Extracorporeal Repair of
Primary Renal Artery Dissection

Martín, Xavier; Salas, Maria Aurora Posadas; Bouvier, R; Ninet, J.; Gelet, A.; Jm, Dubernard

doi:10.1159/000474341

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…[24][25][26] Data on extracorporeal repair and autotransplantation for renal artery dissection located distally in the main artery or its branches is sparse. 5,6,27 The present study is one of the largest to assess the effect of extracorporeal repair and autotransplantation on renal artery dissection, including long-term follow-up. Lacombe 6 described 22 patients with clinical symptoms; 6 received treatment in situ, and 11 underwent extracorporeal reconstruction and autotransplantation.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation11Competition of interest: none.Published online May 29, 2003.

Rooden

Baalen

Bockel

2003

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 99%

Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation11Competition of interest: none.Published online May 29, 2003.

Rooden

Baalen

Bockel

2003

Journal of Vascular Surgery

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“…Diagnosis is most accurately made with arteriography. The advent of high-resolution CTA and MRA may obviate the need for formal Complete nephrectomy (6) Partial nephrectomy (2) Ex-vivo renal arterial repair (11) In situ renal arterial repair (6) Normotensive after surgery (9) (all nephrectomy patients cured) Improved postoperative hypertension (11) No change postoperatively (2) Reilly et al …”

Section: Discussionmentioning

confidence: 99%

“…2,3 The first cases of spontaneous renal artery dissection (SRAD) were reported by Bumpus 4 in 1944 and Liebow et al 5 in 1956. Beroniade et al 2 and Martin et al 6 conducted prior reviews of SRAD.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous renal artery dissection: three cases and clinical algorithms

et al. 2006

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“…Mehrere Autoren haben deshalb die Exsitu-Rekonstruktion der Niere mit nachfolgender Autotransplantation in die Fossa iliaca vorgeschlagen [15,20]. Im eigenen Patientengut konnte durch die Ischä-mieprotektion der Niere mittels hypothermer Flushperfusion bis auf einen Fall auf die Ex-situ-Präparati-on verzichtet werden.…”

Section: Nierenarteriendissektionenunclassified

Therapie der Nierenarterienstenosen

Pfeiffer¹,

Müller²,

Huber³

et al. 2004

Herz

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Arterial hypertension is most often the first symptom of renal artery stenosis (RAS). Appropriate screening methods for the diagnostic workup of hypertension are colour-coded duplex ultrasound and captopril scintigraphy. Angiography (intraarterial digital subtraction angiography) represents the diagnostic "gold standard", which is the prerequisite for the selection of the most suitable therapeutic method. Atherosclerosis is the most common disease in elderly patients presenting with RAS. In younger patients, fibromuscular dysplasia is more frequent. Five main types with different prognosis and therapeutic indications can be classified. Rare causes of RAS are dissection, renal artery aneurysm with combined stenosis, and especially in children and adolescents middle aortic syndrome with hypoplasia of the visceral arteries. Every patient with RAS of hemodynamic relevance in the presence of hypertension should be treated, whereas therapeutic risk and benefit must be weighed up individually. Aims are the improvement of hypertension and the maintenance of renal function. Surgical techniques, which are described subsequently, are indicated in all patients who need further simultaneous treatment of the abdominal vessels (abdominal aortic aneurysm, aortoiliac or visceral artery stenosis or aneurysm, respectively). In atherosclerotic ostial stenoses, angioplasty (PTA) and open surgery (normally transaortic endarterectomy) are concurrent methods. In our experience, the long-term results of surgical reconstruction seem to be superior. Both procedures are subject to an ongoing randomized study in our department. The outcome of surgical treatment for RAS is satisfying, the operative risk especially in isolated renal artery lesions is negligible.

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Extracorporeal Repair of Primary Renal Artery Dissection

Cited by 6 publications

References 14 publications

Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation11Competition of interest: none.Published online May 29, 2003.

Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation11Competition of interest: none.Published online May 29, 2003.

Spontaneous renal artery dissection: three cases and clinical algorithms

Therapie der Nierenarterienstenosen

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