Vascular Calcifications are Associated with Increased Mortality in Patients with Acute Mesenteric Ischemia.
Acute Disease
Aged
Aged, 80 and over
Computed Tomography Angiography
Female
Humans
Male
Mesenteric Artery, Superior
/ diagnostic imaging
Mesenteric Ischemia
/ diagnostic imaging
Mesenteric Vascular Occlusion
/ diagnostic imaging
Middle Aged
Prognosis
Retrospective Studies
Risk Assessment
Risk Factors
Splanchnic Circulation
Time Factors
Vascular Calcification
/ diagnostic imaging
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
22
05
2020
revised:
07
08
2020
accepted:
10
08
2020
pubmed:
1
9
2020
medline:
3
8
2021
entrez:
1
9
2020
Statut:
ppublish
Résumé
Vascular calcifications have been identified as predictors of mortality in several cardiovascular diseases but have not been investigated in context of acute mesenteric ischemia. The aim of this study was to investigate the impact of vascular calcifications in patients with acute mesenteric ischemia. Patients admitted for an acute mesenteric ischemia were retrospectively included. The presence of calcifications in the visceral aorta, the celiac trunk, the superior mesenteric artery, and the renal arteries was assessed on computed tomography scan images at the arterial phase. The calcification volumes were measured using the software Aquarius iNtuition Edition®. The all-cause mortality was 55 out of 86 patients (63.9%) for a median follow-up of 3.5 days (1-243). The survival rate of patients with calcification in the superior mesenteric artery was significantly lower than that of those without calcification (22% vs. 55.6%, P = 0.019). Patients who died had significantly a higher frequency of calcifications in the superior mesenteric artery, the visceral aorta, the celiac trunk, and the renal arteries. The presence of vascular calcifications in the superior mesenteric artery is associated with increased mortality in patients diagnosed with acute mesenteric ischemia. Further studies are required to identify the mechanisms underlying this association.
Sections du résumé
BACKGROUND
BACKGROUND
Vascular calcifications have been identified as predictors of mortality in several cardiovascular diseases but have not been investigated in context of acute mesenteric ischemia. The aim of this study was to investigate the impact of vascular calcifications in patients with acute mesenteric ischemia.
METHODS
METHODS
Patients admitted for an acute mesenteric ischemia were retrospectively included. The presence of calcifications in the visceral aorta, the celiac trunk, the superior mesenteric artery, and the renal arteries was assessed on computed tomography scan images at the arterial phase. The calcification volumes were measured using the software Aquarius iNtuition Edition®.
RESULTS
RESULTS
The all-cause mortality was 55 out of 86 patients (63.9%) for a median follow-up of 3.5 days (1-243). The survival rate of patients with calcification in the superior mesenteric artery was significantly lower than that of those without calcification (22% vs. 55.6%, P = 0.019). Patients who died had significantly a higher frequency of calcifications in the superior mesenteric artery, the visceral aorta, the celiac trunk, and the renal arteries.
CONCLUSIONS
CONCLUSIONS
The presence of vascular calcifications in the superior mesenteric artery is associated with increased mortality in patients diagnosed with acute mesenteric ischemia. Further studies are required to identify the mechanisms underlying this association.
Identifiants
pubmed: 32866577
pii: S0890-5096(20)30766-4
doi: 10.1016/j.avsg.2020.08.086
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
88-97Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.