Suprarenal graft fixation in endovascular abdominal aortic aneurysm repair is associated with a decrease in renal function

Journal of Vascular Surgery
Athanasios SaratzisGeorge D Kitas

Abstract

Suprarenal endograft fixation is routinely used in the endovascular repair of abdominal aortic aneurysms (EVAR) to enhance proximal endograft attachment but can be associated with an adverse outcome in renal function. This prospective study assessed the effect of suprarenal fixation on serum creatinine concentration and estimated glomerular filtration rate (eGFR), calculated by the Modified Diet in Renal Disease equation, 12 months after elective EVAR. Patients undergoing elective EVAR were divided into suprarenal vs infrarenal fixation groups matched for age, sex, smoking, and aneurysm diameter. Serum creatinine and eGFR were measured at baseline, 6, and 12 months. Included were 92 patients (two women) with a mean age of 71 ± 7 years, with 46 in each group. No device-related complications were noted. Serum creatinine did not differ significantly between groups at 6 (P = .24) or 12 (P = .08) months but significantly increased in the suprarenal group at 12 months (1.08 ± 0.36 to 1.16 ± 0.36 mg/dL; P < .001) vs baseline. The eGFR (mL/min/1.73 m(2)) did not differ significantly at baseline between the suprarenal (85 ± 27) and infrarenal (80 ± 28; P = .33) groups or at 6 months (88 ± 29 vs 77 ± 24, respectively; P = .07). At 12 mon...Continue Reading

References

Apr 1, 1985·Journal of the American Geriatrics Society·R D LindemanN W Shock
Aug 25, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·A C LobatoE B Diethrich
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stefan C KrämerJohannes Görich
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
May 21, 2003·Journal of Vascular Surgery·Paul G BoveGerald B Zelenock
Oct 16, 2003·Journal of Vascular Surgery·Neal S CayneCarlos Timaran
Jun 10, 2005·Journal of Vascular Surgery·Jean-Marc AlsacJean-Pierre Becquemin
Jan 18, 2006·Journal of Vascular Surgery·Shane S ParmerUNKNOWN Endologix Investigators
Mar 8, 2006·Journal of Vascular Surgery·Ron WaldBertrand L Jaber
Nov 14, 2006·Journal of Vascular Surgery·Thomas L ForbesKenneth A Harris
Oct 13, 2007·BMJ : British Medical Journal·Roger Greenhalgh, Janet Powell
Dec 14, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P DaveyM G Wyatt
Feb 8, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nikolaos SaratzisDimitrios Kiskinis
Feb 19, 2008·Journal of Vascular Surgery·Stewart R WalshMichael E Gaunt
Oct 16, 2008·Current Vascular Pharmacology·Athanasios SaratzisDimitrios Kiskinis
Jun 23, 2009·Annals of Vascular Surgery·Shree K SubediGregg S Landis
Aug 11, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N MelasD Kiskinis
Oct 12, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·W-H Lee, G-S Jung

❮ Previous
Next ❯

Citations

Dec 6, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Theodosios PerdikidesJean-Paul P M de Vries
Dec 6, 2014·Case Reports in Vascular Medicine·Marco FranchinGabriele Piffaretti
Dec 15, 2015·Annals of Vascular Surgery·Athanasios SaratzisMatthew J Bown
Mar 10, 2016·Expert Review of Medical Devices·Benjamin ColvardLee Swanstrom
Mar 5, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A SaratzisP Sarafidis
Jun 5, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·George N KouvelosMiltiadis I Matsagkas
Jun 5, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Athanasios N SaratzisAsif Mahmood
Apr 24, 2016·Clínica e investigación en arteriosclerosis : publicación oficial de la Sociedad Española de Arteriosclerosis·Carlos LahozUNKNOWN en representación del Grupo de Prevención Secundaria de la Sociedad Española de Arteriosclerosis y de la Sección de Medicina
Jun 12, 2016·Journal of Vascular Surgery·Claudio CastagnoPietro Rispoli
Jan 22, 2017·La Radiologia medica·Nikolaos SchoretsanitisGeorge S Georgiadis
Feb 9, 2013·Vascular and Endovascular Surgery·Tsunehiro ShintaniShigeki Higashi
Sep 12, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Athanasios N SaratzisMatthew J Bown
Jan 23, 2018·Vascular Specialist International·Jeahong LeeJung Bum Lee
Oct 22, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Athanasios SaratzisMatthew J Bown
Sep 2, 2021·Cardiovascular Research·Pantelis SarafidisUNKNOWN for Conference Participants
Oct 26, 2021·Vascular and Endovascular Surgery·Matthew BlechaCarlos F Bechara

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

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

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

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.