The management of abdominal aortic aneurysms in patients with concurrent renal impairment

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
M J BownR D Sayers

Abstract

Patients with concurrent renal impairment and abdominal aortic aneurysms present a significant challenge in terms of pre-operative, intra-operative and post-operative management. This aim of this review was to determine the risks of surgery in this patient group and determine whether any clear management strategies exist to enhance their clinical management. Systematic review of published literature giving details of the outcome of open or endovascular abdominal aortic aneurysm repair in patients with pre-operative renal impairment. Papers concerning the management of post-operative acute renal failure in patients with normal pre-operative renal function has not been included. There is little data regarding patients with end-stage renal failure and AAA although these patients appear to have a high peri-operative mortality rate. In contrast, those with renal impairment do not have a significantly higher mortality rate than those with normal renal function, rather they have a higher risk of complications associated with surgery and may require more intensive post-operative organ system support than normal patients. Many have a transient deterioration in renal function in the immediate peri-operative period that will resolve. In t...Continue Reading

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Citations

Jul 24, 2012·BMC Pulmonary Medicine·Helene Skjøt-ArkilMorten A Karsdal
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Jul 11, 2016·Annals of Vascular Surgery·Rui MachadoRui de Almeida
Feb 7, 2021·Annals of Vascular Surgery·Yohei YamamotoMasahiro Oonuki
Jun 27, 2021·Journal of Vascular Surgery·Brittany C Montross, Maciej L Dryjski

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