Impact of Polar Renal Artery Coverage on Early Renal Function after Chimney Endovascular Aortic Aneurysm Repair.
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal
/ diagnostic imaging
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ adverse effects
Endovascular Procedures
/ adverse effects
Female
Glomerular Filtration Rate
Humans
Kidney
/ blood supply
Male
Middle Aged
Prosthesis Design
Renal Artery
/ abnormalities
Retrospective Studies
Treatment Outcome
Journal
Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Titre abrégé: J Vasc Interv Radiol
Pays: United States
ID NLM: 9203369
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
18
07
2018
revised:
06
09
2018
accepted:
26
11
2018
entrez:
27
3
2019
pubmed:
27
3
2019
medline:
25
12
2019
Statut:
ppublish
Résumé
To evaluate impact of polar renal artery coverage on early renal function after chimney endovascular aneurysm repair (EVAR). Consecutive patients who underwent chimney EVAR for treatment of asymptomatic juxtarenal abdominal aortic aneurysm were retrospectively included. Estimated glomerular filtration rate (eGFR) was recorded before the intervention and at 1-, 5-, 7-, and 30-day follow-up. Patients without a polar renal artery were compared with patients with an uncovered polar renal artery and patients with a polar renal artery covered by the endograft. Among 76 patients who underwent chimney EVAR, 15 (19.7%) had a polar renal artery. Four patients (5.3%) had an uncovered polar renal artery and 11 (14.5%) had a covered polar renal artery. The median polar renal artery diameter was 3.3 mm (interquartile range, 2.2-3.8 mm). Preoperative eGFR was similar between the 3 groups (65.5 mL/min/1.73 m Polar renal artery coverage during chimney EVAR does not significantly impair early renal postoperative function, suggesting the safety of the procedure.
Identifiants
pubmed: 30910175
pii: S1051-0443(18)31735-4
doi: 10.1016/j.jvir.2018.11.031
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
539-545Informations de copyright
Copyright © 2018 SIR. Published by Elsevier Inc. All rights reserved.