Simultaneous aortic and renal artery reconstruction: Evolution of an eighteen-year experience

Cambria, Richard P.; Brewster, David C.; L’Italien, Gilbert; Koustas, George; Atamian, Susan; LaMuraglia, Glenn M.; Gertler, Jonathan P.; Abbott, William M.

doi:10.1016/s0741-5214(95)70219-9

Cited by 61 publications

(23 citation statements)

References 28 publications

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“…14,21,25-27 Several recent reports, including the present series, have described good results after combined aortic and renal artery reconstruction with <5% mortality rates, which are comparable to those observed after isolated infrarenal aortic repair. [5][6][7][8][9][10][11] Mortality was 2.6% in the present series.…”

Section: Discussioncontrasting

confidence: 40%

“…However, it should be stressed that improved hypertensive control has been reported in 50 to 70% of cases in the literature. 2,6,8,10,19,26,27,31 Kulbaski et al 10 demonstrated the value of empirical reconstruction of the renal artery in combination with aortic repair in patients under intensive antihypertensive medical regimens. In our series, disappearance or improvement of hypertension was achieved in 17 (61%) of the 28 patients presenting this symptom preoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Although good results after combined reconstruction have been reported, [5][6][7][8][9][10][11] some authors recommend transluminal angioplasty of the renal artery prior to aortic repair. 12,13 Recently, several reports have advised against concomitant operative treatment in patients presenting asymptomatic renal stenosis.…”

Section: Introductionmentioning

confidence: 99%

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Renal Artery Revascularization in Combination with Infrarenal Aortic Reconstruction

Hassen-Khodja

Sala

Declemy

et al. 2000

Annals of Vascular Surgery

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Section: Discussioncontrasting

confidence: 40%

Section: Discussionmentioning

confidence: 99%

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Renal Artery Revascularization in Combination with Infrarenal Aortic Reconstruction

Hassen-Khodja

Sala

Declemy

et al. 2000

Annals of Vascular Surgery

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“…Furthermore, ARAS is often accompanied by vascular disease in at least 1 additional arterial bed, namely PAD [142,143,144,145,146], abdominal aortic disease [146,147,148,149], carotid artery disease [145,150,151,152] and/or CHD [2, 114, 116, 152, 153]. This was recently verified in a cohort of patients with CHD.…”

Section: Discussionmentioning

confidence: 92%

Atherosclerotic Renal Artery Stenosis: Association with Emerging Vascular Risk Factors

Paraskevas¹,

Hamilton

Cross

et al. 2007

Nephron Clin Pract

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Background: The established risk factors for atherosclerotic renal artery stenosis (ARAS) include hypertension, diabetes mellitus, dyslipidemia, obesity,smoking, old age and family history. In the last few years, several emerging risk factors have been proposed as predictors of ARAS, namely homocysteine, fibrinogen, C-reactive protein, lipoprotein(a) and creatinine. Methods: We searched Pubmed/Medline for studies investigating the prognostic value of each of these emerging risk factors in ARAS. Results: Creatinine and C-reactive protein seem to be the most promising predictors of ARAS, whereas the prognostic value of homocysteine, lipoprotein(a) and fibrinogen is not yet fully determined. Conclusion: The establishment of a definite role for these emerging risk factors could result in earlier recognition and/or better management of ARAS with potential regression/slowing down of progression of stenosis. Modifying these markers may also improve the therapeutic approach of the associated systemic atherosclerosis in these high-risk patients. Future trials should focus on the effect of different classes of drugs (e.g. statins and fibrates) on the levels of the emerging risk factors and the association with ARAS progression.

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“…However, it was not until 1952 that Freeman by performing disobliteration proved the superiority of the reconstructive operations over the nephrectomy. Despite the significant improvement in recent years in diagnosis as well as therapeutic procedures, patients with simultaneous arteriosclerotical alternations of the aorta and arterial hypertension still seem to be a major therapeutic problem [2].…”

Section: Introductionmentioning

confidence: 99%

Renovascular hypertension ? simultaneous aortic and renal artery reconstruction

Chęciński

Gabriel

Dzieciuchowicz

et al. 2002

Langenbeck's Archives of Surgery

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Despite the enormous progress that has been madein the fields of vascular surgery and intensive care, reconstructive surgery of renal arteries in the presence of arteriosclerosis of the abdominal aorta remains a serious therapeutic problem and is associated with a high rate of complications. The purpose of this study was to analyze the results of treatment of patients with renovascular hypertension and so-called difficult aorta. Surgery was carried out in 68 patients with a critically stenosed renal artery and severe arteriosclerosis of the abdominal aorta. In 53 patients an aortobifemoral prosthetic graft was implanted together with endarterectomy of the renal artery in 23 patients, an aortorenal venous graft in 23 patients and a prosthetic graft in 7 patients. In the remaining 15 patients extra-anatomic anastomoses were performed between the splenic artery and the renal artery (7 patients), hepatic artery and renal artery (6) and between the superior mesenteric and renal artery (2). Postoperatively, the hypertension was cured in 55% of patients, improved in 38% and remained unchanged in 7%. After 1 year the results were respectively 47, 36, and 17%. The patients with an aortorenal prosthetic graft demonstrated a greater tendency for hypertension to recur.

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Simultaneous aortic and renal artery reconstruction: Evolution of an eighteen-year experience

Cited by 61 publications

References 28 publications

Renal Artery Revascularization in Combination with Infrarenal Aortic Reconstruction

Renal Artery Revascularization in Combination with Infrarenal Aortic Reconstruction

Atherosclerotic Renal Artery Stenosis: Association with Emerging Vascular Risk Factors

Renovascular hypertension ? simultaneous aortic and renal artery reconstruction

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