Endovascular Stent-graft Repair of Combined Renal Artery Aneurysm and Arteriovenous Fistula

Tigkiropoulos, Konstantinos; Karamanos, Dimitrios; Stavridis, Kyriakos; Zacharopoulos, Nikolaos; Tympanidou, Marianthi; Mantelas, Michalis; Saratzis, Nikolaos; Lazaridis, Ioannis

doi:10.1016/j.avsg.2018.07.054

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…This increases the risk of AS and plaque rupture. Tigkiropoulos et al ( Tigkiropoulos et al, 2019 )demonstrated that PSV could be used to assess the degree of arterial stenosis. Studies suggested that every 0.1 mm thickening of the IMT increased the risk of infarction by 10%–15% and stroke by 13%–18%, especially in unstable plaques, which were more likely to dislodge and lead to stroke ( Liu et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of treating carotid atherosclerotic plaques with the method of nourishing qi, promoting blood circulation and expelling phlegm: A systematic review and meta-analysis

Du²,

Liu³

2022

Front. Pharmacol.

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Objectives: This meta-analysis aimed at evaluating the effectiveness and safety of Chinese medicine (TCM), which nourished qi, promoted blood circulation, and expelled phlegm (YQHXZT), in treating carotid atherosclerosis (CAS) from an immunological perspective.Background: The incidence of CAS has been increasing and tends to be younger. Although western medicine is effective, there are some limitations. TCM has certain advantages over the multichannel and multitarget treatment strategies in slowing down the process of CAS. However, there is no comprehensive review in this field.Methods: Nine databases were searched from January, 2012, to September, 2022. After applying the inclusion and exclusion criteria to the RCTs, research quality evaluation and data extraction were conducted, and a meta-analysis of the articles was performed. The GRADE was used to assess the quality of the evidence.Results: Fourteen RCTs involving 1,191 patients were identified. The results indicated that the experimental group was more effective in improving carotid intima-media thickness (CIMT)[SMD = −0.97, 95%CI(−.30,−0.65), p < 0.00001], reducing carotid plaque area [SMD = −1.98, 95%CI(−3.06,−0.89), p = 0.0003], lowering hs-CRP [SMD = −1.33, 95%CI(−1.59,-1.06), p < 0.00001] and LDL-C levels [SMD = −0.60, 95%CI(−0.83,-0.38), p < 0.00001]. Moreover, the experimental group was superior to peak systolic blood flow velocity (PSV) [SMD = −0.37, 95%CI(−0.59,−0.16), p = 0.0007], clinical efficacy [RR = 1.64, 95% CI (1.39, 1.94), p < 0.00001] and plaque area efficacy [RR = 1.36, 95% CI (1.22, 1.52), p < 0.0001]. The adverse reactions were not statistically significant in the two groups [RD = -0.01, 95% CI (-0.04.0.01), p = 0.17]. The results of grade evaluation suggested that the outcome indicators LDL-C, hs-CRP, plaque area efficacy, PSV, and adverse events were moderate. CIMT, plaque reduction area, and TCM clinical efficacy were low-quality.Conclusion: The combination of YQHXZT can alleviate the process of CAS by inhibiting the thickening of CIMT, reducing plaque area and lowering hs-CRP and LDL-C levels. The mechanism may possibly be related to reducing lipid deposition and inhibiting the inflammatory response. Besides, the combination did not increase the risk of adverse effects. However, more well-designed RCTs are needed in the future.Systematic review registration: CRD42022360529, https://www.crd.york.ac.uk/prospero/

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Section: Discussionmentioning

confidence: 99%

Effectiveness and safety of treating carotid atherosclerotic plaques with the method of nourishing qi, promoting blood circulation and expelling phlegm: A systematic review and meta-analysis

Du²,

Liu³

2022

Front. Pharmacol.

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“…Aneurysm clipping, aneurysmal parent artery resection, angioplasty, and bypass grafting are the most classical treatment modalities with high success rates and low complications [16][17][18][19][20]. A review of the literature over the last 4 years shows that renal aneurysms are increasingly treated with endovascular techniques [11,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] (Table 2). The techniques used in endovascular therapy are varied, including endovascular coiling, remodeling techniques (such as balloon-and stent-assisted coiling), covered stent implantation, and flow diverter [8,21,[40][41][42][43][44][45].…”

Section: Discussionmentioning

confidence: 99%

Combination of Sac packing and liquid embolization using Double Microcatheter Technique for Renal Artery Aneurysm: A Case Report

Chen¹

2022

CTCMS

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Interventional radiology for a renal artery aneurysm. She had been suffering from functional constipation and gastric polyps for the last 8 years. A month ago, she went to the outpatient clinic for help with abdominal pain. An enhanced CT scan was performed for assessing suspected intestinal obstruction. A left hilum RAA measuring 23mm × 22mm in size was diagnosed incidentally. She had no history of microbial infections such as specific viruses. CTA examination suggested a regular and round saccular aneurysm with a narrow neck and a small branch on the sac (Figure 1). The abdominal pain significantly improved after symptomatic treatment. A month later, she was presented to the department of interventional radiology for a renal artery aneurysm. Although the abdominal pain was not

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“…Among the reported cases, the mean follow-up period was 11.3 months (Table 1). [22][23][24][25][26][27][28][29][30][31][32][33]…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature

Pappas¹,

Sfyroeras²,

Krinos³

et al. 2021

Vascular

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Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) has been infrequently reported in the literature. We report a case of a 42-year-old man suffering from a giant RAA combined with a congenital high-flow RAVF. The contrast-enhanced CTA showed a 12.7-cm RAA synchronous with an RAVF between the right renal artery and a draining vein. After a comprehensive preoperative assessment, an endovascular approach was decided. Successful embolization was performed using an Amplatzer vascular Plug, and multiple coils. Completion angiogram demonstrated no flow into the RAA. The results of longterm follow-up demonstrate that endovascular techniques are safe and effective for the management of RAAs combined with high-flow RAVF.

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Endovascular Stent-graft Repair of Combined Renal Artery Aneurysm and Arteriovenous Fistula

Cited by 5 publications

References 17 publications

Effectiveness and safety of treating carotid atherosclerotic plaques with the method of nourishing qi, promoting blood circulation and expelling phlegm: A systematic review and meta-analysis

Effectiveness and safety of treating carotid atherosclerotic plaques with the method of nourishing qi, promoting blood circulation and expelling phlegm: A systematic review and meta-analysis

Combination of Sac packing and liquid embolization using Double Microcatheter Technique for Renal Artery Aneurysm: A Case Report

Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature

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