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01-02-2004 | Papers Presented to the Southern California Vascular Surgical Society

Endovascular Abdominal Aortic Aneurysm Repair Using the AneuRx^® Stent Graft: Impact of Excluding Accessory Renal Arteries

Authors: Benjamin Kim, MD, Carlos E. Donayre, MD, Christopher J. Hansen, MD, Ihab Aziz, MD, Irwin Walot, MD, Maurice Lippmann, MD, George E. Kopchok, BS, Rodney A. White , MD

Published in: Annals of Vascular Surgery | Issue 1/2004

Abstract

The aim of this study was to evaluate clinical sequelae of accessory renal artery exclusion during endo-AAA repair. Medical records and pre- and postoperative CT scans were reviewed from 114 AAA patients treated with the AneuRx^® stent graft between 1996-2001. Thirty-seven accessory renal arteries were identified in 32/114 patients (28%) with 19/32 patients having infrarenally located accessory renal arteries. In group I (11 patients), the stent graft excluded 11 accessory renal arteries. In group II (8 patients), eight accessory renal arteries were not excluded. Average infrarenal neck length was 24.9 mm in group I vs. 30.7 mm in group II (p = 0.07). The average length of device seal was similar in both groups (19.4 vs. 18.5 mm, p = 0.67). There were no perioperative deaths, significant postoperative hypertension, rise in serum creatinine, or postoperative renal infarctions in either group. Three of eight patients (38%) in the non-excluded group developed type I proximal endoleaks whereas none in the excluded patient group did (p = 0.06). Accessory renal arteries may be safely excluded during endovascular AAA repair and may result in a more secure proximal device fixation.

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Title: Endovascular Abdominal Aortic Aneurysm Repair Using the AneuRx® Stent Graft: Impact of Excluding Accessory Renal Arteries
Authors: Benjamin Kim, MD
Carlos E. Donayre, MD
Christopher J. Hansen, MD
Ihab Aziz, MD
Irwin Walot, MD
Maurice Lippmann, MD
George E. Kopchok, BS
Rodney A. White , MD
Publication date: 01-02-2004
Publisher: Springer-Verlag
Published in: Annals of Vascular Surgery / Issue 1/2004
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI: https://doi.org/10.1007/s10016-003-0093-z

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Endovascular Abdominal Aortic Aneurysm Repair Using the AneuRx^® Stent Graft: Impact of Excluding Accessory Renal Arteries

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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