The Perth endoluminal bifurcated graft system - development and early experience

Lawrence-Brown, Michael; Hartley, David E.; MacSweeney, Shane T.; Kelsey, P.; Ives, F. J.; Holden, Andrew; Gordon, Malcolm; Goodman, M. A.; Sieunarine, Kishore

doi:10.1016/s0967-2109(96)00046-4

Cited by 105 publications

(64 citation statements)

References 15 publications

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“…† One of these provided no data on postprocedural renal function, 35 and three series contained both suprarenal and infrarenal fixation patients but did not assess the impact of fixation on renal function. 46,47,49 One series used the number of kidneys rather than patients as the study denominator. We were unable to contact the authors for clarification so this series was excluded.…”

Section: Resultsmentioning

confidence: 99%

Suprarenal endograft fixation and medium-term renal function: Systematic review and meta-analysis

Walsh

Boyle

Lynch

et al. 2008

Journal of Vascular Surgery

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Currently available data are insufficient to determine the precise effect of suprarenal fixation on medium-term renal function. Conventional Kaplan-Meier analysis of the pooled data set suggested that suprarenal fixation increased the risk of renal dysfunction; however, the effect disappeared when sophisticated statistical modelling was performed to account for study heterogeneity. A randomised controlled trial of suprarenal fixation may resolve this issue.

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Section: Resultsmentioning

confidence: 99%

Suprarenal endograft fixation and medium-term renal function: Systematic review and meta-analysis

Walsh

Boyle

Lynch

et al. 2008

Journal of Vascular Surgery

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“…Five (50%) of 10 endoleak patients were followed for Ն6 months (median 13 months, range [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. During this period, the aneurysm diameter decreased an average of 15.0 mm (range 1-50 mm, p Ͻ 0.0001).…”

Section: Ten Patients (3 Custom-made and 7 Bifurcatedmentioning

confidence: 99%

Intraoperative Proximal Endoleaks during AAA Stent-Graft Repair: Evaluation of Risk Factors and Treatment with Palmaz Stents

Dias¹,

Resch²,

Malina

et al. 2001

J Endovasc Ther

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“…LawrenceBrown and associates from Australia constructed an endovascular stentgraft, which included a suprarenal fixation segment, which was later on modified to include hooks and barbs (22).…”

Section: Discussionmentioning

confidence: 99%

Influence of Suprarenal Stentgraft Fixation on Renal Function in Patients After Abdominal Aortic Aneurysm Endovascular Exclusion

Gałązka¹,

Szmidt²,

Rowiński³

et al. 2007

Polish Journal of Surgery

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2 Kierownik: prof. dr hab. O. RowińskiCurrently, there are two methods of stentgraft implantation considering patients with abdominal aortic aneurysms (AAA) undergoing endovascular repair: the suprarenal and infrarenal fixation. It has been suggested that suprarenal fixation may lead towards impaired kidney function. The aim of the study was to assess the influence of suprarenal stentgraft fixation on kidney function in patients after endovascular repair of abdominal aortic aneurysms. Material and methods. The inclusion criteria were fulfilled by 118 patients who were subjected to endovascular treatment, due to abdominal aortic aneurysms. They were consequently divided into two groups -suprarenal (NN) or infrarenal (PN) -based on the stentgraft system used. Both groups were compared on the basis of co-morbidities, operative risk (ASA score), and volume of contrast medium used intraoperatively. The creatinine concentration (cr) and creatinine clearance (Cr.cl) were assessed during the preoperative period, between the 3-rd and 7-th postoperative day, and after 3 months. Results. Increased creatinine level during the first postoperative week was observed in 12 of 118 patients (10.1%): in the suprarenal group -7 of 66 (10.6%), and in the infrarenal group 5 of 52 (9.96%). During the 3-rd postoperative month the increase (cr >1.5 mg/dL) was present in 3 of 118 patients (2.5%): in the suprarenal group -2 of 66 (3.03%) and in the infrarenal group-1 of 52 (1.9%). The difference between both groups was statistically insignificant. Furthermore, there was no statistically significant difference between creatinine clearance levels considering both groups. Conclusions. In case of patients undergoing endovascular repair for AAA, implantation of a suprarenal device is a safe method, which does not significantly impair postoperative renal functioning. This increases the number of patients eligible for AAA treatment by means of stentgraft implantations.

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The Perth endoluminal bifurcated graft system - development and early experience

Cited by 105 publications

References 15 publications

Suprarenal endograft fixation and medium-term renal function: Systematic review and meta-analysis

Suprarenal endograft fixation and medium-term renal function: Systematic review and meta-analysis

Intraoperative Proximal Endoleaks during AAA Stent-Graft Repair: Evaluation of Risk Factors and Treatment with Palmaz Stents

Influence of Suprarenal Stentgraft Fixation on Renal Function in Patients After Abdominal Aortic Aneurysm Endovascular Exclusion

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