Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with Horseshoe Kidney: Report of a Case

Volpe, Piero; Nano, Giovanni; Dalainas, Ilias; Palazzo, Vincenzo; Casana, Renato; Paroni, Giulia

doi:10.1007/s00595-006-3213-x

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…24 Minor complications have also been reported, such as left groin wound infection 25 and transitional fever. 26 Limitations include the heterogeneous reporting of data, which leads to incomplete data sets in variables of interest; thus, statistical testing derived may be underpowered. Another limitation is the nature of the case reports.…”

Section: Discussionmentioning

confidence: 99%

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EVAR in Patients With Abdominal Aortic Aneurysm and Horseshoe Kidney: A Systematic Review

et al. 2021

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Purpose: A systematic review of all patients that have been reported in the literature with abdominal aortic aneurysm (AAA) concomitant with horseshoe kidney (HSK) treated electively by endovascular aneurysm repair (EVAR) is presented. A new grouping system for describing HSK vasculature is implemented. Materials and Methods: We searched for published manuscripts using the Medical Subject Headings terms “abdominal aortic aneurysm,” “AAA,” “EVAR,” “endovascular aneurysm repair,” and “horseshoe kidney” in PubMed, Google Scholar, Scopus, and National Center for Biotechnology Information databases. Inclusion criteria include all published material of patients with AAA with HSK treated electively by an endovascular approach. We excluded patients who were treated by a hybrid or open repair or patients with ruptured AAA. Statistical analysis was carried out using SPSS Statistics version 25 (IBM Corp, Armonk, New York) software. Results: A total of 50 patients from 30 studies were included for analysis. Males made up 88% (n=44) of the population. The median age for this cohort was 70 years (range: 47–86 years). Median aneurysmal diameter was 6.0 cm (range: 4.0–10.3 cm). The median operative time for endovascular repair was 84 minutes (range: 40–332 minutes). The most common graft used was Zenith, used in 40% (n=20) of the cases, followed by Endurant in 14% (n=7). The overall complication rate was 14% (n=7). The median follow-up was 19 months (range: 1–108 months). While comorbidities did not appear to impact outcomes significantly, median operative times for smokers were higher than those in nonsmokers, 84 versus 118 minutes, respectively (p=0.048). Univariate linear regression modeling of aneurysmal size with age, operative time, and length of stay revealed a significant coefficient association between aneurysmal size and operative times. After adjusting for comorbidities and aneurysmal size, prior history of chronic kidney disease significantly increased odds for renal infarction. Conclusion: This review presents the most complete data set possible of patients with concomitant HSK and AAA treated by an endovascular approach. Furthermore, the A + B + C classification for grouping the HSK vasculature is implemented. This systematic review suggests EVAR to be an excellent option with low complication rates for the treatment of AAA in patients with HSK.

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Section: Discussionmentioning

confidence: 99%

“…24 Minor complications have also been reported, such as left groin wound infection 25 and transitional fever. 26…”

Section: Discussionmentioning

confidence: 99%

EVAR in Patients With Abdominal Aortic Aneurysm and Horseshoe Kidney: A Systematic Review

et al. 2021

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“…In considering endovascular repair, detailed preprocedural imaging is essential in the assessment of renal vasculature. 23,24 If available, the use of three-dimensional (3D) reconstructions of CT angiography using a 3D workstation (including functions of volume rendering, multiplanner reconstruction and centerline of flow images) is helpful and may offer more information than conventional angiography. 30,31 Although the sacrifice of lower-pole and accessory renal arteries is inevitable, this does not seem to cause significant endoleaks, jeopardize renal function or cause long-term renal hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…Volpe et al 24 treated a 65-year-old man with a 5-cm infrarenal aneurysm with a Powerlink bifurcated endograft (Endologix, Irvine, CA, USA), with exclusion of two accessory renal arteries arising from the non-aneurysmatic proximal aortic neck. Sajid et al 25 reported an 80-year-old patient treated with a Cook Zenith aorto-uni-iliac device (William Cook UK) with femorofemoral bypass graft, with intentional covering of two accessory renal arteries arising from the sac.…”

Section: Literature Reviewmentioning

confidence: 99%

Endovascular infrarenal aneurysm repair in patients with horseshoe kidneys: case series and literature review

et al. 2011

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Horseshoe kidney may cause technical and access problems during open aortic aneurysm repair. The aim of this study is to report two cases from our institution and to review the world's literature on successful endovascular infrarenal aneurysm repair in patients with horseshoe kidneys. A retrospective review of a prospectively entered departmental computerized database was performed for the two patients from our institution. Articles were searched electronically from PubMed and Medline, using the terms 'horseshoe kidney' and 'aneurysm'. Endovascular cases were reviewed from the world's literature. In addition to the two patients from our institution, there were 19 patients with infrarenal aneurysms and horseshoe kidneys in published literature who underwent successful endovascular aneurysm repair. The occlusion of lower-pole or accessory renal arteries does not seem to cause significant endoleak or renal impairment in the long run. In conclusion, our experience and current literature seem to suggest that endovascular repair of infrarenal aortic aneurysms for patients with horseshoe kidneys is safe. Renal impairment will depend on the area of kidney perfused by the accessory renal arteries. The endovascular treatment option is less invasive than open repair, and circumvents the problem of difficult exposure, especially in those patients with significant co-morbidity.

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“…Moreover, ectopic renal arteries are often found in this condition [10]. Since 1991, EVAR has been used for the treatment of AAA coexistent with HSK in 13 cases, and uni-iliac stent grafting was used in most of them [11][12][13][14][15][16][17][18][19]. This method is easier and quicker because theres is no need to catheterize the contralateral limb.…”

Section: Discussionmentioning

confidence: 99%

Correção endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Saadi¹,

Dussin²,

Moura³

et al. 2008

Rev Bras Cir Cardiovasc

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Horseshoe kidney is a rare congenital anomaly that may cause various technical problems during conventional repairs of abdominal aortic aneurysms. We report the case of a 68-year-old woman with a horseshoe kidney, symptomatic abdominal aortic aneurysm and mild renal failure. The patient underwent endovascular repair using a bifurcated endoprosthesis. The postoperative was uneventful. We describe the diagnosis and the endovascular technique and literature review.

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Endovascular Repair of an Abdominal Aortic Aneurysm in a Patient with Horseshoe Kidney: Report of a Case

Cited by 9 publications

References 14 publications

EVAR in Patients With Abdominal Aortic Aneurysm and Horseshoe Kidney: A Systematic Review

EVAR in Patients With Abdominal Aortic Aneurysm and Horseshoe Kidney: A Systematic Review

Endovascular infrarenal aneurysm repair in patients with horseshoe kidneys: case series and literature review

Correção endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

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