Keywords
Inflamatory response syndrome
Foreign-Body Reaction
How to Cite
Abstract
The endovascular repair of an aortic aneurysm has been associated with a systemic inflammatory response known as post implantation syndrome. The exact diagnostic criteria is still a matter of debate, however, the most accepted definition is associated directly to that of systemic inflammatory response syndrome, using two of its criteria: fever and leukocytosis. It is believed that the two principle promoters of the inflammatory response are: the thrombus and the material of the prosthesis used. On the other hand, the short term and long term repercussions are still a matter of debate, with evidence backing up a prolonged hospitalization. A lack of clarity still exists regarding its long-term and short-term effects and the potential benefit of its treatment and a close patient follow up. Thus, we contrast two novel studies which use steroidal anti-inflammatory drugs and non steroidal anti-inflammatory drugs as treatment as well as new suggestions and findings of cases in which a closer follow up was done.
References
Egorova N, Vouyouka A, McKinsey J, Faries P, Kent K, Moskowitz A, et al. Effect of gender on long-term survival after abdominal aortic aneurysm repair based on results from the Medicare national database. J Vasc Surg. 2011;54(1):1-12. doi: 10.1016/j.jvs.2010.12.049.
Sakalihasan N, Limet R, Defawe OD. Abdominal Aortic Aneurysm. Lancet. 2005;365(9470):1577-1589. doi: 10.1016/S0140-6736(05)66459-8
Stoberock K, Kölbel T, Atlihan G, Debus E, Tsilimparis N, Larena-Avellaneda A, et al. Gender differences in abdominal aortic aneurysm therapy – a systematic review. Vasa. 2018;47(4):267-272. doi: 10.1024/0301-1526/a000703.
Lo R, Bensley R, Hamdan A, Wyers M, Adams J, Schermerhorn M. Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England. J Vasc Surg. 2013;57(2):1261-1268. doi: 10.1016/j.jvs.2012.11.039.
Arnaoutoglou E, Kouvelos G, Koutsoumpelis A, Patelis N, Lazaris A, Matsagkas M. An update on the inflammatory response after endovascular repair for abdominal aortic aneurysm. Mediators Inflamm. 2015;2015:945035. doi: 10.1155/2015/945035.
Jackson B, Carpenter J. Devices used for endovascular aneurysm repair: past, present and future. Semin Intervent Radiol. 2009;26(1):39-43. doi: 10.1055/s-0029-1208382.
Blum U, Voshage G, Lammer J, Beyersdorf F, Tollner D, Kretschmer G, et al. Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms. N Engl J Med. 1997;336(1):13-20. doi: 10.1056/NEJM199701023360103.
Velázquez O, Carpenter J, Baum R, Barker C, Golden M, Criado F, et al. Perigraft air, fever and leukocytosis after endovascular repair of abdominal aortic aneurysms. Am J Surg. 1999;178(3):185-189. doi: 10.1016/s0002-9610(99)00144-0.
Kakisis J, Moulakakis K, Antonopoulos C, Mylonas S, Giannakopoulos T, Sfyroeras G, et al. Volume of new-onset thrombus is associated with the development of postimplantation syndrome after endovascular aneurysm repair. J Vasc Surg. 2014;60(5):1140-1145. doi: 10.1016/j.jvs.2014.05.041.
Martinelli O, Di Girolamo A, Belli C, Gattuso R, Baratta F, Gossetti B, et al. Incidence of Post Implantation Syndrome with different endovascular aortic aneurysm repair modalities and devices related etiopathogenetic implications. Ann Vasc Surg. 2019;63:155-161. doi: 10.1016/j.avsg.2019.08.095
Berg P, Stroetges RA, Miller LE, Schoefferle J. A Propensity score-matches analysis of inflammatory response with endovascular aneurysm sealing vs endovascular aneurysm repair. J Endovasc Surg. 2017;24(5):670-674. doi: 10.1177/1526602817722019.
de la Motte L, Kehlet H, Vogt K, Nielsen CH, Groenvall JB, Nielsen HB, et al. Preoperative methylprednisolone enhances recovery after endovascular aortic repair: a randomized, double blind, placebo-controlled clinical trial. Ann Surg. 2014;260(3):540-548. doi: 10.1097/SLA.0000000000000895.
Ito E, Toya N, Fukushima S, Nishie R, Akiba T, Ohki T. Polyester Grafts Are a Risk Factor for Postimplantation Syndrome after Abdominal Endovascular Aneurysm Repair: Retrospective Analysis for Polyester Graft, Excluder, and Endologix Powerlink/AFX. Ann Vasc Dis. 2018;11(4):520-524. doi: 10.3400/avd.oa.18-00058.
