonsize- related variables into account, if clinicians are aware of these other parameters, it is hoped that intervention can be appropriately performed for higher-risk AAAs that have not met the size-threshold for elective repair

abdominal aortic aneurysms, risk of rupture, wall stress

2015

05.01.2015

Elsevier

London

0009-9260

70

1

11–20

10