Factors affecting outcomes of open surgical repair of pararenal aortic aneurysms: A 10-year experience

West, Charles A.; Noel, Audra A.; Bower, Thomas C.; Cherry, Kenneth J.; Gloviczki, Péter; Sullivan, Timothy M.; Kalra, Manju; Hoskin, Tanya L.; Harrington, Jeffrey R.

doi:10.1016/j.jvs.2006.01.018

Cited by 170 publications

(153 citation statements)

References 26 publications

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“…Some other studies have reported low rates of patients requiring hemodialysis during the postoperative period; 18,25 while others report that up to 10% of patients with prior renal dysfunction subjected to surgery on the juxtarenal aorta required hemodialysis afterwards. 26 West Jr et al 1 reported that 4.1% of patients with CAIO temporarily required hemodialysis during the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of chronic aortoiliac occlusion

et al. 2015

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Background: Chronic aortoiliac occlusion (CAIO) is a significant cause of lower limb ischemia and is often found in young patients who smoke. Objective: To review recent results achieved treating CAIO patients with open surgery. Methods: From November 2011 to April 2014, 21 patients with CAIO were treated at the Santa Casa de Misericórdia, Porto Alegre, Brazil. Demographic data, comorbidities, clinical presentation and surgical results were analyzed. Results: Eleven women and ten men were treated with direct aortic bypass (DAB; n=18) or with extra-anatomic bypass (EAD; n=3). Mean age was 53.7 ± 7.3 years (range: 43-79 years) and all patients smoked. Thirteen patients (62%) had critical ischemia. Six of the patients treated with DAB (33.4%) also required additional revascularization (3 renal and 3 femoropopliteal procedures). Perioperative mortality was zero. Four patients (22.2%) suffered transitory renal dysfunction, but only one patient (5.6%) required hemodialysis. Median follow-up time was 17 months (range: 2-29 months) and there was just one late death, from ischemic heart disease, 7 months after the surgery on the abdominal aorta. Conclusions: Aortic reconstruction is a safe method for treating patients with CAIO, with low perioperative morbidity and mortality rates.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of chronic aortoiliac occlusion

et al. 2015

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“…In particular, these technical difficulties pose an increased risk of mortality and morbidity for patients with a history of laparotomy; comorbidities such as coronary artery disease; renal insufficiency; history of steroid use; and chronic obstructive pulmonary disease. 11,12) Recent reports of the open repair of JAA have revealed that the perioperative mortality ranges from 2.5 % to 6.3 %. [12][13][14] The endovascular approach is expected to be beneficial to treat JAA in the high risk patients.…”

Section: Follow-upmentioning

confidence: 99%

Early Experience with Fenestrated Stent Grafts for Treatment of Juxtarenal Aortic Aneurysm

Unno

Yamamoto

Higashiura

et al. 2013

Annals of Vascular Diseases

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“…4 Approximately 8-20% of AAAs are pararenal, which includes both juxtarenal and suprarenal AAAs. Juxtarenal AAAs are infrarenal aneurysms that involve the lower margin of the origin of the renal arteries.…”

Section: Definitionmentioning

confidence: 99%