Arnaoutoglou E, Kouvelos G, Papa N, Gartzonika K, Milionis H, Koulouras V, et al. Prospective evaluation of postimplantation syndrome evolution on patient outcomes after endovascular aneurysm repair for abdominal aortic aneurysm. J Vasc Surg. 2016;63(5):1248-1255. doi: 10.1016/j.jvs.2015.11.043.
Moulakakis K, Alepaki M, Sfyroeras G, Antonopoulos C, Giannakopoulos T, Kakisis J, et al. The impact of endograft type on inflammatory response after endovascular treatment of abdominal aortic aneurysm. J Vasc Surg. 2013;57(3):668-677. doi: 10.1016/j.jvs.2012.09.034.
Arnaoutoglou E, Papas N, Milionis H, Kouvelos G, Koulouras V, Matsagkas MI. Post-implantation syndrome after endovascular repair of aortic aneurysms: Need for postdischarge surveillance. Interact Cardiovasc Thorac Surg. 2010;11(4):449-54. doi: 10.1510/icvts.2010.242628.
Soares Ferreira R, Bastos Gonçalves F. Postimplantation Syndrome after Endovascular Aneurysm Repair. En: Koncar I, editor. Abdominal Aortic Aneurysm - From Basic Research to Clinical Practice [Internet]. London: InTech Open; 2019. 294-339. Disponible en: https://www.intechopen.com/books/abdominal-aortic-aneurysm-from-basic-research-to-clinical-practice/postimplantation-syndrome-after-endovascular-aneurysm-repair
Gorich J, Rilinger N, Söldner J, Krämer S, Orend KH, Schütz A, et al. Endovascular repair of aortic aneurysms: treatment of complications. J Endovasc Surg. 1999;6(2):136–146. doi: 10.1583/1074-6218(1999)006<0136:EROAAT>2.0.CO;2.
Voûte MT, Bastos Gonçalves FM, Van De Luijtgaarden KM, Klein Nulent CGA, Hoeks SE, Stolker RJ, et al. Stent graft composition plays a material role in the postimplantation syndrome. J Vasc Surg. 2012;56(6):1503-1509. doi: 10.1016/j.jvs.2012.06.072.
Gabriel EA, Locali RF, Romano CC, Duarte AJ, Palma JH, Buffolo E. Analysis of the inflammatory response in endovascular treatment of aortic aneurysms. Eur J Cardiothorac Surg. 2007;31(3):406–413. doi: 10.1016/j.ejcts.2006.11.053.
Akin I, Nienaber CA, Kische S, Rehders TC, Ortak J, Chatterjee T, et al. Effect of antibiotic treatment in patients with postimplantation syndrome after aortic stent placement. Rev Esp Cardiol. 2009;62(12):1365-1372. doi: 10.1016/s1885-5857(09)73530-3.
Sartipy F, Lindström D, Gillgren P, Ternhag A. The impact of stent graft material on the inflammatory response after EVAR. Vasc Endovascular Surg. 2015;49(3-4):79-83. doi: 10.1177/1538574415595209.
Kwon H, Ko G, Kim M, Han Y, Noh M, Kwon T, et al. Effects of postimplantation systemic inflammatory response on long-term clinical outcomes after endovascular aneurysm repair of an abdominal aortic aneurysm. Medicine (Baltimore). 2016;95:(32):e4532. doi: 10.1097/MD.0000000000004532.
Nano G, Occhiuto M, Stegher S, Malacriada G, Cova M, Righini P. Postimplantation Syndrome after Endovascular Aortic Repair Using Anaconda Endograft. Ann Vasc Surg. 2014;28(6):1409-15. doi: 10.1016/j.avsg.2014.03.001.
Chang C, Chuter T, Niemann C, Shlipak M, Cohen M, Reilly L, et al. Systemic Inflammation, Coagulopathy, and Acute Renal Insufficiency Following Endovascular Thoracoabdominal Aortic Aneurysm Repair. J Vasc Surg. 2009;49(5):1140-1146. doi: 10.1016/j.jvs.2008.11.102.
Gorla R, Erbel R, Kahlert P, Tsagakis K, Jakob H, Mahabadi AA, et al. Clinical features and prognostic value of stent-graft-induced post-implantation syndrome after thoracic endovascular repair in patients with type B acute aortic syndromes. Eur J Cardiothorac Surg. 2016;49(4):1239-47. doi: 10.1093/ejcts/ezv355.
De la Motte L, Schroeder T, Kehlet H. Should Steroids Be Used During Endovascular Aortic Repair? Adv Surg. 2015;49:173-84. doi: 10.1016/j.yasu.2015.03.001.
Bischoff MS, Hafner ST, Able T, Peters AS, Hyhlik- Dürr A, Böckler D. Incidence and treatment of postimplantation syndrome after endovascular repair of infrarenal aortic aneurisms. Gefasschirurgie 2013;18(5):381-387. doi: 10.1007/s00772-013-1193-x
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Copyright (c) 2020 Ana Milena Mendez Zamora