Renal function after aortic stent-grafting including coverage of renal arterial ostia

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Hassane IzzedineG Deray

Abstract

Considerable experience has been gained with endoluminal stent-graft techniques for the treatment of infrarenal aortic aneurysms. The inclusion of uncovered suprarenal stents eases the treatment of cases with a short, angulated, or bottlenecked proximal neck. However, few data have been published on the effect of a stent-graft crossing renal artery ostia on long-term renal function. We therefore retrospectively analyzed the influence of intra-aortic stent-grafts, including suprarenal fixation on long-term renal function. Thirty-nine patients who received a Gianturco Z stent across renal artery ostia as part of a made-to-measure stent-graft treating an infrarenal aortic aneurysm were evaluated at 6 (all patients) and 30 months (15 patients) after surgery. Renal function evaluation included serum creatinine level, creatinine clearance using the Cockcroft-Gault formula, and renal tomography. Initial technical success was achieved in all patients. There were no minor or major complications. Mean serum creatinine levels were 1.16 +/- 0.25, 1.12 +/- 0.28, and 1.24 +/- 0.25 mg/dL before and 6 and 30 months after endoluminal stent-graft performance, respectively (P = not significant [NS]). Mean creatinine clearances were 60.3 +/- 19.7,...Continue Reading

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Citations

Apr 3, 2007·Cardiovascular and Interventional Radiology·Edward ChokeMatthew M Thompson
Feb 19, 2008·Journal of Vascular Surgery·Stewart R WalshMichael E Gaunt
May 21, 2003·Journal of Vascular Surgery·Paul G BoveGerald B Zelenock
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Jan 16, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Reuben VeerapenPierre Alric
Oct 16, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Zhonghua Sun
May 3, 2006·Kidney & Blood Pressure Research·Satoko NakamuraYuhei Kawano
Nov 30, 2019·Current Pharmaceutical Design·Petroula NanaMiltiadis Matsagkas
Dec 21, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Matteus A M LinsenWillem Wisselink

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