"65" . . "Aim: In about 30% of patients with abdominal aortic aneurysm (AAA) it is necessary to extend bifurcated stent graft (SG) into external iliac arteries (EIA). It is unclear whether it can be done without clinical risk and how intensive will be the biochemical reaction. Material and method: We implanted bifurcated SG to 320 patients with AAA. They were divided into four groups according to perioperative IIA occlusion: group A (right IIA occluded); B (left IIA occluded); C (both IIA occluded) and group D (neither IIA occluded). In all groups we collected blood samples during 7 post-operative days and we investigated the values of C-reactive protein (CRP), myoglobine, lactate and leucocytes. We also followed the symptoms of colonic ischemia. We compared the elevation of laboratory markers among the experimental groups. Results: The maximum myoglobin levels were reached on the 2nd post-operative day; in groups A, B and D the values were 224, 261 and 120 ng/l resp., while in group C the value was 621 ng/ml. The maximum CRP levels were reached on the 3rd post-operative day; in groups A, B, C and D they were 125, 122, 141 and 130 mg/ml, resp. The only case of colonic ischemia was caused by multiple cholesterol plaque embolisation which was proved by histology. Conclusion: The elevations of CRP, lactate and leucocytes in groups A, B and C were not statistically different in comparison with group D. Myoglobin was the most sensitive marker of subclinical temporary ischemia after bilateral IIA occlusion (group C)."@en . "stent graft, internal iliac artery, ischemic colitis, ischemic marker"@en . . . . "RIV/00023884:_____/11:#0004526!RIV12-MZ0-00023884" . "Dynamics of the inflammatory markers after uncomplicated bifurcated stent graft implantation in abdominal aortic aneurys"@en . "Dynamika z\u00E1n\u011Btliv\u00FDch marker\u016F po nekomplikovan\u00E9 implantaci bifurka\u010Dn\u00EDho stentgraftu do v\u00FDdut\u011B b\u0159i\u0161n\u00ED aorty - porovn\u00E1n\u00ED se" . "CZ - \u010Cesk\u00E1 republika" . "Dynamika z\u00E1n\u011Btliv\u00FDch marker\u016F po nekomplikovan\u00E9 implantaci bifurka\u010Dn\u00EDho stentgraftu do v\u00FDdut\u011B b\u0159i\u0161n\u00ED aorty - porovn\u00E1n\u00ED se" . "[B283B7A7FDC5]" . . . . "N" . "Dynamika z\u00E1n\u011Btliv\u00FDch marker\u016F po nekomplikovan\u00E9 implantaci bifurka\u010Dn\u00EDho stentgraftu do v\u00FDdut\u011B b\u0159i\u0161n\u00ED aorty - porovn\u00E1n\u00ED se"@cs . "Dynamika z\u00E1n\u011Btliv\u00FDch marker\u016F po nekomplikovan\u00E9 implantaci bifurka\u010Dn\u00EDho stentgraftu do v\u00FDdut\u011B b\u0159i\u0161n\u00ED aorty - porovn\u00E1n\u00ED se"@cs . . "RIV/00023884:_____/11:#0004526" . "C\u00EDl: P\u0159ibli\u017En\u011B u 30 % pacient\u016F s aneuryzmatem aorty abdomin\u00E1ln\u00ED (AAA) l\u00E9\u010Den\u00FDch endovaskul\u00E1rn\u011B je nutn\u00E9 extendovat stentgraft (SG) do jedn\u00E9 nebo obou a. iliaca externa (AIE). Zat\u00EDm nen\u00ED dostate\u010Dn\u011B prozkoum\u00E1no, zda je to mo\u017En\u00E9 bez v\u011Bt\u0161\u00EDho klinick\u00E9ho rizika a jak intenzivn\u00ED bude biochemick\u00E1 reakce. Materi\u00E1l a metoda: Implantovali jsme bifurka\u010Dn\u00ED SG u 320 pacient\u016F s AAA. Byli rozd\u011Bleni do \u010Dty\u0159 skupin podle periopera\u010Dn\u00ED okluze a. iliaca interna (AII): skupina A (okluze prav\u00E9 AII), B (okluze lev\u00E9 AII), C (okluze obou AII) a skupina D (ob\u011B AII pr\u016Fchodn\u00E9). Ve v\u0161ech skupin\u00E1ch jsme odeb\u00EDrali krevn\u00ED vzorky v pr\u016Fb\u011Bhu 7 poopera\u010Dn\u00EDch dn\u00ED a m\u011B\u0159ili hladiny