Strategies to tackle unrecognized bilateral renal artery occlusion after endovascular aneurysm repair.

Abstract:

BACKGROUND:Unintentional renal artery occlusion after endovascular aortic aneurysm repair (EVAR) is an uncommon phenomenon. The sequelae from this specific complication are severe; consequently, the topic of renal artery coverage is a pertinent issue. We present a case series of patients undergoing EVAR with unintentional renal artery coverage, review the treatment options available, and suggest a treatment algorithm for this scenario based on the evidence. METHODS AND RESULTS:We report four patients who were found to have renal artery occlusion after EVAR detected up to 5 weeks postoperatively. Renal revascularization was achieved using endovascular renal artery stenting in two patients, and open hepato-spleno-renal bypass in the remaining two cases. Treatment strategies used led to symptom resolution and recovery of renal function in all cases. CONCLUSIONS:Both open and endovascular techniques may be used as procedures to treat this condition-the choice of procedure is primarily determined by accessibility of the renal orifice.

journal_name

Ann Vasc Surg

authors

Adu J,Cheshire NJ,Riga CV,Hamady M,Bicknell CD

doi

10.1016/j.avsg.2012.02.018

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

1127.e1-7

issue

8

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(12)00221-X

journal_volume

26

pub_type

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