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Published on: September 8, 2023
A Comparison of Aortoiliac Disease between Eastern and Western Countries
1Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Insights
Abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease prevalence and anatomical characteristics differ significantly between Eastern and Western populations. These variations suggest tailored treatment strategies for aortoiliac diseases are necessary.
Area of Science:
- Vascular Surgery
- Comparative Anatomy
- Epidemiology
Background:
- Aortoiliac segment diseases, including abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease, impact patient health globally.
- Existing research indicates potential demographic and geographic variations in these vascular conditions.
Purpose of the Study:
- To review and summarize the key differences in aortoiliac diseases between Eastern and Western populations.
- To compare the prevalence and anatomical characteristics of AAA and related aortoiliac conditions across different global regions.
Main Methods:
- Systematic literature review focusing on epidemiological data and anatomical measurements of aortoiliac diseases.
- Comparative analysis of prevalence rates and morphometric parameters (e.g., aortic bifurcation angle, iliac artery length, aneurysm neck dimensions) between Eastern and Western cohorts.
Main Results:
- Abdominal aortic aneurysm (AAA) prevalence is notably higher in Western countries (4.57%–19%) compared to Eastern countries (0.89%–4.9%).
- Eastern populations exhibit greater aortic bifurcation angles, while Western populations with AAA show longer common iliac arteries and aneurysm necks.
- Aneurysm angles are more acute in Western patients diagnosed with AAA.
Conclusions:
- Significant differences exist in the prevalence and anatomical features of aortoiliac diseases between Eastern and Western populations.
- These identified disparities necessitate the consideration of distinct therapeutic approaches for managing aortoiliac diseases in these distinct demographic groups.
Abstract:
A variety of diseases are known to develop in the aortoiliac segment; these include abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease. This review summarizes several differences of aortoiliac diseases between eastern and western populations. The prevalence of AAA was higher in western countries (4.57% to 19%) than in eastern countries (0.89% to 4.9%). Greater aortic bifurcation angles were observed in the eastern population, while longer common iliac arteries and aneurysm necks were found in the western population with AAA. However, the angle of the aneurysm was found to be more acute in patients from western countries. Several differences were found between patients from western countries and those from eastern countries regarding the diseases that occur in the aortoiliac segment and their anatomical characteristics. Therefore, different approaches to the treatment of aortoiliac diseases in these two groups should be considered.
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