Adjunctive renal artery revascularization during juxtarenal and suprarenal abdominal aortic aneurysm repairs

Gregory Landry, Ignatius H. Lau, Timothy Liem, Erica Mitchell, Gregory (Greg) Moneta

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: We report a 15-year experience with renal artery revascularization during abdominal aortic aneurysm (AAA) repair. Methods: AAA repairs from 1994 to 2009 were reviewed. Postoperative complications, renal function, patency, and survival in patients undergoing renal artery revascularization were evaluated and compared with a control group of patients undergoing juxtarenal AAA repairs not requiring renal artery revascularization. Results: Sixty patients underwent renal artery revascularization during AAA repair. Transient postoperative renal insufficiency occurred in 20 patients. Temporary hemodialysis was required in 3 patients, with none requiring permanent hemodialysis. There was 1 postoperative death. There was 1 renal artery revascularization failure at 1 month but no other graft failures at 12 months median follow-up evaluation (1-year patency, 97%). In comparison with the control group, transient renal insufficiency and pulmonary complications (33.3% vs 19.8%; P = .042) were more common with renal artery revascularization, with no differences in long-term renal complications or mortality. Conclusions: Renal artery revascularization can be performed during AAA repair with excellent patency and minimal morbidity.

Original languageEnglish (US)
Pages (from-to)641-645
Number of pages5
JournalAmerican Journal of Surgery
Volume199
Issue number5
DOIs
StatePublished - May 2010

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Abdominal Aortic Aneurysm
Renal Artery
Renal Insufficiency
Renal Dialysis
Kidney
Control Groups
Morbidity
Transplants
Lung
Survival
Mortality

Keywords

  • Abdominal aortic aneurysm
  • Postoperative complications
  • Renal artery
  • Vascular surgical procedures

ASJC Scopus subject areas

  • Surgery

Cite this

Adjunctive renal artery revascularization during juxtarenal and suprarenal abdominal aortic aneurysm repairs. / Landry, Gregory; Lau, Ignatius H.; Liem, Timothy; Mitchell, Erica; Moneta, Gregory (Greg).

In: American Journal of Surgery, Vol. 199, No. 5, 05.2010, p. 641-645.

Research output: Contribution to journalArticle

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AB - Background: We report a 15-year experience with renal artery revascularization during abdominal aortic aneurysm (AAA) repair. Methods: AAA repairs from 1994 to 2009 were reviewed. Postoperative complications, renal function, patency, and survival in patients undergoing renal artery revascularization were evaluated and compared with a control group of patients undergoing juxtarenal AAA repairs not requiring renal artery revascularization. Results: Sixty patients underwent renal artery revascularization during AAA repair. Transient postoperative renal insufficiency occurred in 20 patients. Temporary hemodialysis was required in 3 patients, with none requiring permanent hemodialysis. There was 1 postoperative death. There was 1 renal artery revascularization failure at 1 month but no other graft failures at 12 months median follow-up evaluation (1-year patency, 97%). In comparison with the control group, transient renal insufficiency and pulmonary complications (33.3% vs 19.8%; P = .042) were more common with renal artery revascularization, with no differences in long-term renal complications or mortality. Conclusions: Renal artery revascularization can be performed during AAA repair with excellent patency and minimal morbidity.

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