C-reaktivn\u00EDho proteinu (CRP), myoglobinu, lakt\u00E1tu a leukocyt\u016F. Sledovali jsme tak\u00E9 p\u0159\u00EDznaky isch\u00E9mie kolon. Porovnali jsme vzestupy hladin laboratorn\u00EDch marker\u016F mezi skupinami. V\u00FDsledky: Nejvy\u0161\u0161\u00ED hladiny myoglobinu byly dosa\u017Eeny 2. poopera\u010Dn\u00ED den; ve skupin\u011B A 224 ng/l, ve skupin\u011B B 261 ng/l a ve skupin\u011B D 120 ng/l, zat\u00EDmco ve skupin\u011B C byla nam\u011B\u0159ena hodnota 621 ng/l. Maxim\u00E1ln\u00ED hodnoty CRP byly dosa\u017Eeny 3. poopera\u010Dn\u00ED den; ve skupin\u011B A 125 mg/l, ve skupin\u011B B 122 mg/l, ve skupin\u011B C 141 mg/l a ve skupin\u011B D 130 mg/l. Pouze u jednoho pacienta do\u0161lo k rozvoji ischemick\u00E9 kolitidy, kter\u00E1 byla zp\u016Fsobena histologicky prok\u00E1zanou mnoho\u010Detnou embolizac\u00ED cholesterolov\u00FDch pl\u00E1t\u016F. Z\u00E1v\u011Br: Zv\u00FD\u0161en\u00ED hladin CRP, lakt\u00E1tu a leukocyt\u016F ve skupin\u00E1ch A, B a C nebylo statisticky v\u00FDznamn\u00E9 ve srovn\u00E1n\u00ED se skupinou D. Myoglobin byl nejcitliv\u011Bj\u0161\u00EDm markerem subklinick\u00E9 do\u010Dasn\u00E9 isch\u00E9mie po oboustrann\u00E9 okluzi AII (skupina C)." . "2" . . . . "\u0160ediv\u00FD, Petr" . "7"^^ . "10"^^ . "195859" . . . . "C\u00EDl: P\u0159ibli\u017En\u011B u 30 % pacient\u016F s aneuryzmatem aorty abdomin\u00E1ln\u00ED (AAA) l\u00E9\u010Den\u00FDch endovaskul\u00E1rn\u011B je nutn\u00E9 extendovat stentgraft (SG) do jedn\u00E9 nebo obou a. iliaca externa (AIE). Zat\u00EDm nen\u00ED dostate\u010Dn\u011B prozkoum\u00E1no, zda je to mo\u017En\u00E9 bez v\u011Bt\u0161\u00EDho klinick\u00E9ho rizika a jak intenzivn\u00ED bude biochemick\u00E1 reakce. Materi\u00E1l a metoda: Implantovali jsme bifurka\u010Dn\u00ED SG u 320 pacient\u016F s AAA. Byli rozd\u011Bleni do \u010Dty\u0159 skupin podle periopera\u010Dn\u00ED okluze a. iliaca interna (AII): skupina A (okluze prav\u00E9 AII), B (okluze lev\u00E9 AII), C (okluze obou AII) a skupina D (ob\u011B AII pr\u016Fchodn\u00E9). Ve v\u0161ech skupin\u00E1ch jsme odeb\u00EDrali krevn\u00ED vzorky v pr\u016Fb\u011Bhu 7 poopera\u010Dn\u00EDch dn\u00ED a m\u011B\u0159ili hladiny C-reaktivn\u00EDho proteinu (CRP), myoglobinu, lakt\u00E1tu a leukocyt\u016F. Sledovali jsme tak\u00E9 p\u0159\u00EDznaky isch\u00E9mie kolon. Porovnali jsme vzestupy hladin laboratorn\u00EDch marker\u016F mezi skupinami. V\u00FDsledky: Nejvy\u0161\u0161\u00ED hladiny myoglobinu byly dosa\u017Eeny 2. poopera\u010Dn\u00ED den; ve skupin\u011B A 224 ng/l, ve skupin\u011B B 261 ng/l a ve skupin\u011B D 120 ng/l, zat\u00EDmco ve skupin\u011B C byla nam\u011B\u0159ena hodnota 621 ng/l. Maxim\u00E1ln\u00ED hodnoty CRP byly dosa\u017Eeny 3. poopera\u010Dn\u00ED den; ve skupin\u011B A 125 mg/l, ve skupin\u011B B 122 mg/l, ve skupin\u011B C 141 mg/l a ve skupin\u011B D 130 mg/l. Pouze u jednoho pacienta do\u0161lo k rozvoji ischemick\u00E9 kolitidy, kter\u00E1 byla zp\u016Fsobena histologicky prok\u00E1zanou mnoho\u010Detnou embolizac\u00ED cholesterolov\u00FDch pl\u00E1t\u016F. Z\u00E1v\u011Br: Zv\u00FD\u0161en\u00ED hladin CRP, lakt\u00E1tu a leukocyt\u016F ve skupin\u00E1ch A, B a C nebylo statisticky v\u00FDznamn\u00E9 ve srovn\u00E1n\u00ED se skupinou D. Myoglobin byl nejcitliv\u011Bj\u0161\u00EDm markerem subklinick\u00E9 do\u010Dasn\u00E9 isch\u00E9mie po oboustrann\u00E9 okluzi AII (skupina C)."@cs . "Dynamics of the inflammatory markers after uncomplicated bifurcated stent graft implantation in abdominal aortic aneurys"@en . "\u010Cesk\u00E1 radiologie" . "1210-7883" . . "1"^^ . .