[An adverse effect of arterial hypertension on the outcomes of endovascular grafting of aortic aneurysms].
Today distant transluminal aortic grafting as a method for the treatment of aneurysms of varying sites and etiology holds a steady position in all the developed countries of the world. Powerful industrial support makes it possible to widely introduce into clinical practice an ever more perfect and reliable appliances. Over the recent years the direct outcomes of operations have significantly improved, the indications for surgery have been broadened. Universal approaches to the assessment of surgical outcomes and complications have been formed. Experimental studies pertaining to the method development have become more goal-oriented. The quality of the in vitro experimental studies allows the conclusions to be drawn, which are afterwards are supported and can be used in clinical practice. An experience gained over the recent years has shown that today the long-term results of the use of the above-indicated method remain most problematic. Complications that occur in the late postoperative period and are determined by the surgical procedure of distant transluminal aortic grafting may present a real threat to the patient's health and life and require repeat surgical intervention. Analysis of the potential causes of the late complications evidences that undesirable complications cannot be always prevented only by refinement of the design and properties of vascular endografts employed. The study of additional circumstances which are likely to influence the surgical outcomes is carried out on an ever broader scale. The present paper analyzes the scientific literature and provides the data of the author's own experimental study in order to describe an adverse role which is played in all probability by arterial hypertension with respect to the outcomes of distant transluminal aortic grafting.
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Kharkov Center of Cardiovascular Surgery, Kharkov, Ukraine.
D001014:Aortic Aneurysm / Q000453:epidemiology* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004730:Endothelium, Vascular / Q000637:transplantation*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology*; D011475:Prosthesis Failure; D012720:Severity of Illness Index; D016896:Treatment Outcome