Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function
Background: Endovascular aortic repair (EVAR) is performed in patients with thoracic or abdominal aortic aneurysm because it is less invasive than conventional open repair. However, the effects of EVAR on vascular and cardiac function remain to be clarified. Methods and Results: We studied the effec...
Gespeichert in:
| Veröffentlicht in: | Circulation Journal 2014, Vol.78(2), pp.322-328 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 328 |
|---|---|
| container_issue | 2 |
| container_start_page | 322 |
| container_title | Circulation Journal |
| container_volume | 78 |
| creator | Takeda, Yasuharu Sakata, Yasushi Ohtani, Tomohito Tamaki, Shunsuke Omori, Yosuke Tsukamoto, Yasumasa Aizawa, Yoshihiro Shimamura, Kazuo Shirakawa, Yukitoshi Kuratani, Toru Sawa, Yoshiki Yamamoto, Kazuhiro Mano, Toshiaki Komuro, Issei |
| description | Background: Endovascular aortic repair (EVAR) is performed in patients with thoracic or abdominal aortic aneurysm because it is less invasive than conventional open repair. However, the effects of EVAR on vascular and cardiac function remain to be clarified. Methods and Results: We studied the effects of EVAR on several outcome variables in 40 consecutive patients undergoing EVAR for abdominal and/or thoracic aneurysm with preserved ejection fraction. Echocardiography and brachial–ankle pulse wave velocity (baPWV) data were collected before, 1 week, and 1 year after EVAR. Although no changes in blood pressure were found, baPWV, left ventricular mass index (LVMI), and left atrial volume index were significantly elevated at both post-op time periods after EVAR compared with baseline data. The changes in LVMI correlated with those in baPWV (R=0.32, P |
| doi_str_mv | 10.1253/circj.CJ-13-0877 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1492717049</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1492717049</sourcerecordid><originalsourceid>FETCH-LOGICAL-c669t-8ea7634c0d1aadb02066e7fa018d26df1587d27e27a29e8ddcb98b0b23772ee43</originalsourceid><addsrcrecordid>eNpFkMtOwzAQRS0EoqWwZ4WyZJPiRxrbyypqoVUlJF5ba2JPIFWaFDtB4u_pm83MSPfMXRxCbhkdMj4SD7b0djnM5jETMVVSnpE-E4mME8Xp-e5OY60S0SNXISwp5ZqO9CXp8YRrzrjqE5jUrvmBYLsKfDRufFva6AXXUPpoVluPEDBEH0fgtS2LosYQIqhdNK5a9CHKwLsS7Cb0nW07j7tw2tW2LZv6mlwUUAW8OewBeZ9O3rKnePH8OMvGi9imqW5jhSBTkVjqGIDLKadpirIAypTjqSvYSEnHJXIJXKNyzuZa5TTnQkqOmIgBud_3rn3z3WFozaoMFqsKamy6YFiiuWSSJnqD0j1qfROCx8KsfbkC_2sYNVuxZifWZHPDhNmK3bzcHdq7fIXu9HA0uQGme2AZWvjEEwBboxUeGqUyfDv-m_-BL_AGa_EHjzWPlg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1492717049</pqid></control><display><type>article</type><title>Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function</title><source>J-STAGE Free</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Takeda, Yasuharu ; Sakata, Yasushi ; Ohtani, Tomohito ; Tamaki, Shunsuke ; Omori, Yosuke ; Tsukamoto, Yasumasa ; Aizawa, Yoshihiro ; Shimamura, Kazuo ; Shirakawa, Yukitoshi ; Kuratani, Toru ; Sawa, Yoshiki ; Yamamoto, Kazuhiro ; Mano, Toshiaki ; Komuro, Issei</creator><creatorcontrib>Takeda, Yasuharu ; Sakata, Yasushi ; Ohtani, Tomohito ; Tamaki, Shunsuke ; Omori, Yosuke ; Tsukamoto, Yasumasa ; Aizawa, Yoshihiro ; Shimamura, Kazuo ; Shirakawa, Yukitoshi ; Kuratani, Toru ; Sawa, Yoshiki ; Yamamoto, Kazuhiro ; Mano, Toshiaki ; Komuro, Issei</creatorcontrib><description>Background: Endovascular aortic repair (EVAR) is performed in patients with thoracic or abdominal aortic aneurysm because it is less invasive than conventional open repair. However, the effects of EVAR on vascular and cardiac function remain to be clarified. Methods and Results: We studied the effects of EVAR on several outcome variables in 40 consecutive patients undergoing EVAR for abdominal and/or thoracic aneurysm with preserved ejection fraction. Echocardiography