Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study
ABSTRACT Background and Aims An arterial aneurysm is characterized by a localized expansion of a blood vessel relative to its original dimensions. Specifically, an abdominal aortic aneurysm (AAA) is identified as an aortic diameter measuring at least one and a half times the standard diameter at the...
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Wiley
2025-01-01
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| Online Access: | https://doi.org/10.1002/hsr2.70331 |
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| author | Hamed Ghoddusi Johari Keivan Ranjbar Kimia Kassaee Seyed Mohammadali Hoseini Reza Shahriarirad |
| author_facet | Hamed Ghoddusi Johari Keivan Ranjbar Kimia Kassaee Seyed Mohammadali Hoseini Reza Shahriarirad |
| author_sort | Hamed Ghoddusi Johari |
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| description | ABSTRACT Background and Aims An arterial aneurysm is characterized by a localized expansion of a blood vessel relative to its original dimensions. Specifically, an abdominal aortic aneurysm (AAA) is identified as an aortic diameter measuring at least one and a half times the standard diameter at the renal artery level, approximately equivalent to 2.0 cm. In this study, we aim to evaluate the prevalence of AAA, along with the clinical features, trend, and incidence of ruptured AAA among patients undergoing surgery in our center. Methods The database of patients operated in Namazi Hospital from 2000 to 2021 was retrieved and patients undergoing vascular surgeries due to aneurysm were reviewed. All data were analyzed with SPSS version 26.0. Results A total of 599 cases of aneurysm were operated, among which 334 were contributed to the aorta and included in our study. The average age of the participants was 69.6 (SD: 12.1, range 16–93) years and 161 (85.2%) were male. The majority of cases were in the 60 to 80 years age group (n = 205; 62.5%). There was a significant association between the age groups and the AAA rupture (p = 0.003), with the highest occurrence among the above 80 years age group (n = 37, 49.3%). Regarding the location of the aneurysm, 274 were located in the infrarenal and abdominal region, 21 in the thoracoabdominal region, and 12 in the thoracic region. Among the cases in our study, 112 were cases of ruptured aneurysms. Furthermore, the age of patients with ruptured aneurysm were significantly higher compared to non‐ruptured patients (71.8 vs. 68.5; p = 0.019). Conclusion We observed an increase in the incidence of AAA surgeries in our center throughout the years, with the population growing towards younger population, while the incidence of rupture increasing towards older age groups. |
| format | Article |
| id | doaj-art-bb895fdebb0042baaf9e2ebe71224090 |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
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| series | Health Science Reports |
| spelling | doaj-art-bb895fdebb0042baaf9e2ebe712240902025-01-29T03:42:40ZengWileyHealth Science Reports2398-88352025-01-0181n/an/a10.1002/hsr2.70331Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective StudyHamed Ghoddusi Johari0Keivan Ranjbar1Kimia Kassaee2Seyed Mohammadali Hoseini3Reza Shahriarirad4Vascular Surgery Department Shiraz University of Medical Sciences Shiraz IranThoracic and Vascular Surgery Research Center Shiraz University of Medical Sciences Shiraz IranSchool of Medicine Iran University of Medical Sciences Tehran IranStudent Research Committee Shiraz University of Medical Sciences Shiraz IranThoracic and Vascular Surgery Research Center Shiraz University of Medical Sciences Shiraz IranABSTRACT Background and Aims An arterial aneurysm is characterized by a localized expansion of a blood vessel relative to its original dimensions. Specifically, an abdominal aortic aneurysm (AAA) is identified as an aortic diameter measuring at least one and a half times the standard diameter at the renal artery level, approximately equivalent to 2.0 cm. In this study, we aim to evaluate the prevalence of AAA, along with the clinical features, trend, and incidence of ruptured AAA among patients undergoing surgery in our center. Methods The database of patients operated in Namazi Hospital from 2000 to 2021 was retrieved and patients undergoing vascular surgeries due to aneurysm were reviewed. All data were analyzed with SPSS version 26.0. Results A total of 599 cases of aneurysm were operated, among which 334 were contributed to the aorta and included in our study. The average age of the participants was 69.6 (SD: 12.1, range 16–93) years and 161 (85.2%) were male. The majority of cases were in the 60 to 80 years age group (n = 205; 62.5%). There was a significant association between the age groups and the AAA rupture (p = 0.003), with the highest occurrence among the above 80 years age group (n = 37, 49.3%). Regarding the location of the aneurysm, 274 were located in the infrarenal and abdominal region, 21 in the thoracoabdominal region, and 12 in the thoracic region. Among the cases in our study, 112 were cases of ruptured aneurysms. Furthermore, the age of patients with ruptured aneurysm were significantly higher compared to non‐ruptured patients (71.8 vs. 68.5; p = 0.019). Conclusion We observed an increase in the incidence of AAA surgeries in our center throughout the years, with the population growing towards younger population, while the incidence of rupture increasing towards older age groups.https://doi.org/10.1002/hsr2.70331aneurysmrupturesurgeryvascular surgery |
| spellingShingle | Hamed Ghoddusi Johari Keivan Ranjbar Kimia Kassaee Seyed Mohammadali Hoseini Reza Shahriarirad Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study Health Science Reports aneurysm rupture surgery vascular surgery |
| title | Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study |
| title_full | Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study |
| title_fullStr | Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study |
| title_full_unstemmed | Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study |
| title_short | Evaluation of Aneurysm Cases Undergoing Surgery at a Tertiary Center in Iran: A 22‐year Retrospective Study |
| title_sort | evaluation of aneurysm cases undergoing surgery at a tertiary center in iran a 22 year retrospective study |
| topic | aneurysm rupture surgery vascular surgery |
| url | https://doi.org/10.1002/hsr2.70331 |
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