Renal volumes and estimated glomerular filtration rate changes after fenestrated-branched endovascular aortic repair

Motta, Fernando; Kalbaugh, Corey A.; Luckett, Daniel J.; Fine, Jason P.; Antonescu, Ioana; Ohana, Elad; Crowner, Jason

doi:10.1016/j.jvs.2018.12.043

Cited by 4 publications

(1 citation statement)

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“…Early branches and additional renal arteries can be responsible for a significant percentage of the organ arterial supply, hence the importance of preserving these vessels whenever possible, especially in patients who already present a decline in renal function prior to the FEVAR procedure. Motta et al, 9 in a retrospective study including 139 F/BEVAR patients, reported intentional coverage or embolization of ARA in 87% of the 31 cases that presented this anatomical variation. The incidence of postoperative acute kidney injury among this subgroup was 7.4%.…”

Section: Discussionmentioning

confidence: 96%

Case Series on Double-Barrel Stenting for the Renal Arteries Associated With Fenestrated Repair (FEVAR) of Complex Anatomy Aortic Aneurysms

Gomes,

Parodi,

Ohana

et al. 2023

Vasc Endovascular Surg

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The double-barrel stenting (DBS) is a technique in which 2 parallel stents are simultaneously deployed through the same reinforced fenestration, into 2 adjacent target vessels. Prior reports describe the application of this technique for the treatment of superior mesenteric artery dissection with aneurysmal degeneration, coronary artery bifurcations, aortic arch branches, and intracranial aneurysms. The DBS technique is particularly useful in the context of fenestrated repair (FEVAR) of complex anatomy aortic aneurysms when the origin of visceral arteries branch off the aorta very close to each other or present early branches. We herein describe a case series including 7 patients who underwent a FEVAR procedure for thoracoabdominal and juxtarenal aortic aneurysms in which the presence of accessory renal arteries (ARA) or early renal branches was the reason for the application of this technique. Technical success was 100% and all stents were patent in the last follow-up CT scan (follow-up range: 1.8-62.8 months). There was only 1 small endoleak from indetermined source potentially related to the DBS, but the aneurysm sac decreased in size during follow-up and no secondary intervention was needed. Therefore, the DBS technique is a viable option for the incorporation of ARA or early renal branches to a fenestrated repair of aortic aneurysms with complex anatomy.

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Section: Discussionmentioning

confidence: 96%