Análise clínico-epidemiológica e resultados imediatos da correção endovascular de aneurisma de aorta em Rondônia
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May 6, 2025
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Resumo
Objetivo: Avaliar as características clínico-epidemiológicas e resultados imediatos dos procedimentos de correção endovascular de aneurisma de aorta realizados em um serviço privado no estado de Rondônia. Métodos: Trata-se de um estudo retrospectivo, longitudinal e observacional, envolvendo pacientes submetidos ao tratamento eletivo do aneurisma de aorta entre maio de 2022 a maio de 2024. Foram analisados dados demográficos, sucesso das intervenções, complicações, parâmetros clínicos e laboratoriais. Resultados: Obteve-se um total de 9 casos.A média de idade foi de 69,22 anos com predomínio do sexo masculino (88,88%) e das etnias brancas, parda e amarela (22,22% cada). Hipertensãoarterial sistêmica (HAS) e diabetes mellitus (DM) foram as comorbidades mais frequentes. Houve predominância da localização dos aneurismas na aorta abdominal infrarrenal (66,66%), e a quantidade e tipo das endopróteses variou a depender do procedimento. Como complicações imediatas houve apenas 1 endoleak 1B permissivo e não houve nenhum caso de mortalidade operatória. Conclusão: O estudo analisou o perfil de pacientes submetidos à correção endovascular de aneurisma de aorta em Rondônia, destacando-se a predominância do sexo masculino, idade avançada e as comorbidades HAS e DM. Observou-se sucesso no pós-operatório imediato, com a ausência de complicações graves, evidenciado a boa aplicação dessa técnica no serviço.
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Como Citar
SouzaR. da S., SouzaA. P. G. de, SouzaR. G. de, SouzaR. da S., RezendeN. O., Silva JuniorJ. da, WakasuguiW., & GrilloV. T. R. da S. (2025). Análise clínico-epidemiológica e resultados imediatos da correção endovascular de aneurisma de aorta em Rondônia. Revista Eletrônica Acervo Saúde, 25(5), e20288. https://doi.org/10.25248/reas.e20288.2025
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Referências
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2. ANAGNOSTOKOSJ LAL BK. “Abdominal Aortic Aneurysms”. Progress in Cardiovascular Diseases. 2021; 65: 34–43.
3. ANTONIOU GA, et al. Editor’s choice- Endovascular vs. Open repair for abdominal aortic aneurysm: Systematic review and meta-analysis of updated peri-operative and long term data of randomised controlled trials. Eur J Vasc Endovasc Surg. 2020; 59: 385-397.
4. BOSSONE E e EAGLEK. Epidemiology and management of aortic disease: aortic aneurysms and acute aortic syndromes. Nature Reviews Cardiology, 2021; 18(5): 331-348.
5. BRASIL. Ministério da Saúde. TabNet Win32 3.2: Procedimentos hospitalares do SUS – por local de internação – Rondônia. Disponível em: http ://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiro.def. Acesso em: 25 Fev 2025.
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7. CZERNY M e BEYERDORF F. Abdominal Aortic Aneurysm: Treatment choice and volume effects. Dtsch Arztebl int, 2020; 117(48): 811-812.
8. DOONAN RJ, et al. A systematic review and meta-analysis of endovascular juxtarenal aortic aneurysm repair demonstrates lower perioperative mortality compared with open repair. Journal of Vascular Surgery, 2019; 70(6): 2064-2064.
9. EHRMAN JK, et al. Aneurisma da aorta: diagnóstico, gestão, testes de exercício e treinamento. Revista de Reabilitação e Prevenção Cardiopulmonar, 2020; 40(4): 215-223.
10. GOLDSTEIN SA, et al. Multimodality imaging of diseases of the thoracic aorta in adults: from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography, 2015; 28(2): 119-182.
11. GOLLEDGE J, et al. Pathogenesis and management of abdominal aortic aneurysm. European Heart Journal, 2023; 44(29): 2682-2697.
