Cases of tuberculous INAA
Description
We reviewed all cases of tuberculous INAAs treated at three centers in China between 2011 and 2022. The demographic data (sex, age), clinical presentation, laboratory findings, imaging characteristics, surgical interventions and medications, clinical outcomes were all recorded and analyzed.
Files
Steps to reproduce
Patients diagnosed of tuberculous INAA at Hangzhou Red Cross Hospital, Wuhan Pulmonary Hospital and Wuhan No.1 Hospital between January 2011 and December 2022 were retrospectively reviewed. The study was approved by the institutional review board of Hangzhou Red Cross Hospital, Wuhan Pulmonary Hospital and Wuhan No.1 Hospital. The review procedure was conducted by three authors independently. The case screening system were used to screen out the probable case of tuberculous INAA according to a predefined protocol. The diagnosis of tuberculous INAA referred to the diagnostic criteria of MAA recommended by European Society for Vascular Surgery (ESVS) 2019 guidelines: (i) clinical presentation; (ii) laboratory results; and (iii) imaging.2 Evidence of TB infection included positive TB culture/polymerase chain reaction (PCR) in fluid or positive histology of TB infection in infected tissues. The controversial case was debated with an additional vascular specialist and an additional TB specialist until the achievement of consensus (all authors). The demographic characteristics (sex, age), clinical symptoms, laboratory tests, image characteristics, surgeries and medications, outcomes were all recorded and analyzed (Figure 1). We quantified calcification in the aneurysm wall using the modified Agatston score by drawing regions of interest around calcification in the aneurysm wall on non-contrast enhanced CT slices.