The role of arteriography in abdominal aortic aneurysm

Management of pararenal aneurysms of the abdominal aorta

“…The serum creatinine was used to classify renal functional status. Renal function was considered (1) normal, if an elevated preoperative serttm creatinine value returned to normal (<1.2 mg/dl) after surgery; (2) improved, if the postoperative creatinine level was less than the preoperative value but still >1.2 nag/ dl; (3) unchanged, if the preoperative serum creatinine (normal or elevated) remained the same after operation; and (4) worse, if the postoperative creatinine rose by more than 0.2 mg/dl. Among all patients who were hypertensive preoperatively and who underwent renal art¢2~ reconstruction, 33 (77%) were cured or improved postoperatively, nine (21%) were unchanged, and only one patient (2%) was worse (Table IV).…”

Renal Artery Revascularization in Combination with Infrarenal Aortic Reconstruction

“…[1][2][3][4]15,16 However, the reported incidence of concomitant aortic and renal artery reconstruction (in relation to the number of infrarenal aortic repair procedures) is much lower, ranging from 2 to 18%. 5,[16][17][18][19][20][21][22][23][24][25][26][27][28] Concomitant reconstruction was performed 7.2% in our overall series.…”

“…[1][2][3][4] Although good results after combined reconstruction have been reported, [5][6][7][8][9][10][11] some authors recommend transluminal angioplasty of the renal artery prior to aortic repair. 12,13 Recently, several reports have advised against concomitant operative treatment in patients presenting asymptomatic renal stenosis.…”

Value of Routine Computed Tomography in the Preoperative Assessment of Abdominal Aneurysm Replacement

“…of correct US predictions 23 13 CIAs: common iliac arteries. surgery has been advocated by many in the past [9,[25][26][27], although others have argued for its selective use only [28,29]. Preoperative demonstration of the distal extension of the aneurysm and associated aneurysmal or obstructive disease of the iliac and femoral systems allows selection of the optimal level of the distal graft anastomosis and enables selection of necessary additional reconstructive procedures on the femoral system, although some surgeons contend that significant aneurysmal or stenotic involvement of the common iliac arteries is easily determined at surgery.…”