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.
| Original language | English |
|---|---|
| Journal | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery |
| Volume | 13 |
| Issue number | 4 |
| Pages (from-to) | 371-4 |
| Number of pages | 4 |
| ISSN | 1078-5884 |
| Publication status | Published - Apr 1997 |
| Externally published | Yes |
Keywords
- Aged
- Aorta
- Aortic Aneurysm, Abdominal
- Aortography
- Female
- Fibrosis
- Humans
- Inflammation
- Male
- Middle Aged
- Time Factors
- Tomography, X-Ray Computed
- Treatment Outcome
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