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
Ex vivo renal perfusion and autotransplantation in treatment of calculous disease or abdominal aortic aneurysm
The effect of infrarenal aortic reconstruction on glomerular filtration rate and effective renal plasma flow
Abnormal pre-operative creatinine levels and renal failure following abdominal aortic aneurysm repair
Results of supraceliac aortic clamping in the difficult elective resection of infrarenal abdominal aortic aneurysm
Ruptured abdominal aortic aneurysm: six-year follow-up results of a multicenter prospective study. Canadian Society for Vascular Surgery Aneurysm Study Group
Preoperative inhibition of angiotensin-converting enzyme improves systemic and renal haemodynamic changes during aortic abdominal surgery
Ruptured abdominal aortic aneurysm: impact of comorbidity and postoperative complications on outcome
Nifedipine can preserve renal function in patients undergoing aortic surgery with infrarenal crossclamping
Randomized controlled trial of the effect of mannitol on renal reperfusion injury during aortic aneurysm surgery
Renal arteries covered by aortic stents: clinical experience from endovascular grafting of aortic aneurysms
Abdominal aortic aneurysm repair with arterial branch reconstruction: utility of the temporary bypass technique
Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms
Influence of study design on reported mortality and morbidity rates after abdominal aortic aneurysm repair
Abdominal aortic aneurysm in high-risk patients: short- to intermediate-term results of endovascular repair
Functional renal perfusion imaging with colour mapping: is it a useful adjunct to spiral CT of in the assessment of abdominal aortic aneurysm (AAA)?
Risk factors for aneurysm rupture in patients kept under ultrasound surveillance. UK Small Aneurysm Trial Participants
Outcome in patients requiring renal replacement therapy after surgery for ruptured and non-ruptured aneurysm of the abdominal aorta
Postoperative renal function after an abdominal aortic aneurysm repair requiring a suprarenal aortic cross-clamp
Transrenal fixation of aortic stent-grafts for the treatment of infrarenal aortic aneurysmal disease
Endovascular AAA repair attenuates the inflammatory and renal responses associated with conventional surgery
Renal artery endarterectomy for treatment of renovascular hypertension combined with infrarenal aortic reconstruction: analysis of surgical results
Fenoldopam infusion associated with preserving renal function after aortic cross-clamping for aneurysm repair
Endovascular AAA repair in patients with renal insufficiency: strategies for reducing adverse renal events
Extracellular matrix remodeling: the common denominator in connective tissue diseases. Possibilities for evaluation and current understanding of the matrix as more than a passive architecture, but a key player in tissue failure.
Measurement of MMP-9 and -12 degraded elastin (ELM) provides unique information on lung tissue degradation.
A double shunt technique for the prevention of ischaemia of a congenital, solitary, pelvic kidney during abdominal aortic aneurysm repair: a case report
Clinical practice guidelines for endovascular abdominal aortic aneurysm repair: written by the Standards of Practice Committee for the Society of Interventional Radiology and endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Interventional Radiology Association
Carbon dioxide digital subtraction angiography-assisted endovascular aortic aneurysm repair in the azotemic patient
The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines
Does lower limb exercise worsen renal artery hemodynamics in patients with abdominal aortic aneurysm?
Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.
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.
Atherosclerosis Disease Progression
Atherosclerosis is the buildup of plaque on artery walls, causing stenosis which can eventually lead to clinically apparent cardiovascular disease. Find the latest research on atherosclerosis disease progression here.