Prediction of Abdominal Aortic Aneurysm Growth After Endovascular Aortic Repair by Measuring Brachial-Ankle Pulse Wave Velocity

Ugajin, Atsushi; Iwakoshi, Shinichi; Ichihashi, Shigeo; Inoue, Takashi; Nakai, Takahiro; Kishida, Hideki; Chanoki, Yuto; Tanaka, Toshihiro; Mori, Hiromu; Kichikawa, Kimihiko

doi:10.1016/j.avsg.2021.08.056

Cited by 4 publications

(5 citation statements)

References 21 publications

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Section: Resultsmentioning

confidence: 99%

“…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%

“…22 Recently, PWV has been utilized to investigate its effect on sac behavior following EVAR. 16,17,25 In a 2018 study of a 25-patient cohort, low preoperative PWV was associated to sac shrinkage after EVAR, whilst high postoperative PWV was an independent factor associated to sac enlargement. 25 More recent studies with larger cohorts corroborate these findings, indicating that arterial stiffness is one of the key factors influencing sac behavior postoperatively 16 and that PWV may be a useful tool for assessing the risk of future sac growth following EVAR.…”

mentioning

confidence: 99%

“…25 More recent studies with larger cohorts corroborate these findings, indicating that arterial stiffness is one of the key factors influencing sac behavior postoperatively 16 and that PWV may be a useful tool for assessing the risk of future sac growth following EVAR. 17 Another important question is whether the treatment strategy applied (EVAR vs OR) has an impact on arterial stiffness changes observed after AAA repair. In the attempt to provide an answer to this question, contradictory findings were revealed underlining the importance of the arterial stiffness measurement method applied.…”

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confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

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

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Arterial Stiffness and Aortic Aneurysmal Disease – A Narrative Review

Moulakakis,

Pitros,

Theodosopoulos

et al. 2024

VHRM

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“…Regarding aortic disease interventional treatment, PWV has been shown to possibly predict complications and possible sac growth/shrinkage after EVAR [ 86 , 87 ]. Surgical replacement of aortic tissue with a prosthesis has been reported to increase PWV and therefore the risk of long-term cardiovascular and cerebrovascular events [ 88 ].…”

Section: Aortic Wall Physiopathology and Pulse Wave Velocity (Pwv)mentioning

confidence: 99%

Aortopathies: From Etiology to the Role of Arterial Stiffness

Bonfioli

Rodella

Rosati

et al. 2023

JCM

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The aorta and aortic wall have a complex biological system of structural, biochemical, biomolecular, and hemodynamic elements. Arterial stiffness could be considered a manifestation of wall structural and functional variations, and it has been revealed to have a strong connection with aortopathies and be a predictor of cardiovascular risk, especially in patients affected by hypertension, diabetes mellitus, and nephropathy. Stiffness affects the function of different organs, especially the brain, kidneys, and heart, promoting remodeling of small arteries and endothelial dysfunction. This parameter could be easily evaluated using different methods, but pulse-wave velocity (PWV), the speed of transmission of arterial pressure waves, is considered the gold standard for a good and precise assessment. An increased PWV value indicates an elevated level of aortic stiffness because of the decline in elastin synthesis and activation of proteolysis and the increase in fibrosis that contributes to parietal rigidity. Higher values of PWV could also be found in some genetic diseases, such as Marfan syndrome (MFS) or Loeys-Dietz syndrome (LDS). Aortic stiffness has emerged as a major new cardiovascular disease (CVD) risk factor, and its evaluation using PWV could be very useful to identify patients with a high cardiovascular risk, giving some important prognostic information but also being used to value the benefits of therapeutic strategies.

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