Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: A 40-year experience
Purpose: To evaluate the clinical characteristics of anastomotic aneurysms that develop in surgically treated patients with Takayasu's arteritis. Methods: Among 103 patients with Takayasu's arteritis treated surgically over 40 years, 91 patients with 259 anastomoses (allowing for exclusion...
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| Veröffentlicht in: | Journal of vascular surgery 1998-03, Vol.27 (3), p.438-445 |
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| creator | Miyata, Tetsuro Sato, Osamu Deguchi, Jun-o Kimura, Hideo Namba, Toshiyuki Kondo, Keisuke Makuuchi, Masatoshi Hamada, Chikuma Takagi, Atsuhiko Tada, Yusuke |
| description | Purpose: To evaluate the clinical characteristics of anastomotic aneurysms that develop in surgically treated patients with Takayasu's arteritis.
Methods: Among 103 patients with Takayasu's arteritis treated surgically over 40 years, 91 patients with 259 anastomoses (allowing for exclusion of 12 operative deaths) participated in follow-up study from 1 month to 37.3 years with a mean value ± SEM of 17.3 ± 1.1 years with a follow-up completion rate of 93% at 30 years. The clinical characteristics of anastomotic aneurysms were clarified, and the influences of several factors (sites of anastomoses, occlusive or aneurysmal disease, suture material, preoperative systemic inflammation, and administration of corticosteroids) on formation of anastomotic aneurysms were analyzed by means of life-table method and Cox regression analysis.
Results: Twenty-two uninfected anastomotic aneurysms were found among 14 patients (22 of 259 anastomoses, 8.5%). The interval between the previous operation and diagnosis varied from 1.6 to 30 years with a mean value ± SEM of 9.8 ± 1.8 years. The cumulative incidence of anastomotic aneurysm at 20 years was 12.0%. Systemic inflammation or steroid administration had little influence on formation of anastomotic aneurysm. Instead, anastomotic aneurysm tended to occur after operations for aneurysmal lesions.
Conclusions: Anastomotic aneurysm can occur anytime after operations for Takayasu's arteritis. The development of anastomotic aneurysm is not influenced by any factor specific to this disease except the presence of an aneurysmal lesion. (J Vasc Surg 1998;27:438-45.) |
| doi_str_mv | 10.1016/S0741-5214(98)70318-0 |
| format | Article |
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Methods: Among 103 patients with Takayasu's arteritis treated surgically over 40 years, 91 patients with 259 anastomoses (allowing for exclusion of 12 operative deaths) participated in follow-up study from 1 month to 37.3 years with a mean value ± SEM of 17.3 ± 1.1 years with a follow-up completion rate of 93% at 30 years. The clinical characteristics of anastomotic aneurysms were clarified, and the influences of several factors (sites of anastomoses, occlusive or aneurysmal disease, suture material, preoperative systemic inflammation, and administration of corticosteroids) on formation of anastomotic aneurysms were analyzed by means of life-table method and Cox regression analysis.
Results: Twenty-two uninfected anastomotic aneurysms were found among 14 patients (22 of 259 anastomoses, 8.5%). The interval between the previous operation and diagnosis varied from 1.6 to 30 years with a mean value ± SEM of 9.8 ± 1.8 years. The cumulative incidence of anastomotic aneurysm at 20 years was 12.0%. Systemic inflammation or steroid administration had little influence on formation of anastomotic aneurysm. Instead, anastomotic aneurysm tended to occur after operations for aneurysmal lesions.
