Aortic & peripheral vascular disease

Association Between Vascular 18 F-Fluorodeoxyglucose Uptake at Diagnosis and Change in Aortic Dimensions in Giant Cell Arteritis : A Cohort Study

Ann Intern MedPublished Prospective cohort study

Authors' conclusion

Higher TVS was associated with greater yearly increase in thoracic aortic dimensions.

Study context

Population
Patients with giant cell arteritis with FDG-PET ≤3 days after glucocorticoid initiation, University Hospitals Leuven
Participants
106 patients
Exposure
Positive vs negative FDG-PET scan at diagnosis
Outcome
Change in aortic dimensions (computed tomography (CT) yearly, max 10 years)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Difference in 5-year progression of thoracic aortic dimensions · 5 years
Positive PET vs Negative PETDifference in 5-year progression, mm (95% CI)
Ascending aorta diameter
1.58(0.41–2.74)
Descending aorta diameter
1.32(0.38–2.26)
Positive PET vs Negative PETDifference in 5-year progression, cm³ (95% CI)
Thoracic aorta volume
20.5(4.5–36.5)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)
Thoracic aortic aneurysm10.21 (1.25–83.3)

Original publication

Association Between Vascular 18 F-Fluorodeoxyglucose Uptake at Diagnosis and Change in Aortic Dimensions in Giant Cell Arteritis : A Cohort Study. Ann Intern Med. Published 3 October 2023. doi:10.7326/m23-0679

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

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