12. GOUVEIA RM, et al. Incidência e prevalência de aneurismas da aorta torácica: uma revisão sistemática e meta-análise de estudos populacionais. Seminários em Cirurgia Torácica e Cardiovascular, 2022; 34(1): 1-16.
13. GUIRGUIS-BLAKE JM, et al. Primary care screening for abdominal aortic aneurysm: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA, 2019; 322(22): 2219-2238.
14. HAQUE K e BHARGAVA P. Abdominal Aortic Aneurysm. Am Fam Physician. 2022; 106(2): 165-172.
15. HUANG Z, et al. Double-edged sword of diabetes mellitus for Abdominal Aortic Aneurysm,Frontiers in Endocrinology, 2022; 13: 1095608.
16. KARTHIKESALINGAM A, et al. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. The Lancet, 2014; 383(9921): 963-969.
17. KHAN H, et al. Current prognostic biomarkers for Abdominal Aortic Aneurysm: A Comprehensive scoping review of the literature,Biomolecules, 2024; 14(6): 661.
18. KOBEISSIE, et al. Blood pressure, hypertension and the risk of abdominal aortic aneurysms: a systematic review and meta-analysis of cohort studies. European Journal of Epidemiology, 2019; 34(6): 547–555.
19. LILJA F e WANHAINENA, et al. Changes in abdominal aortic aneurysm epidemiology. The Journal of Cardiovascular Surgery, 2017; 58(6): 848-853.
20. LIU D, et al. Comparison of the effcacy of the safety of thoracic endovascular aortic repair and optimal medical therapy for acute type B aortic dissection: A systematic review and meta-analysis. International Journal of Surgery, 2029; 83: 53-61.
21. MELO LD, et al. Hypertension and Abdominal Aortic Aneurysms: Risk Factors, Diagnosis, and Endovascular Treatment. Brazilian Journal of Implantology and Health Sciences, 2024; 6(9): 632-646.
22. MULATTI GC, et al. Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm. J Vasc Bras, 2023; 22: 20230040.
23. OBEL LM, et al. Population-based risk factors for ascending, arch, descending, and abdominal aortic dilations for 60-70 year-old individuals. Journal of the american college of cardiology, 2021; 78(3): 201-211.
24. OGINO H, et al. JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection. Circ J. Japanese Circulation Society, the Japanese Society for Cardiovascular Surgery, the Japanese Association for Thoracic Surgery and the Japanese Society for Vascular Surgery Joint Working Group. 2023; 87(10): 1410-1621.
25. QUINTANA RA e TAYLOR WR. Cellular Mechanisms of Aortic Aneurysm Formation. Circ Res. 2019; 124(4): 607-618.
26. SAFE LP, et al. Manejo do aneurisma de aorta abdominal: uma revisão acerca Das técnicas cirúrgicas disponíveis / Management of abdominal aortic aneurysm: a review of Available surgical techniques. Brazilian Journal of Health Review, 2022; 5(2): 5980–5989.
27. SARICILAR EC e ILIOPOULOS J, et al. A systematic review of the effect of surgeon and hospital volume on survival in aortic, thoracic and fenestrated endovascular aneurysm repair. Journal Vascukar Surgery. 2021; 74 (1): 287-295.
28. SONGP, et al. The Global and Regional Prevalence of Abdominal Aortic Aneurysms: A Systematic Review and Modeling Analysis. Annals of Surgery,Phaladelphia. 2023, 277(6): 912–919.
29. SSS. Easy Fisher Exact Test Calculator Social Science Statistics. Disponível em: https ://www.socscistatistics.com/tests/fisher/default2.aspx. Acesso em 13 mai. 2024.
30. TAN X et al. Sex difference in early mortality after abdominal aortic aneurysm repair, Journal of Vascular Surgery, 2023; 77(6): 1658-1668.
