Adjunctive renal artery revascularization during juxtarenal and suprarenal abdominal aortic aneurysm repairs - 19/08/11
, Ignatius H. Lau, Timothy K. Liem, M.D., Erica L. Mitchell, M.D., Gregory L. Moneta, M.D.
Corresponding author. Tel.: +1-503-494-7593; fax: +1-503-494-4324Abstract |
Background |
We report a 15-year experience with renal artery revascularization during abdominal aortic aneurysm (AAA) repair.
Methods |
AAA repairs from 1994 to 2009 were reviewed. Postoperative complications, renal function, patency, and survival in patients undergoing renal artery revascularization were evaluated and compared with a control group of patients undergoing juxtarenal AAA repairs not requiring renal artery revascularization.
Results |
Sixty patients underwent renal artery revascularization during AAA repair. Transient postoperative renal insufficiency occurred in 20 patients. Temporary hemodialysis was required in 3 patients, with none requiring permanent hemodialysis. There was 1 postoperative death. There was 1 renal artery revascularization failure at 1 month but no other graft failures at 12 months median follow-up evaluation (1-year patency, 97%). In comparison with the control group, transient renal insufficiency and pulmonary complications (33.3% vs 19.8%; P = .042) were more common with renal artery revascularization, with no differences in long-term renal complications or mortality.
Conclusions |
Renal artery revascularization can be performed during AAA repair with excellent patency and minimal morbidity.
Le texte complet de cet article est disponible en PDF.Keywords : Abdominal aortic aneurysm, Renal artery, Vascular surgical procedures, Postoperative complications
Plan
Vol 199 - N° 5
P. 641-645 - mai 2010 Retour au numéro
Article précédent
- The role of preoperative mammography in women considering reduction mammoplasty: a single institution review of 207 patients
- Michael J. Campbell, Clancy J. Clark, Keith T. Paige
- Splenectomy leads to a persistent hypercoagulable state after trauma
- Jennifer M. Watters, Chitra N. Sambasivan, Karen Zink, Igor Kremenevskiy, Michael S. Englehart, Samantha J. Underwood, Martin A. Schreiber
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?