PMID: 11604338Oct 18, 2001Paper

Endovascular AAA repair in patients with renal insufficiency: strategies for reducing adverse renal events

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
J P CarpenterR A Baum

Abstract

Vascular imaging, usually employing nephrotoxic contrast agents is relied upon for all aspects of endovascular AAA repair causing some to consider renal insufficiency a relative contraindication. We sought to determine if endovascular AAA evaluation and repair could be successfully accomplished by minimally or non-nephrotoxic modalities. Records and results for 98 consecutive patients undergoing endovascular AAA repair were reviewed. Patients requiring dialysis preoperatively were excluded (N=3). The average volume of iodinated contrast agent employed for intraoperative imaging was 152 cc (35-420 cc). Twenty patients (20%) had baseline renal insufficiency (serum creatinine > or =1.3 mg/dl). A rise in serum creatinine above baseline was observed in 23 (24%) patients following repair; for 15 (16%) this was permanent. Creatinine rise occurred in patients with both normal (15) and abnormal (8) baseline values (P=0.09). Rise in creatinine was independent of contrast volume employed and of the use of infrarenal vs suprarenal device fixation (P>0.05). Two (2%) patients required permanent dialysis, one of which had a normal baseline creatinine and unclear etiology for renal failure, the other had a baseline creatinine of 2 and required...Continue Reading

References

Mar 1, 1995·AJR. American Journal of Roentgenology·S R Kerns, I F Hawkins
Mar 1, 1996·Current Opinion in Nephrology and Hypertension·M R RudnickS Goldfarb
Nov 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·H G BeebeG H White
Jun 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K C VogtT V Schroeder
Aug 1, 1997·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·P HeilbergerD Raithel
Aug 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M MalinaB Risberg
May 20, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L EngellauL Norgren
Jul 31, 1998·Journal of Vascular and Interventional Radiology : JVIR·D J SpinosaT N Hooper
Sep 5, 1998·The Surgical Clinics of North America·M R BackJ M Seeger
Dec 5, 1998·Abdominal Imaging·J H MakiM R Prince
Jul 1, 1999·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·R A FitridgeR A Sebben
Jul 9, 1999·AJR. American Journal of Roentgenology·W CulpM M Hummel
Oct 3, 1999·Journal of Magnetic Resonance Imaging : JMRI·F G Shellock, E Kanal

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Citations

Sep 14, 2006·Journal of Cardiothoracic Surgery·Gabriele PiffarettiPatrizio Castelli
Feb 6, 2004·Best Practice & Research. Clinical Anaesthesiology·Ignatius Y Tang, Patrick T Murray
Feb 3, 2016·Journal of Vascular and Interventional Radiology : JVIR·Vania TacherHicham Kobeiter
Jan 12, 2016·Annals of Cardiac Anaesthesia·Harikrishnan KothandanShah Shitalkumar Sharad
Feb 19, 2008·Journal of Vascular Surgery·Stewart R WalshMichael E Gaunt
Jan 18, 2006·Journal of Vascular Surgery·Shane S ParmerUNKNOWN Endologix Investigators
Jan 18, 2006·Journal of Vascular Surgery·Jagajan KarmacharyaJeffrey P Carpenter
Jul 11, 2013·Anesthesiology Research and Practice·Véronique BrulottePierre Beaulieu
May 21, 2003·Journal of Vascular Surgery·Paul G BoveGerald B Zelenock
Mar 6, 2003·Journal of Vascular Surgery·Gorav AilawadiGilbert R Upchurch
Mar 8, 2006·Journal of Vascular Surgery·Ron WaldBertrand L Jaber
Nov 26, 2008·Journal of Vascular Surgery·Grace J WangEdward Y Woo
Jun 10, 2005·Journal of Vascular Surgery·Jean-Marc AlsacJean-Pierre Becquemin
Jun 4, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M J BownR D Sayers
Aug 28, 2016·British Journal of Anaesthesia·G T C WongM G Irwin
Jan 5, 2007·Vascular and Endovascular Surgery·Brian ParkJames O Menzoian
Aug 2, 2003·Vascular and Endovascular Surgery·Germano MelissanoRoberto Chiesa
May 17, 2006·Vascular and Endovascular Surgery·Mireille A MoiseJeffrey P Carpenter
Aug 19, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·David E AllieCraig M Walker
May 9, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Evert WaasdorpJean-Paul de Vries
Sep 14, 2011·Circulation·Hicham KobeiterJean-Pierre Becquemin
Nov 30, 2019·Current Pharmaceutical Design·Petroula NanaMiltiadis Matsagkas
Oct 6, 2006·Current Opinion in Anaesthesiology·Madhav Swaminathan, Mark Stafford-Smith

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