and brachial–ankle pulse wave velocity (baPWV) data were collected before, 1 week, and 1 year after EVAR. Although no changes in blood pressure were found, baPWV, left ventricular mass index (LVMI), and left atrial volume index were significantly elevated at both post-op time periods after EVAR compared with baseline data. The changes in LVMI correlated with those in baPWV (R=0.32, P<0.05). Among the 22 patients who were successfully followed up, 13 showed deterioration in exercise tolerance 1 year after EVAR. Diastolic wall strain, an index for LV distensibility, was lower at baseline in patients with worsening exercise tolerance than in those with unchanged tolerance. Conclusions: EVAR increased vascular stiffness and induced LV hypertrophy and diastolic dysfunction without a corresponding elevation of blood pressure in the acute and chronic phases. In addition, low LV distensibility at baseline was associated with the impairment of exercise tolerance. EVAR-induced stiffness of arteries leads to limited clinical symptoms. (Circ J 2014; 78: 322–328)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-13-0877</identifier><identifier>PMID: 24292128</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Angioplasty ; Aortic Aneurysm, Abdominal - pathology ; Aortic Aneurysm, Abdominal - physiopathology ; Aortic Aneurysm, Abdominal - therapy ; Aortic Aneurysm, Thoracic - physiopathology ; Aortic Aneurysm, Thoracic - therapy ; Blood Pressure ; Endovascular aortic repair ; Female ; Follow-Up Studies ; Heart Atria - pathology ; Heart Atria - physiopathology ; Humans ; Left ventricular diastolic function ; Male ; Vascular Stiffness ; Ventricular Function, Left</subject><ispartof>Circulation Journal, 2014, Vol.78(2), pp.322-328</ispartof><rights>2014 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-8ea7634c0d1aadb02066e7fa018d26df1587d27e27a29e8ddcb98b0b23772ee43</citedby><cites>FETCH-LOGICAL-c669t-8ea7634c0d1aadb02066e7fa018d26df1587d27e27a29e8ddcb98b0b23772ee43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24292128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takeda, Yasuharu</creatorcontrib><creatorcontrib>Sakata, Yasushi</creatorcontrib><creatorcontrib>Ohtani, Tomohito</creatorcontrib><creatorcontrib>Tamaki, Shunsuke</creatorcontrib><creatorcontrib>Omori, Yosuke</creatorcontrib><creatorcontrib>Tsukamoto, Yasumasa</creatorcontrib><creatorcontrib>Aizawa, Yoshihiro</creatorcontrib><creatorcontrib>Shimamura, Kazuo</creatorcontrib><creatorcontrib>Shirakawa, Yukitoshi</creatorcontrib><creatorcontrib>Kuratani, Toru</creatorcontrib><creatorcontrib>Sawa, Yoshiki</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro</creatorcontrib><creatorcontrib>Mano, Toshiaki</creatorcontrib><creatorcontrib>Komuro, Issei</creatorcontrib><title>Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: Endovascular aortic repair (EVAR) is performed in patients with thoracic or abdominal aortic aneurysm because it is less invasive than conventional open repair. However, the effects of EVAR on vascular and cardiac function remain to be clarified. Methods and Results: We studied the effects of EVAR on several outcome variables in 40 consecutive patients undergoing EVAR for abdominal and/or thoracic aneurysm with preserved ejection fraction. Echocardiography and brachial–ankle pulse wave velocity (baPWV) data were collected before, 1 week, and 1 year after EVAR. Although no changes in blood pressure were found, baPWV, left ventricular mass index (LVMI), and left atrial volume index were significantly elevated at both post-op time periods after EVAR compared with baseline data. The changes in LVMI correlated with those in baPWV (R=0.32, P<0.05). Among the 22 patients who were successfully followed up, 13 showed deterioration in exercise tolerance 1 year after EVAR. Diastolic wall strain, an