Impact of renal chimney grafts on anatomical suitability for endovascular repair in ruptured abdominal aortic aneurysm

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Nuno DiasThorarinn Kristmundsson

Abstract

To evaluate the impact of renal chimney grafts on anatomical suitability for endovascular aneurysm repair (EVAR) in ruptured abdominal aortic aneurysm (rAAA). Contrast-enhanced computed tomography images of 206 patients with rAAA [175 men (mean age 75 ± 7.8 years) and 31 women (mean age of 76 ± 7.5 years)] were evaluated in a dedicated 3-dimensional vascular workstation. Assessment of infrarenal EVAR suitability was based on predefined anatomical variables reflecting the Instructions for Use of commercially available stent-grafts. In patients where aneurysm neck length was the only limiting factor for suitability, reevaluation of the proximal sealing zone was done, accounting for chimney grafts in one or both renal arteries. Seventy (34%) rAAA patients were anatomically suitable for EVAR: 65 (37%) of 175 men and 5 (16%) of 31 women (p < 0.01). Eighty-nine (65%) of the 136 unsuitable patients had aneurysm necks < 15 mm long; short neck was the only exclusion criterion in 33 (24%) cases. In the 33 short-necked aneurysms without other limiting factors, a proximal sealing zone > 15 mm could potentially be achieved with one or two renal chimney grafts in 12 (36%) and 25 (76%) patients, respectively, increasing overall suitability to...Continue Reading

References

Dec 18, 2001·Journal of Vascular Surgery·J P CarpenterR M Fairman
May 22, 2002·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of The Society for Vascular Surgery/American Assoc
Aug 23, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Daniel F G RoseBrian R Hopkinson
Nov 7, 2003·Journal of Vascular Surgery·Roy K GreenbergKenneth Ouriel
Oct 16, 2004·The New England Journal of Medicine·Monique PrinssenUNKNOWN Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group
Dec 6, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos P DonasGeorgios A Pitoulias
Apr 4, 2013·Annals of Surgery·Jorik J ReimerinkUNKNOWN Amsterdam Acute Aneurysm Trial Collaborators
Apr 16, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Athanasios KatsargyrisEric L G Verhoeven
Apr 25, 2013·Journal of Vascular Surgery·Atsushi KitagawaTara M Mastracci
Nov 23, 2013·The British Journal of Surgery·A WilsonA L Tambyraja
Feb 25, 2014·Journal of Vascular Surgery·Hiroshi BannoJean-Pierre Becquemin
May 13, 2014·Journal of Vascular Surgery·Salvatore T ScaliAdam W Beck

❮ Previous
Next ❯

Citations

Nov 26, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A Hertault, S Haulon
Jul 8, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hassan BaderkhanKevin Mani
Aug 13, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thorarinn KristmundssonNuno Dias
Apr 19, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ian M Loftus, Dittmar Böckler
Feb 2, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Andrés Reyes ValdiviaClaudio Gandarias Zúñiga
May 20, 2021·VASA. Zeitschrift für Gefässkrankheiten·Paula R KeschenauKonstantinos P Donas

❮ Previous
Next ❯

Methods Mentioned

BETA
SMA

Software Mentioned

SPSS

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
E L G VerhoevenR van Schilfgaarde
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Liselot L HoornwegAmsterdam Acute Aneurysm Trial Collaborators
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Lina J LeursEUROSTAR Collaborators
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Khamin ChinsakchaiPramook Mutirangura
RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
A H MahnkenR W Günther
© 2021 Meta ULC. All rights reserved