Association of preoperative pulse wave velocity to aneurysm sac shrinkage after endovascular aneurysm repair

Nishibe, Toshiya; Kano, Masaki; Maekawa, Koki; Akiyama, Shinobu; Nukaga, Saori; Koizumi, Jun; Dardik, Alan; Ogino, Hitoshi

doi:10.23736/s0392-9590.21.04691-5

Cited by 8 publications

(7 citation statements)

References 28 publications

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“…Gore & Associates, Inc, Flagstaff, Arizona, USA) and 40.7% (Endurant). 20,21 Sac expansion was one of the adverse outcomes after EVAR that might require future reinterventions. The nationwide EVAR registry data in Japan revealed that 23.3% of EVAR patients demonstrated a sac expansion of >5 mm at five years.…”

Section: Discussionmentioning

confidence: 99%

Midterm outcomes of AFX2 endografts used in combination with aortic cuffs

Hoshina

Suhara²,

Miyahara³

et al. 2023

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Midterm outcomes of AFX2 endografts used in combination with aortic cuffs

Hoshina

Suhara²,

Miyahara³

et al. 2023

Journal of Vascular Surgery

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“…Arterial stiffness evaluated using pulse wave velocity has been suggested to be one of the key factors for determining sac behaviour after EVAR. 22 Moreover, experimental studies have also suggested that elevated pulse wave velocity after endovascular treatment results in decreased aortic compliance and increased aortic impedance in animal models. 23 In our experience, both these alterations might indicate an impairment in the contractile function of the LV myocardium despite the absence of any decline in LVEF after aortic repair, at least in the short term.…”

Section: Discussionmentioning

confidence: 99%

“…According to Marketou et al, 14 AAA repair is related to both an increase in aortic stiffness and a reduced cardiac systolic function. Arterial stiffness evaluated using pulse wave velocity has been suggested to be one of the key factors for determining sac behaviour after EVAR 22 . Moreover, experimental studies have also suggested that elevated pulse wave velocity after endovascular treatment results in decreased aortic compliance and increased aortic impedance in animal models 23 …”

Section: Discussionmentioning

confidence: 99%

Endovascular aortic repair impact on myocardial contractility: A prospective study

Spinella

Boschetti

Bauckneht

et al. 2023

Eur J Clin Investigation

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BackgroundThis study aimed to estimate if the altered sphygmic wave transmission may affect the left ventricular (LV) contractile function in patients undergoing endovascular aortic repair (EVAR).MethodsA prospective single‐centre study was carried out on consecutive patients undergoing EVAR for abdominal aortic aneurysm. A preoperative and 6‐month single photon emission computed tomography (SPECT) with arterial stiffness measurement were performed to evaluate variations in pressure wave curve and myocardial perfusion parameters.ResultsFrom 2018 to 2020 a total of 16 patients were included in the study. Among the parameters evaluated, we found a measurable reduction of the reflected wave transit time from pre‐ to postoperative period, for both stress (115.13 ± 7.2 ms–111.1 ± 7.0 ms, p = .08) and rest SPECT acquisitions (115.3 ± 6.2 ms–112.2 ± 5.6 ms, p = .1). Unidirectional increase of both LV end‐systolic volume (34 ± 9 mL–39 ± 8 mL, p = .02) and end‐diastolic volume (85 ± 34 mL–89 ± 29 mL, p = .6) was also observed. Lastly, the ratio between the end‐systolic pressure and the end‐systolic volume (maximal systolic myocardial stiffness) decreased from 3.6 ± 1.5 mmHg/mL to 2.66 ± .74 mmHg/mL (p = .03).ConclusionsOur data showed that EVAR induced an altered transmission of the sphygmic wave associated with an early LV contractile impairment.

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“…The review identified 16 studies (Table 2) reporting the influence of abdominal endografts, following EVAR, on arterial stiffness. 5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Development of an aortic aneurysm could affect the arterial stiffness resulting in increased cardiovascular risk. Aykan et al investigated arterial stiffness by measuring the CAVI, in a cross-sectional study involving 59 subjects with abdominal aortic aneurysm (AAA) and 32 healthy subjects.…”

Section: Studies Assessing Arterial Stiffness In Patients With Aaa Be...mentioning

confidence: 99%

Arterial Stiffness and Aortic Aneurysmal Disease – A Narrative Review

Moulakakis,

Pitros,

Theodosopoulos

et al. 2024

VHRM

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It has been documented that large-artery stiffness is independently associated with increased cardiovascular risk and may potentially lead to heart and kidney failure and cerebrovascular disease. A systematic review of studies investigating changes in arterial stiffness in patients undergoing endovascular repair of aortic disease was conducted. In addition, a review of the available literature was performed, analyzing findings from studies using the cardio-ankle vascular index (CAVI) as a marker of arterial stiffness. Overall, 26 studies were included in the present analysis. Our research revealed a high heterogeneity of included studies regarding the techniques used to assess the aortic stiffness. Aortic stiffness was assessed by pulse wave velocity (PWV), elastic modulus (Ep), and augmentation index (AI). Currently a few studies exist investigating the role of CAVI in patients having an aortic aneurysm or undergoing endovascular aortic repair. The majority of studies showed that the treatment of an abdominal aortic aneurysm (AAA) either with open repair (OR) or endovascular aortic repair (EVAR) reduces aortic compliance significantly. Whether EVAR reconstruction might contribute a higher effect on arterial stiffness compared to OR needs further focused research. An increase of arterial stiffness was uniformly observed in studies investigating patients following thoracic endovascular aortic repair (TEVAR), and the effect was more pronounced in young patients. The effects of increased arterial stiffness after EVAR and TEVAR on the heart and the central hemodynamic, and an eventual effect on cardiac systolic function, need to be further investigated and evaluated in large studies and special groups of patients.

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Association of preoperative pulse wave velocity to aneurysm sac shrinkage after endovascular aneurysm repair

Cited by 8 publications

References 28 publications

Midterm outcomes of AFX2 endografts used in combination with aortic cuffs

Midterm outcomes of AFX2 endografts used in combination with aortic cuffs

Endovascular aortic repair impact on myocardial contractility: A prospective study

Arterial Stiffness and Aortic Aneurysmal Disease – A Narrative Review

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