index for LV distensibility, was lower at baseline in patients with worsening exercise tolerance than in those with unchanged tolerance. Conclusions: EVAR increased vascular stiffness and induced LV hypertrophy and diastolic dysfunction without a corresponding elevation of blood pressure in the acute and chronic phases. In addition, low LV distensibility at baseline was associated with the impairment of exercise tolerance. EVAR-induced stiffness of arteries leads to limited clinical symptoms. (Circ J 2014; 78: 322–328)</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty</subject><subject>Aortic Aneurysm, Abdominal - pathology</subject><subject>Aortic Aneurysm, Abdominal - physiopathology</subject><subject>Aortic Aneurysm, Abdominal - therapy</subject><subject>Aortic Aneurysm, Thoracic - physiopathology</subject><subject>Aortic Aneurysm, Thoracic - therapy</subject><subject>Blood Pressure</subject><subject>Endovascular aortic repair</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Atria - pathology</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>Left ventricular diastolic function</subject><subject>Male</subject><subject>Vascular Stiffness</subject><subject>Ventricular Function, Left</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRS0EoqWwZ4WyZJPiRxrbyypqoVUlJF5ba2JPIFWaFDtB4u_pm83MSPfMXRxCbhkdMj4SD7b0djnM5jETMVVSnpE-E4mME8Xp-e5OY60S0SNXISwp5ZqO9CXp8YRrzrjqE5jUrvmBYLsKfDRufFva6AXXUPpoVluPEDBEH0fgtS2LosYQIqhdNK5a9CHKwLsS7Cb0nW07j7tw2tW2LZv6mlwUUAW8OewBeZ9O3rKnePH8OMvGi9imqW5jhSBTkVjqGIDLKadpirIAypTjqSvYSEnHJXIJXKNyzuZa5TTnQkqOmIgBud_3rn3z3WFozaoMFqsKamy6YFiiuWSSJnqD0j1qfROCx8KsfbkC_2sYNVuxZifWZHPDhNmK3bzcHdq7fIXu9HA0uQGme2AZWvjEEwBboxUeGqUyfDv-m_-BL_AGa_EHjzWPlg</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Takeda, Yasuharu</creator><creator>Sakata, Yasushi</creator><creator>Ohtani, Tomohito</creator><creator>Tamaki, Shunsuke</creator><creator>Omori, Yosuke</creator><creator>Tsukamoto, Yasumasa</creator><creator>Aizawa, Yoshihiro</creator><creator>Shimamura, Kazuo</creator><creator>Shirakawa, Yukitoshi</creator><creator>Kuratani, Toru</creator><creator>Sawa, Yoshiki</creator><creator>Yamamoto, Kazuhiro</creator><creator>Mano, Toshiaki</creator><creator>Komuro, Issei</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2014</creationdate><title>Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function</title><author>Takeda, Yasuharu ; Sakata, Yasushi ; Ohtani, Tomohito ; Tamaki, Shunsuke ; Omori, Yosuke ; Tsukamoto, Yasumasa ; Aizawa, Yoshihiro ; Shimamura, Kazuo ; Shirakawa, Yukitoshi ; Kuratani, Toru ; Sawa, Yoshiki ; Yamamoto, Kazuhiro ; Mano, Toshiaki ; Komuro, Issei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-8ea7634c0d1aadb02066e7fa018d26df1587d27e27a29e8ddcb98b0b23772ee43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty</topic><topic>Aortic Aneurysm, Abdominal - pathology</topic><topic>Aortic Aneurysm, Abdominal - physiopathology</topic><topic>Aortic Aneurysm, Abdominal - therapy</topic><topic>Aortic Aneurysm, Thoracic - physiopathology</topic><topic>Aortic Aneurysm, Thoracic - therapy</topic><topic>Blood Pressure</topic><topic>Endovascular aortic repair</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Atria - pathology</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>Left ventricular diastolic function</topic><topic>Male</topic><topic>Vascular