Management of Aortoiliac Aneurysms with Atypical Renal Artery Anatomy

Edwards, Jeffrey B.; Wooster, Mathew; Tanious, Adam; Back, Martin R.

doi:10.1016/j.avsg.2018.05.058

Cited by 7 publications

(8 citation statements)

References 28 publications

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“…There is one report in the literature with the same treatment strategy and a second one where sacrifice of one out of three aberrant renal arteries was specified. 3 4 In both cases, the AAA was noninflammatory. This option is acceptable in patients with a second normally located kidney, but sacrifice of ectopic arteries should rather be avoided in solitary kidneys.…”

Section: Discussionmentioning

confidence: 90%

Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review

et al. 2022

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The coexistence of an abdominal aortic aneurysm and a congenital pelvic kidney is extremely rare. We present a 66-year-old male with an inflammatory aneurysm and an aberrant origin of the superior mesenteric artery. The inflammatory infrarenal abdominal aortic aneurysm with a congenital left pelvic kidney was successfully treated with endovascular repair. Coverage of one out of the two renal ectopic arteries was performed, without clinical evidence of renal function impairment.

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Section: Discussionmentioning

confidence: 90%

Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review

et al. 2022

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“…Regarding minimally invasive approaches, endovascular aneurysm repair (EVAR) has become the standard for managing abdominal aortic aneurysms. However, it involves the use of large quantities of nephrotoxic contrast, and adjuvant measures are required to minimize its effects during intraoperative imaging 6 .…”

Section: Discussionmentioning

confidence: 99%

Cold nephroprotection for repair of aortic ectasia and bilateral iliac aneurysms in the presence of pelvic ectopic kidney

Gómez-Galán¹,

Polanía-Sandoval²,

Rodríguez-González³

et al. 2023

RCCARE

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Solitary pelvic ectopic kidneys associated with aneurysmal degeneration of the iliac arteries and abdominal aorta are very rare events. Surgical approaches for the correction of aneurysms with renal involvement are challenging due to the lack of current consensus, especially when they are associated with functional solitary pelvic ectopic kidneys. For this reason, one of the strategies that has shown good results in the short-and medium-term is cold nephroprotection, which can be used safely in these patients. In the present case, aortic ectasia with bilateral iliac aneurysms associated with a solitary pelvic ectopic kidney was evidenced in a 75-year-old male patient with arterial hypertension and dyslipidemia. Bilateral aortoiliac reconstruction was performed with hypogastric artery reconstruction and reimplantation of the ectopic renal artery under cold renal irrigation, without complications and with preserved renal function.

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“…Sobre los abordajes mínimamente invasivos, el EVAR se ha convertido en el estándar de manejo de los AAA; sin embargo, este involucra el uso de altas cantidades de contraste nefrotóxico, por lo que es necesario el uso de medidas adyuvantes para minimizar sus efectos durante la toma de imágenes intraoperatorias 6 . Por esto, el abordaje abierto permanece como el estándar de manejo para la reimplantación de la arteria renal ectópica en el contexto de un riñón ectópico pélvico solitario, pese a que el reparo endovascular ofrece una estrategia menos invasiva con tiempo de recuperación menor.…”

Section: Discussionunclassified

“…Inicialmente, en contextos urgentes y necesidad de control vascular rápido, se debe realizar el clampeo renal opciones menos invasivas al reparo abierto 6,7 . Estas estrategias incluyen el uso de prótesis monoilíaca con dispositivos oclusivos ilíacos y posterior baipás femoral o reimplante abierto de la arteria renal ectópica para realización posterior de EVAR 6,7 .…”

Section: Discussionunclassified

Nefroprotección en frío para reparo de ectasia aórtica y aneurismas ilíacos bilaterales ante la presencia de riñón ectópico pélvico

Gómez-Galán¹,

Polanía-Sandoval²,

Rodríguez-González³

et al. 2022

RCCAR

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Los riñones ectópicos pélvicos solitarios asociados a degeneración aneurismática de las arterias ilíacas y la aorta abdominal son eventos muy raros. Los enfoques quirúrgicos para la corrección de aneurismas con compromiso renal son un desafío por la falta de consenso actual, en especial cuando cursan con riñones ectópicos pélvicos solitarios funcionales asociados. Por tal motivo, una de las estrategias que ha demostrado buenos resultados a corto y mediano plazo es la nefroprotección en frío, la cual puede ser usada con seguridad en estos pacientes. En el caso que se presenta, se evidenció una ectasia aórtica con aneurismas ilíacos bilaterales asociados con un riñón ectópico pélvico solitario en un paciente masculino de 75 años, con hipertensión arterial y dislipidemia. Se realizó una reconstrucción aortoilíaca bilateral y una reconstrucción de

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Management of Aortoiliac Aneurysms with Atypical Renal Artery Anatomy

Cited by 7 publications

References 28 publications

Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review

Endovascular Repair of an Inflammatory Abdominal Aortic Aneurysm Combined with a Congenital Pelvic Kidney: Case Report and Literature Review

Cold nephroprotection for repair of aortic ectasia and bilateral iliac aneurysms in the presence of pelvic ectopic kidney

Nefroprotección en frío para reparo de ectasia aórtica y aneurismas ilíacos bilaterales ante la presencia de riñón ectópico pélvico

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