Systematic Review of the Co-Prevalence of Arterial Aneurysms Within the Vasculature
Rattachement africain : nl, us, se. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Aneurysms are considered focal manifestations of a systemic vascular condition, and various studies report co-prevalence of aneurysms in different vascular beds. Insight into profiles of patients at risk of multiple aneurysms is lacking, and few clinical algorithms exist if additional screening is indicated. This systematic review assessed the co-prevalence of aneurysms in different vascular beds and analysed putative risk factors for multiple aneurysms. METHODS: Medline, Embase, and Cochrane libraries were searched up to February 2020 for studies reporting co-prevalence of aneurysms in different vascular beds using the keywords: "aneurysm", "co-prevalence", or synonyms. All studies were reviewed by two authors independently. Studies were excluded if they described concomitant treatment of multi-aneurysms, or if the aneurysm was reported solely bilateral, post-dissection, mycotic, traumatic, iatrogenic, or caused by a connective tissue disease. Radar plots were used to indicate studies that found an association between the investigated features and aneurysm co-prevalence against those that did not. RESULTS: > 90%. At least 19 combinations of aneurysms were described, mostly derived from retrospective studies. Seventeen of 32 (53%) studies described concurrent aneurysms in patients with an abdominal aortic aneurysm. Predominantly positive associations were found for higher age, hypertension, stenotic disease, presence of multiple (at least three) aneurysms, and primary aneurysm size. CONCLUSION: Approximately one in six patients with a primary aneurysm harbours an additional aneurysm, increasing to one in four if the patient has a popliteal artery aneurysm. Higher age, hypertension, stenotic disease, presence of multiple (at least three) aneurysms, and primary aneurysm size were predictive of aneurysm co-prevalence. These clinical predictors may assist when deciding whether a patient with a primary aneurysm needs to be screened for additional aneurysms.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Systematic Review of the Co-Prevalence of Arterial Aneurysms Within the Vasculature
- Date Crossref
- 01/03/2021
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Utrecht University pays non établi dans la noticeUniversité ou école supérieure
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University Medical Center Utrecht pays non établi dans la noticeÉtablissement de santé
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Virginia Commonwealth University Department of Emergency Medicine pays non établi dans la noticeUniversité ou école supérieure
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Virginia Commonwealth University Medical Center pays non établi dans la noticeÉtablissement de santé
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Mayo Clinic in Arizona Department of Radiology pays non établi dans la noticeÉtablissement de santé
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Uppsala University Department of Surgical Sciences pays non établi dans la noticeUniversité ou école supérieure
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University Medical Centre Utrecht Department of Vascular Surgery pays non établi dans la noticeUniversité ou école supérieure
Utrecht University, University Medical Center Utrecht et Department of Emergency Medicine — Virginia Commonwealth University, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.