Stiffness</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takeda, Yasuharu</creatorcontrib><creatorcontrib>Sakata, Yasushi</creatorcontrib><creatorcontrib>Ohtani, Tomohito</creatorcontrib><creatorcontrib>Tamaki, Shunsuke</creatorcontrib><creatorcontrib>Omori, Yosuke</creatorcontrib><creatorcontrib>Tsukamoto, Yasumasa</creatorcontrib><creatorcontrib>Aizawa, Yoshihiro</creatorcontrib><creatorcontrib>Shimamura, Kazuo</creatorcontrib><creatorcontrib>Shirakawa, Yukitoshi</creatorcontrib><creatorcontrib>Kuratani, Toru</creatorcontrib><creatorcontrib>Sawa, Yoshiki</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro</creatorcontrib><creatorcontrib>Mano, Toshiaki</creatorcontrib><creatorcontrib>Komuro, Issei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takeda, Yasuharu</au><au>Sakata, Yasushi</au><au>Ohtani, Tomohito</au><au>Tamaki, Shunsuke</au><au>Omori, Yosuke</au><au>Tsukamoto, Yasumasa</au><au>Aizawa, Yoshihiro</au><au>Shimamura, Kazuo</au><au>Shirakawa, Yukitoshi</au><au>Kuratani, Toru</au><au>Sawa, Yoshiki</au><au>Yamamoto, Kazuhiro</au><au>Mano, Toshiaki</au><au>Komuro, Issei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2014</date><risdate>2014</risdate><volume>78</volume><issue>2</issue><spage>322</spage><epage>328</epage><pages>322-328</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background: Endovascular aortic repair (EVAR) is performed in patients with thoracic or abdominal aortic aneurysm because it is less invasive than conventional open repair. However, the effects of EVAR on vascular and cardiac function remain to be clarified. Methods and Results: We studied the effects of EVAR on several outcome variables in 40 consecutive patients undergoing EVAR for abdominal and/or thoracic aneurysm with preserved ejection fraction. Echocardiography and brachial–ankle pulse wave velocity (baPWV) data were collected before, 1 week, and 1 year after EVAR. Although no changes in blood pressure were found, baPWV, left ventricular mass index (LVMI), and left atrial volume index were significantly elevated at both post-op time periods after EVAR compared with baseline data. The changes in LVMI correlated with those in baPWV (R=0.32, P<0.05). Among the 22 patients who were successfully followed up, 13 showed deterioration in exercise tolerance 1 year after EVAR. Diastolic wall strain, an index for LV distensibility, was lower at baseline in patients with worsening exercise tolerance than in those with unchanged tolerance. Conclusions: EVAR increased vascular stiffness and induced LV hypertrophy and diastolic dysfunction without a corresponding elevation of blood pressure in the acute and chronic phases. In addition, low LV distensibility at baseline was associated with the impairment of exercise tolerance. EVAR-induced stiffness of arteries leads to limited clinical symptoms. (Circ J 2014; 78: 322–328)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>24292128</pmid><doi>10.1253/circj.CJ-13-0877</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1346-9843 |
| ispartof | Circulation Journal, 2014, Vol.78(2), pp.322-328 |
| issn | 1346-9843 1347-4820 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1492717049 |
| source | J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aged, 80 and over Angioplasty Aortic Aneurysm, Abdominal - pathology Aortic Aneurysm, Abdominal - physiopathology Aortic Aneurysm, Abdominal - therapy Aortic Aneurysm, Thoracic - physiopathology Aortic Aneurysm, Thoracic - therapy Blood Pressure Endovascular aortic repair Female Follow-Up Studies Heart Atria - pathology Heart Atria - physiopathology Humans Left ventricular diastolic function Male Vascular Stiffness Ventricular Function, Left |
| title | Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T03%3A52%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Endovascular%20Aortic%20Repair%20Increases%20Vascular%20Stiffness%20and%20Alters%20Cardiac%20Structure%20and%20Function&rft.jtitle=Circulation%20Journal&rft.au=Takeda,%20Yasuharu&rft.date=2014&rft.volume=78&rft.issue=2&rft.spage=322&rft.epage=328&rft.pages=322-328&rft.issn=1346-9843&rft.eissn=1347-4820&rft_id=info:doi/10.1253/circj.CJ-13-0877&rft_dat=%3Cproquest_cross%3E1492717049%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1492717049&rft_id=info:pmid/24292128&rfr_iscdi=true |