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Titolo:
Renal complications following endovascular repair of abdominal aortic aneurysms
Autore:
Walker, SR; Yusuf, SW; Wenham, PW; Hopkinson, BR;
Indirizzi:
Queens Med Ctr, Dept Vasc & Endovasc Surg, Nottingham NG7 2UH, England Queens Med Ctr Nottingham England NG7 2UH g, Nottingham NG7 2UH, England Kings Mill Hosp, Mansfield, England Kings Mill Hosp Mansfield EnglandKings Mill Hosp, Mansfield, England
Titolo Testata:
JOURNAL OF ENDOVASCULAR SURGERY
fascicolo: 4, volume: 5, anno: 1998,
pagine: 318 - 322
SICI:
1074-6218(199811)5:4<318:RCFERO>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Keywords:
endovascular grafting; renal function; renal impairment; renal failure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Walker, SR QueensG7ed Ctr, Dept Vasc & Endovasc Surg, E Floor,West Block, Nottingham N Queens Med Ctr E Floor,West Block Nottingham England NG7 2UH N
Citazione:
S.R. Walker et al., "Renal complications following endovascular repair of abdominal aortic aneurysms", J ENDOVAS S, 5(4), 1998, pp. 318-322

Abstract

Purpose: To investigate the renal complications associated with endovascular repair of abdominal aortic aneurysms (AAAs). Methods: Data were prospectively collected on 164 AAA patients (154 males;median age 72 years; interquartile range 51 to 88) undergoing endovasculargrafting. Any history of renal failure and diabetes mellitus was recorded. Serum urea and creatinine levels were measured preoperatively and at regular intervals postoperatively. Renal impairment was defined as serum creatinine > 130 mu mol/L. Results: There were no significant differences in pre- and 1-day postoperative serum urea and creatinine levels. Among 15 (9.1%) patients with preoperative renal failure, 7 (47%) died, 4 (27%) in the perioperative period. Ofthe 149 patients with normal renal function preoperatively, 4 (2.7%) developed renal failure as part of multisystem organ failure. Another 9 (6.2%) developed significant postoperative elevations (> 20%) in their creatinine levels compared to baseline; 4 of these patients died, 2 in the perioperative period. There was no significant difference in the median dose of intravascular contrast used for those patients that did and did not have a deterioration in their renal function (250 mt versus 300 mt). Conclusions: In this study, approximately 6% of patients with normal preoperative renal function who undergo endovascular AAA repair develop renal dysfunction. For patients with preoperative renal impairment, the perioperative mortality rate is high, 27%, following endovascular aortic aneurysm repair.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 08:31:10