Abstract:
:We evaluated the incidence, risk factors, and clinical consequences of renal microembolic events following endovascular aneurysm repair using suprarenal or infrarenal fixation. Pre- and postoperative (1 month) computed tomographic angiograms were reviewed for new renal perfusion defects. Suprarenal aortic and infrarenal neck thrombus load was classified by circumference involved and thrombus thickness. Serum creatinine was measured preoperatively, on the first postoperative day, and 1 month postoperatively. Among 136 patients, 8 (5.9%) had bilateral microembolic cortical defects. Patients with moderate or severe suprarenal thrombus were more likely to have renal microemboli than those with no or mild suprarenal thrombus (17% vs 0%; p < .001). Similarly, patients with moderate or severe infrarenal neck thrombus were more likely to have renal microemboli than those with no or mild infrarenal thrombus (9.6% vs 1.5%; p = .08). Severe infrarenal thrombus was independently predictive of microembolization (odds ratio 15.0; 95% confidence interval 1.6-142; p = .018). There was no statistically significant difference in the incidence of renal microembolization when comparing suprarenal and infrarenal fixation (8.2% vs 4.0%; p = .47). Changes in creatinine from baseline were not different in those with or without renal microemboli. Renal microembolization is an uncommon but distinct radiographic finding that is more associated with significant neck thrombus than fixation level.
journal_name
Vascularjournal_title
Vascularauthors
Boules TN,Stanziale SF,Chomic A,Selzer F,Tublin ME,Makaroun MSdoi
10.2310/6670.2007.00006subject
Has Abstractpub_date
2007-01-01 00:00:00pages
18-23issue
1eissn
1708-5381issn
1708-539Xjournal_volume
15pub_type
杂志文章相关文献
Vascular文献大全abstract::Systemic anticoagulation with heparin or its unfractionated derivatives followed by warfarin therapy has been the mainstay of treatment in patients with lower extremity deep venous thrombosis (DVT). Although heparin is an effective treatment modality in preventing thrombus propagation, it provides minimal therapeutic ...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2007.00070
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Data about renal artery stenosis association with left ventricular remodeling in patients coexisting with coronary artery disease are scanty. METHODS:Patients with suspected both coronary artery disease and renal artery stenosis undergoing coronary and renal arteriography between October 2013 and December 20...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538118819676
更新日期:2019-04-01 00:00:00
abstract::The purpose of this study was to ascertain the utility of sonography with the echo-tracking (ET) technique to assess vascular stiffness in rabbits with hypercholesterolemia and atherosclerosis. Grayscale sonography associated with the ET technique was used to measure the elastic modulus (Ep) of the aorta in cholestero...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00006
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:Buerger's disease is one of the worst diseases causing peripheral artery occlusions (especially lower extremity) with increased morbidity and mortality. Endovascular treatment of the diseased arteries gains preference over bypass surgery nowadays. Here, we aimed to present the clinical outcomes of 16 consecut...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538118805623
更新日期:2019-06-01 00:00:00
abstract::At present approximately 70% of carotid endarterectomy and stenting in the United States is being performed for asymptomatic carotid stenosis (ACS). This is based on historical risks of ACS that no longer pertain in the era of intensive medical therapy with statins and other therapies. In the past, the surgical risk o...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00023
更新日期:2010-05-01 00:00:00
abstract::This case report describes a rare vascular tumor (epithelioid hemangioma) in the ulnar artery of a young male patient, treated by excision and bypass grafting. ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00043
更新日期:2010-09-01 00:00:00
abstract::Patients diagnosed with steal syndrome after hemodialysis access surgery have a few options for symptom relief while maintaining vascular access. These include fistula lengthening, banding, distal revascularization with interval ligation (DRIL), revision using distal inflow (RUDI) or proximalization of the arterial in...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2007.00047
更新日期:2007-07-01 00:00:00
abstract::The incidence of peripheral arterial occlusive disease (PAD) increases with age. Women represent a growing percentage of the elderly population who present with PAD. While speculation exists that gender affects outcome after revascularization procedures, the literature is confusing and often conflicting. This review c...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1258/vasc.2010.ra0042
更新日期:2011-04-01 00:00:00
abstract::The increase in prevalence of certain cardiovascular risk factors increases susceptibility to vascular disease, which may create demand for surgical intervention. In our study, data collected by the American Association of Medical Colleges Physician Specialty Databook of 2012, the United States Census Bureau, and othe...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115596652
更新日期:2016-08-01 00:00:00
abstract::Survivors of ischemic stroke are still at a significant risk for recurrence. Antiplatelet agents are the treatment of first choice for long-term secondary prevention of vascular events. This study aims to assess a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients i...
