2003
DOI: 10.1016/s0741-5214(03)00083-1
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Effect of suprarenal versus infrarenal aortic endograft fixation on renal function and renal artery patency: a comparative study with intermediate follow-up

Abstract: Suprarenal endograft fixation does not lead to significant renal dysfunction, and renal artery occlusion is uncommon within 12 months. A larger study with longer follow-up is essential to determine overall effects on renal function and renal artery patency.

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Cited by 76 publications
(60 citation statements)
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References 19 publications
(28 reference statements)
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“…243 Other smaller studies comparing renal function after EVAR or open repair have also shown a deterioration in renal function, with one study demonstrating similar decline between types of repair 244 and two others showing greater deterioration after EVAR. 245,246 Several studies have compared suprarenal versus infrarenal fixation during EVAR, and these support a deterioration in renal function after EVAR [247][248][249][250][251][252][253] but demonstrate little difference between suprarenal or infrarenal fixation. A meta-analysis of these studies provided conflicting results according to the analytical method used and concluded that the data were insufficient to draw any strong conclusions on the impact of suprarenal fixation.…”
Section: Renal Functionmentioning
confidence: 99%
“…243 Other smaller studies comparing renal function after EVAR or open repair have also shown a deterioration in renal function, with one study demonstrating similar decline between types of repair 244 and two others showing greater deterioration after EVAR. 245,246 Several studies have compared suprarenal versus infrarenal fixation during EVAR, and these support a deterioration in renal function after EVAR [247][248][249][250][251][252][253] but demonstrate little difference between suprarenal or infrarenal fixation. A meta-analysis of these studies provided conflicting results according to the analytical method used and concluded that the data were insufficient to draw any strong conclusions on the impact of suprarenal fixation.…”
Section: Renal Functionmentioning
confidence: 99%
“…Several studies have reported the safety and efficacy of suprarenal fixation (21)(22)(23)(24)(25), with similar rates of renal dysfunction in EVAR performed with suprarenal and infrarenal fixation (24). However, there are reports of renal infarction and renal artery occlusions in patients with preexisting renal arterial disease (26,27), as well as of visceral compromise and arterial occlusion (28,29) with the use of suprarenal fixation.…”
Section: Endovascular Aneurysm Repairmentioning
confidence: 99%
“…Randomized controlled trials have reported that EVAR has a lower 30-day mortality than the open surgery repair of AAA [59,60]. Subsequent reports on the endovascular repair of AAA, which is based on mid-term to long-term follow-up, confirmed that the technique is safe and has no significant effect on renal function [61][62][63][64]. Nevertheless, the long-term results of endovascular repair are yet to be determined.…”
Section: Msct Angiography In Abdominal Aortic Aneurysm (Aaa) and Endomentioning
confidence: 99%