Yıl: 2015 Cilt: 45 Sayı: 1 Sayfa Aralığı: 229 - 232 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm

Öz:
Background/aim: To investigate the differences in perioperative oxidative stress (OS) in abdominal aortic aneurysm (AAA) patients treated with either endovascular repair (EVAR) or open repair (OR). Materials and methods: Twenty patients (11 OR, 9 EVAR) treated for AAA with no known malignant or inflammatory disease and an aneurysm diameter of over 5 cm and no rupture were included in the study. Blood samples were obtained preoperatively, during aortic occlusion, and 1 h and 24 h after reperfusion. Total antioxidant status (TAS), total oxidative stress (TOS), and malondialdehyde (MDA) levels were measured and oxidative stress index (OSI) was calculated. Results: OSI at 1 h and 24 h after reperfusion was higher in the EVAR group (P = 0.004 and P = 0.002, respectively). TAS levels were higher (P = 0.001, P = 0,029). MDA levels showed no difference (P = 0.291, P = 0.076). TOS levels were lower 24 h after reperfusion in the EVAR group (P = 0.018). Conclusion: Markers of oxidative stress were lower in the EVAR group. This may be associated with advantages of EVAR. More studies are required for a clear-cut conclusion.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Gelman S. The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology 1995; 82: 1026–1060.
  • 2. Papalambros E, Sigala F, Georgopoulos S, Paraskevas KI, Andreadou I, Menenakos X, Sigalas P,  Papalambros AL,  Vourliotakis G, Giannopoulos A  et al. Malondialdehyde as an indicator of oxidative stress during abdominal aortic aneurysm repair. Angiology 2007; 58: 477–482.
  • 3. Narin C, Kiris I, Gülmen S, Toy H, Yilmaz N, Sütcü R. Endothelin receptor blockade with tezosentan ameliorates myocardial injury induced by abdominal aortic ischemiareperfusion. Tohoku J Exp Med 2008; 216: 267–276.
  • 4. Gulmen S, Kiris I, Kocyigit A, Dogus DK, Ceylan BG, Meteoglu I. β-Glucan protects against lung injury induced by abdominal aortic ischemia-reperfusion in rats. J Surg Res 2010; 164: 325– 332.
  • 5. Rabus M, Demirbağ R, Sezen Y, Konukoğlu O, Yıldız A, Erel Ö, Zeybek R, Yakut C. Plasma and tissue oxidative stress index in patients with rheumatic and degenerative heart valve disease. Arch Turk Soc Cardiol 2008; 36: 536–540.
  • 6. Horoz M, Aslan M, Koylu AO, Bolukbas C, Bolukbas FF, Selek S, Erel O. The relationship between leptin level and oxidative status parameters in hemodialysis patients. Artif Organs 2009; 33: 81–85.
  • 7. Wijnen MH, Cuypers P, Buth J, Vader HL, Roumen RM. Differences in renal response between endovascular and open repair of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 2001; 21: 171–174.
  • 8. Yagi K. Lipid peroxides and related radicals in clinical medicine. In: Armstrong D, editor. Free Radicals in Diagnostic Medicine. New York, NY, USA: Plenum Press; 1994. pp. 1–15.
  • 9. Smeets HJ, Camps J, van Milligen de Wit AW, Kievit J, van Bockel JH, Hermans J, Berger HM. Influence of low dose allopurinol on ischaemia--reperfusion injury during abdominal aortic surgery. Eur J Vasc Endovasc Surg 1995; 9: 162–169.
  • 10. Thompson MM, Nasim A, Sayers RD, Thompson J, Smith G, Lunec J, Bell PR. Oxygen free radical and cytokine generation during endovascular and conventional aneurysm repair. Eur J Vasc Endovasc Surg 1996; 12: 70–75.
  • 11. Hafez HM, Berwanger CS, McColl A, Richmond W, Wolfe JH, Mansfield AO, Stansby G. Myocardial injury in major aortic surgery. J Vasc Surg 2000; 31: 742–750.
  • 12. United Kingdom EVAR Trial Investigators, Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med 2010; 362: 1863–1871.
  • 13. Adriaensen ME, Bosch JL, Halpern EF, Hunink MGM, Gazelle GS. Elective endovascular versus open surgical repair of abdominal aortic aneurysms: systematic review of short-term results. Radiology 2002; 224: 739–747.
  • 14. Kaklıkkaya İ, Menteşe Ü, Koramaz İ, Altun G, Menteşe A, Çakıroğlu Y, Özcan F. Pulmonary injury follows systemic inflammatory reaction in infrarenal aortic surgery. Turkish J Cardiovasc Surg 2010; 18: 310–314.
  • 15. Baltalarli A, Ozcan V, Bir F, Aybek H, Sacar M, Onem G, Göksin I, Demir S, Teke Z. Ascorbic acid (vitamin C) and iloprost attenuate the lung injury caused by ischemia/reperfusion of the lower extremities of rats. Ann Vasc Surg 2006; 20: 49–55.
  • 16. Kiris I, Okutan H, Savas C, Yonden Z, Delibas N. Gadolinium chloride attenuates aortic occlusion-reperfusion-induced myocardial injury in rats. Saudi Med J 2007; 28: 347–352.
