Renal artery revascularization in combination with infrarenal aortic reconstruction

被引:10
作者
Hassen-Khodja, R [1 ]
Sala, F [1 ]
Declemy, S [1 ]
Bouillane, PJ [1 ]
Batt, M [1 ]
机构
[1] CHU Nice, St Roch Hosp, Serv Chirurg Vasc, F-06006 Nice 1, France
关键词
D O I
10.1007/s100169910106
中图分类号
R61 [外科手术学];
学科分类号
摘要
Associated stenosis of one or both renal arteries is not uncommon in patients with infrarenal aortic disease (aneurysm or occlusive disease) requiring surgical repair. The purpose of this retrospective study was to analyze the short- and long-term outcome of concomitant renal artery and aortic reconstruction. The present series includes 39 consecutive concomitant procedures. Simultaneous aortic and renal artery reconstruction was performed in a total of 39 (7.2%) of the 540 patients who underwent elective infrarenal abdominal aortic repair between 1987 and 1996. There were 33 men and 6 women with a mean age of 66.7 years. Twenty-eight patients presented hypertension and 7 presented renal insufficiency associated with hypertension. In all cases, the indication for operative treatment was aortic disease, i.e., aortic aneurysm in 20 cases and occlusive aortoiliac disease in 19 cases. A total of 51 renal artery revascularization procedures were performed, including bypass in 40 cases, transposition in 7, and endarterectomy in 4. Combined aortic and renal artery reconstruction gives good short- and long-term results comparable to those of isolated aortic surgery. On the basis of these findings, we think that concomitant repair is the strategy of choice for patients presenting renal artery stenosis associated with infrarenal aortic disease requiring surgical therapy.
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页码:577 / 582
页数:6
相关论文
共 37 条
[1]   Combined renal artery stenosis and aortic aneurysm: Treatment options [J].
Ballard, JL ;
Hieb, RA ;
Smith, DC ;
Bergan, JJ ;
Bunt, TJ ;
Killeen, JD ;
Linda, L .
ANNALS OF VASCULAR SURGERY, 1996, 10 (04) :361-364
[2]  
BARRAL X, 1990, ANEVRISMES AORTE ABD, P337
[3]   ROLE OF ARTERIOGRAPHY IN ABDOMINAL AORTIC-ANEURYSM [J].
BAUR, GM ;
PORTER, JM ;
EIDEMILLER, LR ;
ROSCH, J ;
KELLER, F .
AMERICAN JOURNAL OF SURGERY, 1978, 136 (02) :184-189
[4]   Combined aortic and renal artery surgery - A contemporary experience [J].
Benjamin, ME ;
Hansen, KJ ;
Craven, TE ;
Keith, DR ;
Plonk, GW ;
Geary, RL ;
Dean, RH .
ANNALS OF SURGERY, 1996, 223 (05) :555-565
[5]  
BICKERSTAFF LK, 1984, SURGERY, V95, P487
[6]   Treatment of ostial renal-artery stenoses with vascular endoprostheses after unsuccessful balloon angioplasty [J].
Blum, U ;
Krumme, B ;
Flugel, P ;
Gabelmann, A ;
Lehnert, T ;
BuitragoTellez, C ;
Schollmeyer, P ;
Langer, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (07) :459-465
[7]  
Branchereau A, 1992, Ann Vasc Surg, V6, P232, DOI 10.1007/BF02000268
[8]  
BRANCHEREAU A, 1993, CHIRURG ARTERES RENA, P267
[9]   ANGIOGRAPHY IN MANAGEMENT OF ANEURYSMS OF ABDOMINAL-AORTA - ITS VALUE AND SAFETY [J].
BREWSTER, DC ;
RETANA, A ;
WALTMAN, AC ;
DARLING, RC .
NEW ENGLAND JOURNAL OF MEDICINE, 1975, 292 (16) :822-825
[10]   SIMULTANEOUS AORTIC AND RENAL-ARTERY RECONSTRUCTION - EVOLUTION OF AN 18-YEAR EXPERIENCE [J].
CAMBRIA, RP ;
BREWSTER, DC ;
LITALIEN, G ;
KOUSTAS, G ;
ATAMIAN, S ;
LAMURAGLIA, GM ;
GERTLER, JP ;
ABBOTT, WM .
JOURNAL OF VASCULAR SURGERY, 1995, 21 (06) :916-925