Abstract
OBJECTIVES: To evaluate the fate of perianeurysmal fibrosis (PF) following aneurysm surgery.
METHODS: In this single centre study, pre- and postoperative abdominal CT-scans on 21 consecutive patients with inflammatory abdominal aortic aneurysms were compared. CT-scans of 10 randomly chosen patients operated on for abdominal aortic aneurysms without PF in the same period, served as reference group.
RESULTS: Preoperative thickness of PF was assessed as > 1 cm in 11 and < 1 cm in 10 patients. Ureterolysis was performed in seven patients where the fibrosis caused ureteral obstruction. Postoperative CT-scans performed at a median of 24 (range 3-108) months after surgery showed complete regression of the fibrosis in 29%, partial regression in 57% and no change in 14% of the patients. Progression of the fibrosis or persistence of hydronephrosis was not seen. No sign of fibrosis were seen in the 10 controls.
CONCLUSION: This study supports the findings that PF tends to regress after repair of the abdominal aortic aneurysm.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery |
| Vol/bind | 13 |
| Udgave nummer | 4 |
| Sider (fra-til) | 371-4 |
| Antal sider | 4 |
| ISSN | 1078-5884 |
| Status | Udgivet - apr. 1997 |