Vasc Spec Int.  2019 Dec;35(4):184-188. 10.5758/vsi.2019.35.4.184.

A Comparison of Aortoiliac Disease between Eastern and Western Countries

Affiliations
  • 1Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. jhjoh@khu.ac.kr

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.

Keyword

Aneurysm; Occlusion; Abdominal aorta; Vascular calcification; Atherosclerosis

MeSH Terms

Aneurysm
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Atherosclerosis
Humans
Iliac Artery
Neck
Prevalence
Vascular Calcification
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