Aortic & peripheral vascular disease

Aortic sodium [ 18 F]fluoride uptake following endovascular aneurysm repair

HeartPublished Prospective cohort study

Authors' conclusion

EVAR is associated with a reduction in AMA within the stented aortic segment.

Study context

Population
Patients with infrarenal AAA undergoing EVAR per guideline-directed size thresholds (age 76±6 years; mean aortic diameter 57±2 mm)
Participants
10 patients
Exposure
Aortic sodium [18F]fluoride uptake before vs after EVAR
Outcome
Change in regional aortic sodium [18F]fluoride uptake (aortic microcalcification activity, AMA)
Follow-up
Mean 62±21 months after EVAR
Methodological detailspreliminary proof-of-concept
  • Preliminary proof-of-concept

Main finding

As reported in the abstract

Change in AMA after EVAR (ΔAMA)
Suprarenal; reduction
ΔAMA 0.62; P = 0.03
Aneurysm neck; reduction
ΔAMA 0.72; P = 0.02
Aneurysm body; reduction
ΔAMA 0.69; P = 0.02
Thoracic aorta; unchanged
ΔAMA 0.11; P = 0.41

Observational data: associations, not effects.

Further findings

Pre-EVAR aortic microcalcification activity (AMA), abdominal vs thoracic aorta · before EVAR

Abdominal aortic AMA vs thoracic aorta AMA
1.88 vs 1.2; p<0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Aortic sodium [ 18 F]fluoride uptake following endovascular aneurysm repair. Heart. Published 10 May 2023. doi:10.1136/heartjnl-2023-322514

Summarised from the published abstract; every number is checked against it

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