31. TEIVELIS MP, et al. Epidemiology af abdominal aortic Aneurysm repair in Brazil from 2008 to 2019 and comprehensive review of Nationwide statistics across the world. World Jornal of Surgery. 2022; 46(6): 1485-1492.
32. WANG TKM e DESAIMY. Thoracic aortic aneurysm: optimal surveillance and treatment. Cleveland Clinic Journal of Medicine, 2020; 87(9): 557-568.
33. WANHAINEN A, et al. Editor’s Choice – European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms. European Journal of Vascular and Endovascular Surgery, 2024; 67(2): 192–331.
34. ZAYAS SL, et al. Thoracic aortic aneurysm repair involving neck vessels in a Patient with tertiary syphilis. Case report. Revista del Nacional (Itauguá). 2021; 13(1): 88–98.
35. ZHOU J e WANG Y. The causal relationship between smoking and thoracic aortic aneurysm: Evidence from mendelian randomization analysis.Medicine (Baltimore). 2024; 103(22): 38361.
2. ANAGNOSTOKOSJ LAL BK. “Abdominal Aortic Aneurysms”. Progress in Cardiovascular Diseases. 2021; 65: 34–43.
3. ANTONIOU GA, et al. Editor’s choice- Endovascular vs. Open repair for abdominal aortic aneurysm: Systematic review and meta-analysis of updated peri-operative and long term data of randomised controlled trials. Eur J Vasc Endovasc Surg. 2020; 59: 385-397.
4. BOSSONE E e EAGLEK. Epidemiology and management of aortic disease: aortic aneurysms and acute aortic syndromes. Nature Reviews Cardiology, 2021; 18(5): 331-348.
5. BRASIL. Ministério da Saúde. TabNet Win32 3.2: Procedimentos hospitalares do SUS – por local de internação – Rondônia. Disponível em: http ://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiro.def. Acesso em: 25 Fev 2025.
6. BRASIL. Ministério da Saúde. TabNet Win32 3.2: Procedimentos hospitalares do SUS – por local de internação – Rondônia. Disponível em: http ://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiro.def. Acesso em: 5 jan. 2025.
7. CZERNY M e BEYERDORF F. Abdominal Aortic Aneurysm: Treatment choice and volume effects. Dtsch Arztebl int, 2020; 117(48): 811-812.
8. DOONAN RJ, et al. A systematic review and meta-analysis of endovascular juxtarenal aortic aneurysm repair demonstrates lower perioperative mortality compared with open repair. Journal of Vascular Surgery, 2019; 70(6): 2064-2064.
9. EHRMAN JK, et al. Aneurisma da aorta: diagnóstico, gestão, testes de exercício e treinamento. Revista de Reabilitação e Prevenção Cardiopulmonar, 2020; 40(4): 215-223.
10. GOLDSTEIN SA, et al. Multimodality imaging of diseases of the thoracic aorta in adults: from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Journal of the American Society of Echocardiography, 2015; 28(2): 119-182.
11. GOLLEDGE J, et al. Pathogenesis and management of abdominal aortic aneurysm. European Heart Journal, 2023; 44(29): 2682-2697.
12. GOUVEIA RM, et al. Incidência e prevalência de aneurismas da aorta torácica: uma revisão sistemática e meta-análise de estudos populacionais. Seminários em Cirurgia Torácica e Cardiovascular, 2022; 34(1): 1-16.
13. GUIRGUIS-BLAKE JM, et al. Primary care screening for abdominal aortic aneurysm: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA, 2019; 322(22): 2219-2238.
14. HAQUE K e BHARGAVA P. Abdominal Aortic Aneurysm. Am Fam Physician. 2022; 106(2): 165-172.
15. HUANG Z, et al. Double-edged sword of diabetes mellitus for Abdominal Aortic Aneurysm,Frontiers in Endocrinology, 2022; 13: 1095608.
16. KARTHIKESALINGAM A, et al. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA. The Lancet, 2014; 383(9921): 963-969.
17. KHAN H, et al. Current prognostic biomarkers for Abdominal Aortic Aneurysm: A Comprehensive scoping review of the literature,Biomolecules, 2024; 14(6): 661.
18. KOBEISSIE, et al. Blood pressure, hypertension and the risk of abdominal aortic aneurysms: a systematic review and meta-analysis of cohort studies. European Journal of Epidemiology, 2019; 34(6): 547–555.
19. LILJA F e WANHAINENA, et al. Changes in abdominal aortic aneurysm epidemiology. The Journal of Cardiovascular Surgery, 2017; 58(6): 848-853.
20. LIU D, et al. Comparison of the effcacy of the safety of thoracic endovascular aortic repair and optimal medical therapy for acute type B aortic dissection: A systematic review and meta-analysis. International Journal of Surgery, 2029; 83: 53-61.
21. MELO LD, et al. Hypertension and Abdominal Aortic Aneurysms: Risk Factors, Diagnosis, and Endovascular Treatment. Brazilian Journal of Implantology and Health Sciences, 2024; 6(9): 632-646.
22. MULATTI GC, et al. Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm. J Vasc Bras, 2023; 22: 20230040.
23. OBEL LM, et al. Population-based risk factors for ascending, arch, descending, and abdominal aortic dilations for 60-70 year-old individuals. Journal of the american college of cardiology, 2021; 78(3): 201-211.
24. OGINO H, et al. JCS/JSCVS/JATS/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection. Circ J. Japanese Circulation Society, the Japanese Society for Cardiovascular Surgery, the Japanese Association for Thoracic Surgery and the Japanese Society for Vascular Surgery Joint Working Group. 2023; 87(10): 1410-1621.
25. QUINTANA RA e TAYLOR WR. Cellular Mechanisms of Aortic Aneurysm Formation. Circ Res. 2019; 124(4): 607-618.
26. SAFE LP, et al. Manejo do aneurisma de aorta abdominal: uma revisão acerca Das técnicas cirúrgicas disponíveis / Management of abdominal aortic aneurysm: a review of Available surgical techniques. Brazilian Journal of Health Review, 2022; 5(2): 5980–5989.
27. SARICILAR EC e ILIOPOULOS J, et al. A systematic review of the effect of surgeon and hospital volume on survival in aortic, thoracic and fenestrated endovascular aneurysm repair. Journal Vascukar Surgery. 2021; 74 (1): 287-295.
28. SONGP, et al. The Global and Regional Prevalence of Abdominal Aortic Aneurysms: A Systematic Review and Modeling Analysis. Annals of Surgery,Phaladelphia. 2023, 277(6): 912–919.
29. SSS. Easy Fisher Exact Test Calculator Social Science Statistics. Disponível em: https ://www.socscistatistics.com/tests/fisher/default2.aspx. Acesso em 13 mai. 2024.
30. TAN X et al. Sex difference in early mortality after abdominal aortic aneurysm repair, Journal of Vascular Surgery, 2023; 77(6): 1658-1668.
31. TEIVELIS MP, et al. Epidemiology af abdominal aortic Aneurysm repair in Brazil from 2008 to 2019 and comprehensive review of Nationwide statistics across the world. World Jornal of Surgery. 2022; 46(6): 1485-1492.
32. WANG TKM e DESAIMY. Thoracic aortic aneurysm: optimal surveillance and treatment. Cleveland Clinic Journal of Medicine, 2020; 87(9): 557-568.
33. WANHAINEN A, et al. Editor’s Choice – European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms. European Journal of Vascular and Endovascular Surgery, 2024; 67(2): 192–331.
34. ZAYAS SL, et al. Thoracic aortic aneurysm repair involving neck vessels in a Patient with tertiary syphilis. Case report. Revista del Nacional (Itauguá). 2021; 13(1): 88–98.
35. ZHOU J e WANG Y. The causal relationship between smoking and thoracic aortic aneurysm: Evidence from mendelian randomization analysis.Medicine (Baltimore). 2024; 103(22): 38361.