journal_title:Vascular
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/1708538116666159
更新日期:2017-06-01 00:00:00
abstract::The purpose of this study was to evaluate the efficacy of combined ipsilateral percutaneous iliac angioplasty and open infrainguinal surgical techniques for the treatment of patients with multilevel arterial occlusive disease. Combining two types of approaches in the peripheral vascular field is a less aggressive tech...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00007
更新日期:2010-03-01 00:00:00
abstract::Popliteal artery aneurysms are relatively uncommon but potentially limb-threatening lesions that can thrombose or cause distal embolization. Identification of these aneurysms, especially in patients with abdominal aortic aneurysms, is imperative, and prophylactic treatment with either surgical exclusion and bypass or ...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2006.00049
更新日期:2006-09-01 00:00:00
abstract::Intermittent claudication (IC) has a high prevalence in the older population and is closely associated with cardiovascular and cerebrovascular disease. High mortality rates are reported due to ongoing atherosclerotic disease. Because of these serious health risks, treatment of IC should address reduction of cardiovasc...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1258/vasc.2011.ra0052
更新日期:2012-02-01 00:00:00
abstract:PURPOSE:To report the long-term results for patients treated with endovascular aneurysm repair and additional embolization and coverage of the hypogastric artery compared with patients treated with simple endovascular aneurysm repair. METHODS:A database of our endovascular aneurysm repair patient cohort was reviewed t...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114560462
更新日期:2015-12-01 00:00:00
abstract::Proteomics is evolving as an important research technique in cardiovascular disease. We present exploratory research for a systemic biomarker of abdominal aortic aneurysm (AAA) in serum. Forty patients, 20 with large AAAs and 20 matched controls, were prospectively recruited. Serum was harvested, enriched, and mined f...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00046
更新日期:2010-09-01 00:00:00
abstract::Objectives There is paucity of information regarding critical limb ischemia-related readmission rates in patients admitted with critical limb ischemia. We studied 30-day critical limb ischemia-related readmission rate, its predictors, and clinical outcomes using a nationwide real-world dataset. Methods We did a second...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538117727955
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:Post-carotid endarterectomy hypertension is a well-recognized phenomenon closely related to surgical complications. This study aimed to determine whether different kinds of perioperative antihypertensive drugs had a protective effect on post-carotid endarterectomy hypertension and influence on intraoperative ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538120946538
更新日期:2020-08-09 00:00:00
abstract:BACKGROUND:Abdominal aortic aneurysms can be either treated by an open abdominal aortic aneurysm repair or an endovascular repair. Comparing clinical predictors of outcomes and those which influence survival rates in the long term is important in determining the choice of treatment offered and the decision-making proce...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115586682
更新日期:2016-04-01 00:00:00
abstract::Osteochondroma is the most common benign tumor of the bone, seen mostly during adolescence. In the current study, we report a 19-year-old male patient with a two-week history of pain and swelling of the medial side of his right thigh just above the knee without any trauma. CT angiography revealed a popliteal artery ps...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538113486784
更新日期:2014-08-01 00:00:00
abstract::A 58-year-old man presented to the hospital with an 8-hour history of acute-onset bilateral lower limb ischemia. A large saddle embolus had occluded the aorta and could not be removed by balloon endarterectomy through the femoral arteries. Successful open aortic and femoral thromboembolectomy followed by extensive fas...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/rsmvasc.12.3.202
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:To evaluate access success according to plaque cap morphology in subjects with lower limb chronic total occlusion. METHODS:A retrospective study was performed for a three-year period. Subjects with lower extremity chronic total occlusion (Rutherford category 3-6, ischaemia) were included in the study. Cap m...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538118809855
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:The aim of this study is to present our long-term clinical experience in describing a clinical picture of Buerger's disease in our region. MATERIALS AND METHODS:In a retrospective study, files of 225 patients who were admitted to the hospital with diagnosis of thromboangiitis obliterans in a 10 year period ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114552838
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Angioplasty and endovascular stent placement is used in case to rescue the coverage of main branches to supply blood to brain from aortic arch in thoracic endovascular aortic repair. This study assessed mechanical properties, especially differences in radial force, of different endovascular and t...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115590040
更新日期:2016-04-01 00:00:00
abstract::Commercially available aortic stent grafts differ in construction and clinical advantage such that creating hybrid endografts by combining components from different manufacturers is sometimes useful. We describe a multicenter experience using hybrid endografts to treat patients with challenging anatomy. Hospital recor...
journal_title:Vascular
pub_type: 杂志文章,多中心研究
doi:10.1258/rsmvasc.12.2.106
更新日期:2004-03-01 00:00:00
abstract::Hypothenar hammer syndrome (HHS) is a rather rare condition and is a term used to describe an aneurysm or thrombosis of the ulnar artery. It is considered an occupational or recreational injury and is usually a result of a repetitive trauma to the hypothenar region where the unique anatomy of the Guyon canal allows ar...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2008.00002
更新日期:2008-09-01 00:00:00
abstract::Carotid artery stenting (CAS) is a validated option in the treatment of selected extracranial carotid artery stenosis. Carotid artery dissection during CAS is a rare but potentially devastating complication. We report a case of acute dissection and thrombosis of the left internal carotid artery during filter tip wire ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538113478774
更新日期:2013-08-01 00:00:00
abstract::Endovascular aortic aneurysm repair is an effective alternative to open surgical repair in high risk patient. Endotension is an unpredictable late and rare complication of EVAR. Clinical significance and choice of technique for treatment are controversial. At present, there are no cases of endotension-related aneurysm...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538113478725
更新日期:2013-04-01 00:00:00
abstract::Objectives The relationship between preoperative medical consultations and postoperative complications has not been extensively studied. Thus, we investigated the impact of preoperative consultation on postoperative morbidity following elective abdominal aortic aneurysm repair. Methods A retrospective review was condu...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538116685946
更新日期:2017-08-01 00:00:00
abstract::Approximately 40-50% of patients undergoing thoracic endovascular aortic repair require left subclavian artery coverage for adequate proximal landing zone. Many of these patients undergo left subclavian artery revascularisation. However, outcomes data for left subclavian artery revascularisation in the context of thor...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538116647631
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:This study was designed to test the effects of different types of preconditioning and postconditioning methods on spinal cord protection following aortic clamping. METHODS:The animals (rabbits) were divided into sham-operated, ischemic preconditioning, remote ischemic preconditioning, simultaneous aortic and...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114568702
更新日期:2015-12-01 00:00:00