Conclusions: Anastomotic aneurysm can occur anytime after operations for Takayasu's arteritis. The development of anastomotic aneurysm is not influenced by any factor specific to this disease except the presence of an aneurysmal lesion. (J Vasc Surg 1998;27:438-45.)</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/S0741-5214(98)70318-0</identifier><identifier>PMID: 9546229</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Anastomosis, Surgical - adverse effects ; Aneurysm, False - etiology ; Aneurysm, False - surgery ; Aorta - surgery ; Biological and medical sciences ; Child ; Female ; Follow-Up Studies ; Humans ; Incidence ; Life Tables ; Male ; Medical sciences ; Middle Aged ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Takayasu Arteritis - surgery ; Time Factors</subject><ispartof>Journal of vascular surgery, 1998-03, Vol.27 (3), p.438-445</ispartof><rights>1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-1d1a561e29e1d5356540b80b3028c5bde96ae7556bf3f54ee56857ef523d779e3</citedby><cites>FETCH-LOGICAL-c502t-1d1a561e29e1d5356540b80b3028c5bde96ae7556bf3f54ee56857ef523d779e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0741521498703180$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2221165$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9546229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyata, Tetsuro</creatorcontrib><creatorcontrib>Sato, Osamu</creatorcontrib><creatorcontrib>Deguchi, Jun-o</creatorcontrib><creatorcontrib>Kimura, Hideo</creatorcontrib><creatorcontrib>Namba, Toshiyuki</creatorcontrib><creatorcontrib>Kondo, Keisuke</creatorcontrib><creatorcontrib>Makuuchi, Masatoshi</creatorcontrib><creatorcontrib>Hamada, Chikuma</creatorcontrib><creatorcontrib>Takagi, Atsuhiko</creatorcontrib><creatorcontrib>Tada, Yusuke</creatorcontrib><title>Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: A 40-year experience</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Purpose: To evaluate the clinical characteristics of anastomotic aneurysms that develop in surgically treated patients with Takayasu's arteritis.
Methods: Among 103 patients with Takayasu's arteritis treated surgically over 40 years, 91 patients with 259 anastomoses (allowing for exclusion of 12 operative deaths) participated in follow-up study from 1 month to 37.3 years with a mean value ± SEM of 17.3 ± 1.1 years with a follow-up completion rate of 93% at 30 years. The clinical characteristics of anastomotic aneurysms were clarified, and the influences of several factors (sites of anastomoses, occlusive or aneurysmal disease, suture material, preoperative systemic inflammation, and administration of corticosteroids) on formation of anastomotic aneurysms were analyzed by means of life-table method and Cox regression analysis.
Results: Twenty-two uninfected anastomotic aneurysms were found among 14 patients (22 of 259 anastomoses, 8.5%). The interval between the previous operation and diagnosis varied from 1.6 to 30 years with a mean value ± SEM of 9.8 ± 1.8 years. The cumulative incidence of anastomotic aneurysm at 20 years was 12.0%. Systemic inflammation or steroid administration had little influence on formation of anastomotic aneurysm. Instead, anastomotic aneurysm tended to occur after operations for aneurysmal lesions.
Conclusions: Anastomotic aneurysm can occur anytime after operations for Takayasu's arteritis. The development of anastomotic aneurysm is not influenced by any factor specific to this disease except the presence of an aneurysmal lesion. (J Vasc Surg 1998;27:438-45.)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anastomosis, Surgical - adverse effects</subject><subject>Aneurysm, False - etiology</subject><subject>Aneurysm, False - surgery</subject><subject>Aorta - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Life Tables</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Proportional Hazards Models</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Takayasu Arteritis - surgery</subject><subject>Time Factors</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtv1DAQgK0K1G6X_oRKPiBoDwHbyfjRC1pVbUGqxIFyQ7IcZ1IZNsliO4j997i7q71yGmnmm9dHyCVnHzjj8uM3phpegeDNldHXitVcV-yELDgzqpKamVdkcUTOyHlKPxnjHLQ6JacGGimEWZAfq9GlPA1TDp66Eee4TUOirs8YaZrjc_BuTXNElwccM516-uR-ua1L8_uCxYKFHNINXdGGVVt0keLfTUni6PENed27dcKLQ1yS7_d3T7efq8evD19uV4-VByZyxTvuQHIUBnkHNUhoWKtZWzOhPbQdGulQAci2r3toEEFqUNiDqDulDNZL8m4_dxOn3zOmbIeQPK7X5aFpTlYZpbUp-JLAHvRxSilibzcxDC5uLWf2xardWbUvyqzRdmfVstJ3eVgwtwN2x66DxlJ_e6i7VHz10Y0-pCMmhOBcQsE-7TEsMv4EjDb5naguRPTZdlP4zyH_ALztk7M</recordid><startdate>19980301</startdate><enddate>19980301</enddate><creator>Miyata, Tetsuro</creator><creator>Sato, Osamu</creator><creator>Deguchi, Jun-o</creator><creator>Kimura, Hideo</creator><creator>Namba, Toshiyuki</creator><creator>Kondo, Keisuke</creator><creator>Makuuchi, Masatoshi</creator><creator>Hamada, Chikuma</creator><creator>Takagi, Atsuhiko</creator><creator>Tada, Yusuke</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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>19980301</creationdate><title>Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: A 40-year experience</title><author>Miyata, Tetsuro ; Sato, Osamu ; Deguchi, Jun-o ; Kimura, Hideo ; Namba, Toshiyuki ; Kondo, Keisuke ; Makuuchi, Masatoshi ; Hamada, Chikuma ; Takagi, Atsuhiko ; Tada, Yusuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-1d1a561e29e1d5356540b80b3028c5bde96ae7556bf3f54ee56857ef523d779e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anastomosis, Surgical - adverse effects</topic><topic>Aneurysm, False - etiology</topic><topic>Aneurysm, False - surgery</topic><topic>Aorta - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Life Tables</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Proportional Hazards Models</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Takayasu Arteritis - surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyata, Tetsuro</creatorcontrib><creatorcontrib>Sato, Osamu</creatorcontrib><creatorcontrib>Deguchi, Jun-o</creatorcontrib><creatorcontrib>Kimura, Hideo</creatorcontrib><creatorcontrib>Namba, Toshiyuki</creatorcontrib><creatorcontrib>Kondo, Keisuke</creatorcontrib><creatorcontrib>Makuuchi, Masatoshi</creatorcontrib><creatorcontrib>Hamada, Chikuma</creatorcontrib><creatorcontrib>Takagi, Atsuhiko</creatorcontrib><creatorcontrib>Tada, Yusuke</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><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>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyata, Tetsuro</au><au>Sato, Osamu</au><au>Deguchi, Jun-o</au><au>Kimura, Hideo</au><au>Namba, Toshiyuki</au><au>Kondo, Keisuke</au><au>Makuuchi, Masatoshi</au><au>Hamada, Chikuma</au><au>Takagi, Atsuhiko</au><au>Tada, Yusuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: A 40-year experience</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>1998-03-01</date><risdate>1998</risdate><volume>27</volume><issue>3</issue><spage>438</spage><epage>445</epage><pages>438-445</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>Purpose: To evaluate the clinical characteristics of anastomotic aneurysms that develop in surgically treated patients with Takayasu's arteritis.
Methods: Among 103 patients with Takayasu's arteritis treated surgically over 40 years, 91 patients with 259 anastomoses (allowing for exclusion of 12 operative deaths) participated in follow-up study from 1 month to 37.3 years with a mean value ± SEM of 17.3 ± 1.1 years with a follow-up completion rate of 93% at 30 years. The clinical characteristics of anastomotic aneurysms were clarified, and the influences of several factors (sites of anastomoses, occlusive or aneurysmal disease, suture material, preoperative systemic inflammation, and administration of corticosteroids) on formation of anastomotic aneurysms were analyzed by means of life-table method and Cox regression analysis.
Results: Twenty-two uninfected anastomotic aneurysms were found among 14 patients (22 of 259 anastomoses, 8.5%). The interval between the previous operation and diagnosis varied from 1.6 to 30 years with a mean value ± SEM of 9.8 ± 1.8 years. The cumulative incidence of anastomotic aneurysm at 20 years was 12.0%. Systemic inflammation or steroid administration had little influence on formation of anastomotic aneurysm. Instead, anastomotic aneurysm tended to occur after operations for aneurysmal lesions.
Conclusions: Anastomotic aneurysm can occur anytime after operations for Takayasu's arteritis. The development of anastomotic aneurysm is not influenced by any factor specific to this disease except the presence of an aneurysmal lesion. (J Vasc Surg 1998;27:438-45.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9546229</pmid><doi>10.1016/S0741-5214(98)70318-0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Anastomosis, Surgical - adverse effects Aneurysm, False - etiology Aneurysm, False - surgery Aorta - surgery Biological and medical sciences Child Female Follow-Up Studies Humans Incidence Life Tables Male Medical sciences Middle Aged Proportional Hazards Models Retrospective Studies Risk Factors Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Takayasu Arteritis - surgery Time Factors |
| title | Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: A 40-year experience |
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