  • 17. Cizova H, Papezikova I, Kubala L, Lojek A, Ciz M. Increased antioxidant capacity of serum did not prevent lipid peroxidation in the intermittent ischemia-reperfusion of rat small intestine. Dig Dis Sci 2006; 51: 657–661.
  • 18. Rüdiger HA, Graf R, Clavien PA. Sub-lethal oxidative stress triggers the protective effects of ischemic preconditioning in the mouse liver. J Hepatol 2003; 39: 972–977.
  • 19. Ito K, Ozasa H, Sanada K, Horikawa S. Doxorubicin preconditioning: a protection against rat hepatic ischemiareperfusion injury. Hepatology 2000; 31: 416–419.
  • 20. Thannickal VJ, Fanburg BL. Reactive oxygen species in cell signaling. Am J Physiol Lung Cell Mol Physiol 2000; 279: 1005–1028.
  • 21. Jha R, Rizvi SI. Carbonyl formation in erythrocyte membrane proteins during aging in humans. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2011; 155: 39–42.
  • 22. McCormick ML, Gavrila D, Weintraub NL. Role of oxidative stress in the pathogenesis of abdominal aortic aneurysms. Arterioscler Thromb Vasc Biol 2007; 27: 461–469.
  • 23. Maritim AC, Sanders RA, Watkins JB 3rd. Diabetes, oxidative stress, and antioxidants: a review. J Biochem Mol Toxicol 2003; 17: 24–38.
  • 24. Uzun K, Özbay B, Ceylan E, Avcı E, Tarakçıoğlu M. Kronik obstrüktif akciğer hastalığında oksidatif stres. Genel Tıp Derg 1998; 8: 145–148 (in Turkish).
  • 25. Köksal C, Konukoğlu D, Ercan M, Arslan C, Kazımoğlu K, Bozkurt K. Periferik arter hastalarında lipid peroksidasyonu ve antioksidan kapasite. GKDC Dergisi 1999; 7: 244–246 (in Turkish).
APA DOĞAN O, MENTEŞE Ü, DOĞAN S, USTA S, Turan İ, HALİLOĞLU E, KARAHAN S (2015). Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. , 229 - 232.
Chicago DOĞAN Orhan Veli,MENTEŞE Ümit,DOĞAN Süheyla,USTA SEFER,Turan İbrahim,HALİLOĞLU Ergün,KARAHAN Süleyman Caner Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. (2015): 229 - 232.
MLA DOĞAN Orhan Veli,MENTEŞE Ümit,DOĞAN Süheyla,USTA SEFER,Turan İbrahim,HALİLOĞLU Ergün,KARAHAN Süleyman Caner Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. , 2015, ss.229 - 232.
AMA DOĞAN O,MENTEŞE Ü,DOĞAN S,USTA S,Turan İ,HALİLOĞLU E,KARAHAN S Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. . 2015; 229 - 232.
Vancouver DOĞAN O,MENTEŞE Ü,DOĞAN S,USTA S,Turan İ,HALİLOĞLU E,KARAHAN S Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. . 2015; 229 - 232.
IEEE DOĞAN O,MENTEŞE Ü,DOĞAN S,USTA S,Turan İ,HALİLOĞLU E,KARAHAN S "Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm." , ss.229 - 232, 2015.
ISNAD DOĞAN, Orhan Veli vd. "Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm". (2015), 229-232.
APA DOĞAN O, MENTEŞE Ü, DOĞAN S, USTA S, Turan İ, HALİLOĞLU E, KARAHAN S (2015). Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. Turkish Journal of Medical Sciences, 45(1), 229 - 232.
Chicago DOĞAN Orhan Veli,MENTEŞE Ümit,DOĞAN Süheyla,USTA SEFER,Turan İbrahim,HALİLOĞLU Ergün,KARAHAN Süleyman Caner Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. Turkish Journal of Medical Sciences 45, no.1 (2015): 229 - 232.
MLA DOĞAN Orhan Veli,MENTEŞE Ümit,DOĞAN Süheyla,USTA SEFER,Turan İbrahim,HALİLOĞLU Ergün,KARAHAN Süleyman Caner Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. Turkish Journal of Medical Sciences, vol.45, no.1, 2015, ss.229 - 232.
AMA DOĞAN O,MENTEŞE Ü,DOĞAN S,USTA S,Turan İ,HALİLOĞLU E,KARAHAN S Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. Turkish Journal of Medical Sciences. 2015; 45(1): 229 - 232.
Vancouver DOĞAN O,MENTEŞE Ü,DOĞAN S,USTA S,Turan İ,HALİLOĞLU E,KARAHAN S Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm. Turkish Journal of Medical Sciences. 2015; 45(1): 229 - 232.
IEEE DOĞAN O,MENTEŞE Ü,DOĞAN S,USTA S,Turan İ,HALİLOĞLU E,KARAHAN S "Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm." Turkish Journal of Medical Sciences, 45, ss.229 - 232, 2015.
ISNAD DOĞAN, Orhan Veli vd. "Comparison of perioperative oxidative stress in endovascular and open repair of abdominal aortic aneurysm". Turkish Journal of Medical Sciences 45/1 (2015), 229-232.