Outcomes of accessory renal artery occlusion during endovascular aneurysm repair

Karmacharya, Jagajan; Parmer, Shane S.; Antezana, James N.; Fairman, Ronald M.; Woo, Edward Y.; Velázquez, Omaida C.; Golden, Michael A.; Carpenter, Jeffrey P.

doi:10.1016/j.jvs.2005.09.008

Cited by 71 publications

(59 citation statements)

References 9 publications

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“…Em humanos, Karmacharya et al (2006) citam a prevalência de artérias renais acessórias no rim esquerdo. As variações no arranjo e distribuição das artérias renais também foram estudadas por Sampaio e Passos (1992), que citaram casos de duplicação e triplicação, e até mesmo a ocorrência de ramos arteriais suprindo tanto o pólo superior quanto o pólo inferior do rim.…”

Section: Discussionunclassified

Artéria renal dupla em gato

et al. 2011

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ResumoO conhecimento das variações nos vasos renais possui importância em um programa de sistematização da anatomia radiológica e cirúrgica, tanto para o homem quanto para animais destinados a pesquisa, ensino e treinamento cirúrgico. As artérias renais têm sido estudas tanto radiograficamente quanto através de dissecção. Atenção particular é dada ao estudo desses vasos enfatizando as variações entre as diferentes espécies animais. O local de origem das artérias renais a partir da aorta abdominal varia de acordo com a topografia renal nos diferentes animais. A artéria renal direita se origina mais cranialmente que a esquerda de acordo com a posição mais cranial do rim direito. O objetivo deste artigo é descrever um caso de dupla artéria renal esquerda originando-se da superfície ventral da artéria aorta abdominal em um cadáver de gato macho com três anos de idade. O mesmo foi fixado e preservado com solução de formaldeído a 10% e teve o seu sistema arterial preenchido com látex corado. Observou-se que o rim esquerdo foi suprido por duas artérias renais, de diferente topografia e arranjo, caracterizando duplicidade da artéria renal. Palavras-chave: Duplicidade, artéria renal, gato AbstractKnowledge of the renal vessels variations has importance in a systematization program of radiological and surgical anatomy, both in humans and animals, applied for research and surgical training. Renal arteries have been considered by dissective or angiographic study means. Particular attention has been paid to the study of these vessels, outlining the variations noticed among various animal species. The renal arteries sites of origin of the abdominal aorta vary according to the renal topography of the different animals. As a rule, the right artery arises more cranially than the left one, according with the most cranial position of the right kidney. Thus, the goal of this article is to describe a case of a left double renal artery originating from the ventral portion of the aorta, in a three old male cat cadaver, formalin-preserved at 10% and with latex colored vascular injection. It was observed that the left kidney was supplied by two arteries of different topography and arrangements, showing duplicity of the renal artery.

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Section: Discussionunclassified

Artéria renal dupla em gato

et al. 2011

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“…According to EURO-STAR data (4) the closure of the accessory renal artery was observed in 181 of all 8345 (2.17%) endovascular procedures, considering patients with abdominal aortic aneurysms. Outcomes of accessory renal artery occlusion have no negative influence on kidney functioning, and embolization is not required in case of type 2 endoleak treatment (45).…”

Section: Discussionmentioning

confidence: 99%

Analysis of Early and Distant Results Following Endovascular Repair of the Descending and Abdominal Aorta

Mazurkiewicz

Andziak

Sybilski

et al. 2007

Polish Journal of Surgery

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The aim of the study was to analyze early and distant results following thoracic descending and abdominal aorta stentgraft implantations. Material and methods. During the period between 2000 and 2006, 20 stentgrafts were implanted into the thoracic descending aorta and 114 into the abdominal aorta. Results. The initial technical success was obtained in 85.71% of cases considering the descending aorta and 89.47% in case of the abdominal aorta. The initial clinical success was obtained in 85.71% and 84.21%, respectively. In 5% of descending aortic operations the branching of the left subclavian artery was covered. Early mortality in case of descending aortic operations amounted 4.76%, while that after abdominal aortic operations -0.88%. After the implantation of abdominal aortic stentgrafts, 2.63% of early conversions were performed because of aneurysmal rupture, and 1.75% of distant conversions, due to prosthesis inflammation. After abdominal aortic operations, 2.63% of patients required reconstructive operations, due to arterial injury at the site of the approach. After the implantation of descending aortic stentgrafts, early type 1 endoleaks were observed in 10% of cases. After the implantation of abdominal aortic stentgrafts, primary endoleaks were observed in 11.4% of cases: type 1 -7.02%, type 2 -3.51%, type 3 -0.88%. Following the implantation of abdominal aortic stentgrafts, 1.75% of patient's demonstrated symptoms of colon ischemia, while 0.88% -kidney ischemia. After abdominal aortic operations secondary endoleaks were observed in 7.01% of cases: type 1 -2.63%, type 2 -1.75%, type 3 -2.63%. Conclusions. 1. The implantation of stentgrafts is a safe and effective method considering the treatment of descending aortic injuries, dissections and ruptures. 2. The implantation of stentgrafts enables to obtain satisfactory results in the treatment of abdominal aortic aneurysms, considering high-risk patients. 3. The significant number of complications and their heterogenity might be responsible for the limited indications towards stentgraft implantations. The above-mentioned method should be performed in case of patients, where classical operations are connected with an increased risk of complications. Key words: stentgraft, complications, abdominal aortic aneurysm, thoracic descending aorta aneurysm, descending aortic dissection POLSKI PRZEGLĄD CHIRURGICZNY 10.2478/v10035-007-0031-9 2007 In1991, Parodi et al.

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“…Renal artery occlusion secondary to a stent graft impingement remains an uncommon complication that is typically recognized early, and which is immediately treated during the procedure. 3 Karmacharya et al 5 reported that 9 of 550 patients exhibited small renal infarcts associated with EVAR on follow-up CT scans.…”

Section: Case Reportsmentioning

confidence: 99%

A Case of Near Total Occlusion of the Renal Artery after Endovascular Abdominal Aortic Aneurysm Repair

Jung

Kang

Nam

et al. 2015

J Lipid Atheroscler

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Endovascular abdominal aortic aneurysm repair is a safe, durable, and effective procedure. However, complications could occur with stent graft devices. When the renal ostia become obstructed by this device, renovascular hypertension may result. In general, renal artery occlusion secondary to stent graft impingement remains uncommon. We herein describe a patient with renal atrophy, new-onset hypertension, and elevated serum renin and aldosterone levels following endovascular aneurysm repair. Blood pressure and the levels of renin and aldosterone were normalized by renal artery stenting.

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Outcomes of accessory renal artery occlusion during endovascular aneurysm repair

Cited by 71 publications

References 9 publications

Artéria renal dupla em gato

Artéria renal dupla em gato

Analysis of Early and Distant Results Following Endovascular Repair of the Descending and Abdominal Aorta

A Case of Near Total Occlusion of the Renal Artery after Endovascular Abdominal Aortic Aneurysm Repair

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