title: [Treatment strategies of inflammatory abdominal aortic aneurysm].
abstract: OBJECTIVE
  Summarizes the treatment effect of inflammatory abdominal aortic aneurysm (inflammatory abdominal aortic aneurysm, IAAA), and explore its therapeutic strategy.
  
  
  METHODS
  Retrospectively analysis 17 cases of IAAA in our center from January 2002 to August 2012, 16 males, 1 female, mean age 52-79 (67 ± 8). 4 cases were treated by conservative medical treatment, 5 cases treated by open surgery, 8 cases treated by EVAR.
  
  
  RESULTS
  During follow-up no aneurysm-related death. Follow-up for the conservative medical treatment group was a mean of (10 ± 6) months, 1 case transit to EVAR, the aneurysm diameter of 2 cases decreased 2 mm and 4 mm, 1 case had no significant diameter change. The mean follow-up time of open group was (28 ± 23) months, mean operation time was (4.9 ± 0.7) hours, Mean operative blood loss was (3 300 ± 370) ml, 1 case with postoperative anastomotic pseudoaneurysm formation. The EVAR group followed up for (20 ± 14) months, without serious perioperative complications, 5 cases aneurysm diameter decreased (5.1 ± 1.5) mm.
  
  
  CONCLUSIONS
  Conservative medical treatment can improve clinical symptoms of IAAA, such as inflammation, abdominal/back pain and hydronephrosis.EVAR is gradually becoming a first-line treatment of IAAA.Open surgery is still the gold standard for treatment of IAAA. Therefore, definite conclusions should be drawn from further studies.
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Minhong
authors.initials: M
authors.lastname: Zhang
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China. Email: pla301dml@vip.sina.com.
authors.forename: Wei
authors.initials: W
authors.lastname: Guo
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Du
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Xiaoping
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Tai
authors.initials: T
authors.lastname: Yin
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Jia
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Xiong
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Ma
authors.affiliation: Department of Vascular Surgery, General Hospital of People's Liberation Army, Beijing 100853, China.
authors.forename: Hongpeng
authors.initials: H
authors.lastname: Zhang
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000188:drug therapy / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome