Predictors of diffuse renal microembolization following endovascular repair of abdominal aortic aneurysms.

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

Vascular

journal_title

Vascular

authors

Boules TN,Stanziale SF,Chomic A,Selzer F,Tublin ME,Makaroun MS

doi

10.2310/6670.2007.00006

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

18-23

issue

1

eissn

1708-5381

issn

1708-539X

journal_volume

15

pub_type

杂志文章

相关文献

Vascular文献大全
  • Treatment of symptomatic lower extremity acute deep venous thrombosis: role of mechanical thrombectomy.

    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

    authors: Biuckians A,Meier GH 3rd

    更新日期:2007-09-01 00:00:00

  • Association of renal artery stenosis with left ventricular remodeling in patients coexisting with renovascular and coronary artery disease.

    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

    authors: Dong H,Ou Y,Nie Z,Huang W,Liu Y,Zhou Y,Luo J,Li G

    更新日期:2019-04-01 00:00:00

  • Sonographic assessment of atherosclerotic and hypercholesterolemic artery using the echo-tracking technique in an animal model.

    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

    authors: Wen C,Zhang L,Wang Y,Cheng Z,Lin Q,Wang Z,Tang J

    更新日期:2010-05-01 00:00:00

  • Clinical outcomes of extended endovascular recanalization of 16 consecutive Buerger's disease patients.

    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

    authors: Kacmaz F,Kaya A,Keskin M,Keceoglu S,Algin IH,Yilmazkaya B,Ilkay E

    更新日期:2019-06-01 00:00:00

  • Asymptomatic carotid stenosis: mainly a medical condition.

    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

    authors: Spence JD

    更新日期:2010-05-01 00:00:00

  • Epithelioid hemangioma of the ulnar artery.

    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

    authors: Walker SR

    更新日期:2010-09-01 00:00:00

  • Modified distal revascularization with interval ligation procedure for steal syndrome after arteriovenous fistula creation for hemodialysis access.

    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

    authors: van der Meer S,Zeebregts C,Tielliu I,Verhoeven E,van den Dungen J

    更新日期:2007-07-01 00:00:00

  • Outcome of lower extremity revascularization for peripheral artery occlusive disease: is there a difference between men and women?

    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

    authors: Seymour KA,Sadowitz B,Amankwah KS,Gahtan V

    更新日期:2011-04-01 00:00:00

  • Supply and demand: Will we have enough vascular surgeons by 2030?

    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

    authors: Williams K,Schneider B,Lajos P,Marin M,Faries P

    更新日期:2016-08-01 00:00:00

  • Effects of a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients in Hainan Province, China.

    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

    authors: Su Q,Li C,Long F,Chen B,Wan Z,Wu Y,Dai M,Wang D,Zhang Y,Wang B

    更新日期:2017-06-01 00:00:00

  • Combined percutaneous endovascular iliac angioplasty and infrainguinal surgical revascularization for chronic lower extremity ischemia: preliminary result.

    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

    authors: Mousa A,Abdel-Hamid M,Ewida A,Saad M,Sahrabi A

    更新日期:2010-03-01 00:00:00

  • Endovascular treatment of popliteal artery aneurysms.

    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

    authors: Nelson PR,Anthony Lee W

    更新日期:2006-09-01 00:00:00

  • Supervised exercise therapy for intermittent claudication: current status and future perspectives.

    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

    authors: Lauret GJ,van Dalen DC,Willigendael EM,Hendriks EJ,de Bie RA,Spronk S,Teijink JA

    更新日期:2012-02-01 00:00:00

  • Clinical impact of hypogastric artery occlusion in endovascular aneurysm repair.

    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

    authors: Kalteis M,Gangl O,Huber F,Adelsgruber P,Kastner M,Lugmayr H

    更新日期:2015-12-01 00:00:00

  • Proteomics and pitfalls in the search for potential biomarkers of abdominal aortic aneurysms.

