venerdì 1 aprile 2011

Aneurizma e Aortes Abdominale

Aneurizma e Aortes Abdominale


Ateroskleroza eshte nje proces qe çon ne nje dobesim te mureve te aortes dhe nje zgjerim te tyre ne formen e nje aneurizme (shigjeta ne figure). Rastet e Aneurizmes se Aortes Abdominale ndryshojne sipas seksit; rreth 1.7% e femrave dhe 5% e meshkujve ne moshen 65 vjecare kane nje aorte te dimensioneve 3 cm ose me teper [1] .
Nje nga faktoret e rrezikut me te rendesishem eshte duhani. 90% e personave qe kane aneurizem te aortes abdominale jane duhanpires. Pas ndalimit te duhanit rreziku i formimit te nje aneurizme ulet çdo vit deri ne 1/30 e rrezikut fillestar [2].

Ne pacientet qe nuk paraqesin simtoma, nderhyrja rekomandohet kur dimensionet e aneurizmes jane me teper se 5.5 cm ose kur ka nje rritje te aneurizmes me teper se 1 cm ne vit [3][4].

Citime:
[1] Scott  RA,  Ashton HA,  Kay DN.  Abdominal aortic aneurysm in 4237 screened  patients: prevalence,  development  and management over 6 years. Br J Surg 1991; 78:1122-5.

[2] Wilmink TBM, Quick CRG, Day NE.  The association between cigarette smoking  and abdominal aortic aneurysms.  J Vasc Surg 1999;30:1099-105.

[3] Hirsch AT, Haskal ZJ, Hertzer NR, et  al. ACC/AHA 2005 practice guidelines for  the management of patients with peripheral arterial disease (lower extremity,renal, mesenteric, and abdominal aortic): a collaborative  report  from  the  American  Association  for  Vascular  Surgery/Society for Vascular Surgery, Society  for Cardiovascular Angiography and  Interventions, Society for Vascular Medicine and Biology,  Society  of  Interventional  Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients  with  Peripheral  Arterial  Disease):
endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute;  Society  for  Vascular  Nursing; TransAtlantic  Inter-Society  Consensus; and Vascular Disease Foundation.Circulation 2006;113(11):e463- e654.

[4] Powell JT, Greenhalgh RM. Small abdominal aortic aneurysms. N Engl J Med 2003;348: 1895-901