Endovascular abdominal aortic aneurysm repair and renal complications: a comparison between suprarenal and infrarenal fixation of stent grafts

Ar, Cotroneo; Iezzi, Roberto; Giancristofaro, Daniela; Santoro, Massimo; Pierro, Antonio; Spigonardo, Francesco; Storto, Maria Luigia

doi:10.1007/s11547-007-0139-3

Cited by 14 publications

(7 citation statements)

References 24 publications

(37 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings of the present study contrast with results of several authors who have published retrospective series indicating that suprarenal endograft fixation does not have a significant effect on short (Ͻ12 months) and midterm (up to 24 months) renal function, [13][14][15][16][17][18] using serum creatinine concentration or creatinine clearance (Cockroft-Gault formula) as primary end points. Two previous studies that directly compared postoperative renal function after infrarenal and suprarenal endograft fixation, based on prospectively collected data, were published by Davey et al 15 and Forbes et al 31 in 2006. Davey et al 15 published a series of 92 patients undergoing EVAR with a suprarenal device compared with 87 patients undergoing EVAR with an infrarenal device.…”

Section: Discussioncontrasting

confidence: 99%

“…[9][10][11][12] Various studies in recent years have examined the effects of suprarenal vs infrarenal stent grant fixation during elective EVAR on renal function, largely suggesting no differences between the two practices, at least in the shortterm. Most of these were retrospective cohort studies, [13][14][15][16][17] some were retrospective analyses based on prospectively collected data, 9,18 and fewer followed a prospective cohort design. 19,20 Most of these series had a follow-up of up to 1 year.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Suprarenal graft fixation in endovascular abdominal aortic aneurysm repair is associated with a decrease in renal function

Saratzis

Sarafidis

Melas

et al. 2012

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

Suprarenal graft fixation in endovascular abdominal aortic aneurysm repair is associated with a decrease in renal function

Saratzis

Sarafidis

Melas

et al. 2012

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…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%

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Brown

Powell²,

Thompson³

et al. 2012

Health Technol Assess

206

170

View full text Add to dashboard Cite

How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

show abstract

“…A relative safe effect on renal function of a suprarenal endovascular device was confirmed. Similarly, Cotroneo et al 20 studied 60 patients with an SR stent graft and 42 patients with IR fixation and concluded that the use of endografts with suprarenal fixation did not lead to any significant increase in morphological and/or functional renal complications compared with those with infrarenal fixation. Lalka et al, 2 in a prospective analysis of data from 104 patients, found that the suprarenal fixation does not cause RA stenosis, occlusion, or infarction; nor does it preclude post-EVAR renal artery intervention.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Patient Renal Function Following Endovascular Aneurysm Repair with Suprarenal Fixation

Jia

Shi²,

Guan

et al. 2011

Surgical Techniques Development

View full text Add to dashboard Cite

This study aimed to assess the mid-term renal function of abdominal aortic aneurysm patients following suprarenal endovascular repair. From March 2005 to December 2009, 290 abdominal aortic aneurysm patients were included in the study and grouped according to whether they had received infrarenal or suprarenal endovascular aneurysm repair. Suprarenal endovascular aneurysm repair was performed in 173 patients, with a mean age of 72(±8) years (85.0% male). Infrarenal endovascular aneurysm repair was performed in 117 patients, with a mean age of 71(±9) years (90.6% male). Preoperative and one week, 1-, 3-, 6- and 12-month postoperative serum creatinine and cystatin C values were recorded. Estimated glomerular filtration rate was calculated by cystatin-based formula and Cr-based Cockcroft formula. The t-test was used to determine statistical differences between or within groups. All patients received Talent or Zenith endograft. Patients’ characteristics and operative files in the two groups were well matched. Preoperative serum creatinine and cystatin C were 82 (±8) mmol/L and 0.89 (±0.11) mg/L for suprarenal endovascular aneurysm repair, respectively, and 81 (±11) mmol/L and 0.87 (±0.15) mg/L, respectively, for infrarenal endovascular aneurysm repair; no differences were observed between the two groups. Compared to preoperative renal markers within each group, a deterioration in serum creatinine, cystatin C and estimated glomerular filtration rate values was found at one week and 12 months after surgery（P<0.05). A deterioration in cystatin C [SR:(0.93±0.17) mg/L, IR: (0.92±0.31) mg/L] and estimated glomerular filtration rate by cystatin C was also found at six months after surgery（P<0.05). However, no differences in patient serum creatinine, cystatin C and estimated glomerular filtration rate values were observed between groups at each follow-up time interval. There was no greater significant difference in the association of the use of suprarenal fixation with midterm postoperative renal injury than with infrarenal fixation

show abstract

Endovascular abdominal aortic aneurysm repair and renal complications: a comparison between suprarenal and infrarenal fixation of stent grafts

Cited by 14 publications

References 24 publications

Suprarenal graft fixation in endovascular abdominal aortic aneurysm repair is associated with a decrease in renal function

Suprarenal graft fixation in endovascular abdominal aortic aneurysm repair is associated with a decrease in renal function

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Evaluation of Patient Renal Function Following Endovascular Aneurysm Repair with Suprarenal Fixation

Contact Info

Product

Resources

About