    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

    authors: Nordon IM,Brar R,Hinchliffe RJ,Cockerill G,Thompson MM

    更新日期:2010-09-01 00:00:00

  • A nationwide analysis of 30-day readmissions related to critical limb ischemia.

    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

    authors: Masoomi R,Shah Z,Quint C,Hance K,Vamanan K,Prasad A,Hoel A,Dawn B,Gupta K

    更新日期:2018-06-01 00:00:00

  • Perioperative baseline β-blockers: An independent protective factor for post-carotid endarterectomy hypertension.

    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

    authors: Teng L,Fang J,Zhang Y,Liu X,Qu C,Shen C

    更新日期:2020-08-09 00:00:00

  • Long-term outcomes and factors influencing late survival following elective abdominal aortic aneurysm repair: A 24-year experience.

    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

    authors: Khashram M,Jenkins JS,Jenkins J,Kruger AJ,Boyne NS,Foster WJ,Walker PJ

    更新日期:2016-04-01 00:00:00

  • Popliteal artery pseudoaneurysm associated with solitary osteochondromatosis.

    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

    authors: Boyacioğlu K,Kayalar N,Sarioğlu S,Yildizhan I,Mert B,Erentuğ V

    更新日期:2014-08-01 00:00:00

  • Complications of reperfusion in acute aortic artery occlusion following saddle embolization originating from an atrial myxoma.

    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

    authors: Ali T,Castro J,Young CR,Burnand KG

    更新日期:2004-05-01 00:00:00

  • The relationship between plaque cap morphology and access technique in lower extremity chronic total occlusion.

    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

    authors: Turkyilmaz S,Kavala AA

    更新日期:2019-04-01 00:00:00

  • Buerger's disease in the northeast of Iran: Epidemiology and clinical features.

    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

    authors: Modaghegh MH,Kazemzadeh GH,Ravari H,Johari HG,Barzanuni A

    更新日期:2015-10-01 00:00:00

  • Radial force measurement of endovascular stents: Influence of stent design and diameter.

    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

    authors: Matsumoto T,Matsubara Y,Aoyagi Y,Matsuda D,Okadome J,Morisaki K,Inoue K,Tanaka S,Ohkusa T,Maehara Y

    更新日期:2016-04-01 00:00:00

  • Endovascular abdominal aortic aneurysm repair in patients with challenging anatomy: utility of the hybrid endograft.

    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

    authors: Jordan WD Jr,Naslund TC,Adelman MA,Simoni G,Wirthlin DJ

    更新日期:2004-03-01 00:00:00

  • Hypothenar hammer syndrome: apropos of six cases and review of the literature.

    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

    authors: Nitecki S,Anekstein Y,Karram T,Peer A,Bass A

    更新日期:2008-09-01 00:00:00

  • Immediate surgery for acute internal carotid artery dissection and thrombosis during filter deployment prior to stenting: a case report.

    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

    authors: Tolva V,Bertoni GB,Bianchi PG,Keller GC,Casana R

    更新日期:2013-08-01 00:00:00

  • Endotension-related aortic sac rupture treated by endograft relining.

    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

    authors: Filippi F,Tirotti C,Stella N,Rizzo L,Taurino M

    更新日期:2013-04-01 00:00:00

  • The effects of preoperative cardiology consultation prior to elective abdominal aortic aneurysm repair on patient morbidity.

    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

    authors: Boniakowski AE,Davis FM,Phillips AR,Robinson AB,Coleman DM,Henke PK

    更新日期:2017-08-01 00:00:00

  • Early outcomes after left subclavian artery revascularisation in association with thoracic endovascular aortic repair.

    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

    authors: Oladokun D,Patterson BO,Brownrigg JR,deBruin JL,Holt PJ,Loftus I,Thompson MM

    更新日期:2017-02-01 00:00:00

  • Which type of conditioning method protects the spinal cord from the ischemia-reperfusion injury in 24 hours?

    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

    authors: Sapmaz A,Ulus AT,Turan NN,Kaymaz FF,Yazıcıoğlu H,Ersöz S,Simsek E,Köksoy C

    更新日期:2015-12-01 00:00:00