Early and Late Results of Ex Vivo Repair and Autotransplantation in Solitary Kidneys

Morin, Jean; Chavent, Bertrand; Duprey, Ambroise; Albertini, Jean‐Noël; Favre, Jean‐Pierre; Barral, Xavier

doi:10.1016/j.ejvs.2012.02.036

Cited by 22 publications

(11 citation statements)

References 7 publications

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“…In fact, some studies of ex vivo repair with auto-transplantation showed positive outcomes for the treatment of RAA without any renal dysfunction in cases with a solitary kidney. [ 9 – 11 ]…”

Section: Discussionmentioning

confidence: 99%

Role of heterotopic kidney auto-transplantation for renal artery aneurysms

Gwon

Han²,

Cho

et al. 2018

Medicine

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To assess the applicability and surgical outcomes of ex vivo repair with heterotopic kidney auto-transplantation (HKA) for the treatment of renal artery aneurysms (RAA).We retrospectively examined 36 cases presenting with RAA from September 2005 to June 2016. Patient demographics, estimated glomerular filtration rate (eGFR), and common vascular risk factors were evaluated. Patients were classified into 3 groups: those who received endovascular treatment, in situ open surgical repair, or ex vivo repair with HKA. The findings were compared among the groups.The endovascular repair, in situ open repair, and ex vivo repair with HKA groups included 14, 9, and 13 patients, respectively (mean follow-up, 30.42 ± 30.54 months). The eGFR (P = .32) and number of anti-hypertension medications (P = .33) did not significantly differ among the groups. Moreover, 3 renal infarctions were detected in the endovascular group and only 1 was detected in the in situ repair group. One patient in the endovascular repair group required dialysis due to renal failure. Patients in the ex vivo repair with HKA group did not exhibit any complications.With safety and effectiveness comparable to other RAA treatment methods, ex vivo repair with HKA for RAA treatment appears suitable particularly in cases with complicated renal artery branch aneurysm and marginal renal function.

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Section: Discussionmentioning

confidence: 99%

Role of heterotopic kidney auto-transplantation for renal artery aneurysms

Gwon

Han²,

Cho

et al. 2018

Medicine

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“…In this series, the MDRD clearance did not change between the pre-and post-operative measurements, including cases of solitary kidney, where there was no impairment of renal function. 38 Ex vivo repair also facilitates reconstruction of small branches and is feasible in almost all aneurysmal lesions, whereas unplanned nephrectomies during in situ surgery have been reported in the literature. 1 Ex vivo repair also facilitates treatment of endovascular embolization failures, which represented 11% of patients in the present study.…”

Section: Choice Of Treatmentmentioning

confidence: 99%

Editor's Choice – Ex vivo Renal Artery Repair with Kidney Autotransplantation for Renal Artery Branch Aneurysms: Long-term Results of Sixty-seven Procedures

Duprey

Chavent

Meyer-Bisch

et al. 2016

European Journal of Vascular and Endovascular Surgery

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“…Henke et al 6 reported a 6.6% rate for unplanned nephrectomies after RAA repair, and other reports have varied from 0% to 11%. 12,14,19,21 The unpredictable complexity of the distal arterial anatomy in these more complex hilar lesions will inevitably result in some unreconstructable lesions. Despite this, no patient in the present series suffered renal failure requiring hemodialysis, and there were no mortalities.…”

Section: Discussionmentioning

confidence: 99%