Document Detail


Adjunctive renal artery revascularization during juxtarenal and suprarenal abdominal aortic aneurysm repairs.
MedLine Citation:
PMID:  20466109     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gregory J Landry; Ignatius H Lau; Timothy K Liem; Erica L Mitchell; Gregory L Moneta
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  199     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2010-06-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  641-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Division of Vascular Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd., Mail Code OP11, Portland, OR 97239-3098, USA. landryg@ohsu.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty / methods*
Aortic Aneurysm, Abdominal / radiography,  surgery*
Blood Vessel Prosthesis Implantation / methods
Cohort Studies
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Probability
Reference Values
Renal Artery / surgery*
Retrospective Studies
Risk Assessment
Treatment Outcome
Vascular Surgical Procedures / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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