Early Renal Function Alterations in Renal Branches vs. Renal Fenestrations - A Dynamic Scintigraphy Based Prospective Study.
Aortic Aneurysm, Abdominal
/ diagnostic imaging
Aortic Aneurysm, Thoracic
/ diagnostic imaging
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ adverse effects
Endovascular Procedures
/ adverse effects
Female
Glomerular Filtration Rate
Humans
Kidney Diseases
/ diagnostic imaging
Male
Predictive Value of Tests
Prospective Studies
Prosthesis Design
Radionuclide Imaging
Radiopharmaceuticals
/ administration & dosage
Renal Artery
/ diagnostic imaging
Technetium Tc 99m Pentetate
/ administration & dosage
Time Factors
Treatment Outcome
BEVAR
Branched endografts
Complex endovascular procedures
FEVAR
Fenestrated endografts
TAAA
Journal
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
ISSN: 1532-2165
Titre abrégé: Eur J Vasc Endovasc Surg
Pays: England
ID NLM: 9512728
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
05
10
2019
revised:
24
04
2020
accepted:
14
05
2020
pubmed:
16
7
2020
medline:
21
10
2020
entrez:
16
7
2020
Statut:
ppublish
Résumé
The objective of this prospective single centre study was to assess whether branches and fenestrations have different outcomes on renal function in the early phase. From March 2018 to June 2019, 67 patients who underwent elective fenestrated and branched endovascular aneurysm repair (F/BEVAR) procedures were enrolled in this study. The patients were divided into two groups according to the renal bridging component configuration (fenestration vs. branch). All of them underwent dynamic renal scintigraphy with Overall, 135 kidneys were analysed: 63 in the 32 patients treated with fenestrations, and 72 in the 35 patients treated with branches; the mean GFR on baseline scintigraphy was 58.4 ± 30.9 mL/min in the fenestration group, and 65.1 ± 29.2 mL/min in the branch group. Only kidneys associated with a patent fenestration/branch were included in the split GFR final analysis. The mean total GFR at three month scintigraphy decreased by 6.0 ± 2.9 mL/min in the fenestration group and by 23.4 ± 6.4 mL/min in the branch group. The split GFR decreased by 3.5 ± 0.6 mL/min in the fenestration group, and by 15.4 ± 5.4 mL/min in the branch group. The GFR decrease remained stable at one year. In this study, the use of branches for renal arteries during F/BEVAR resulted in a greater decrease in the GFR than in those patients who were treated with fenestrations alone. The scintigraphic alterations were evident at an early phase.
Identifiants
pubmed: 32665199
pii: S1078-5884(20)30445-7
doi: 10.1016/j.ejvs.2020.05.023
pii:
doi:
Substances chimiques
Radiopharmaceuticals
0
Technetium Tc 99m Pentetate
VW78417PU1
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
395-401Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.