Renal arteries covered by aortic stents: clinical experience from endovascular grafting of aortic aneurysms

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Fältnamn	Indikatorer	Metadata
000		03812naa a2200385 4500
001		oai:lup.lub.lu.se:9485f120-ec61-4f6a-9834-895a123b61b2
003		SwePub
008		160401s1997 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://lup.lub.lu.se/record/11112882 URI
024	7	a https://doi.org/10.1016/S1078-5884(97)80206-72 DOI
040		a (SwePub)lu
041		a engb eng
042		9 SwePub
072	7	a art2 swepub-publicationtype
072	7	a ref2 swepub-contenttype
100	1	a Malina, Martinu Lund University,Lunds universitet,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Department of Clinical Sciences, Malmö,Faculty of Medicine,Vascular Diseases - Clinical Research,Lund University Research Groups4 aut0 (Swepub:lu)kir-mma
245	1 0	a Renal arteries covered by aortic stents: clinical experience from endovascular grafting of aortic aneurysms
264	1	c 1997
520		a OBJECTIVES: During the endovascular repair of abdominal aortic aneurysms (AAAs), effective anchoring of the stent-graft is difficult in the presence of a short infrarenal aneurysm neck. The aim of this study was to investigate renal artery patency and renal function after deployment of graft anchoring stents across the renal arteries. DESIGN: Retrospective open study. PATIENTS: Twenty-five renal arteries, in 18 patients treated by endovascular exclusion of an AAA, were intentionally covered with the Gianturco Z-stent to ensure stent graft attachment. METHODS: Renal artery patency was assessed by repeated spiral computed tomography (CT) scans and angiography. Creatinine levels, blood pressure and antihypertensive medication were recorded. Follow-up was a median 6 months (2-9). RESULTS: All 25 stent-covered renal arteries remained patent. CT showed a small infarct in one kidney. Creatinine was 108 mumol/l (89-133) before intervention and 98 mumol/l (87-127) at follow-up. Blood pressure was 150/80 mmHg on both occasions. Antihypertensive therapy was intensified in one patient whose creatinine level remained stable and whose separate renin sampling was normal. CONCLUSIONS: Covering the renal arteries with the Gianturco Z-stent does not seem to affect renal function within 6 months. Further follow-up is needed before suprarenal stent deployment can be advocated.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653		a Aneurysm treatment
653		a Endovascular
653		a Stent-graft
653		a Renal function
700	1	a Brunkwall, J4 aut
700	1	a Ivancev, Krassiu Lund University,Lunds universitet,Diagnostisk radiologi, Malmö,Forskargrupper vid Lunds universitet,Radiology Diagnostics, Malmö,Lund University Research Groups4 aut0 (Swepub:lu)ront-kiv
700	1	a Lindh, Matsu Lund University,Lunds universitet,Diagnostisk radiologi, Malmö,Forskargrupper vid Lunds universitet,Radiology Diagnostics, Malmö,Lund University Research Groups4 aut0 (Swepub:lu)ront-mli
700	1	a Lindblad, Bengtu Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups4 aut0 (Swepub:lu)kir-bli
700	1	a Risberg, B4 aut
710	2	a Institutionen för kliniska vetenskaper, Malmöb Medicinska fakulteten4 org
773	0	t European Journal of Vascular and Endovascular Surgeryg 14:2, s. 109-113q 14:2<109-113x 1532-2165
856	4	u http://dx.doi.org/10.1016/S1078-5884(97)80206-7y FULLTEXT
856	4 8	u https://lup.lub.lu.se/record/1111288
856	4 8	u https://doi.org/10.1016/S1078-5884(97)80206-7

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Av författaren/redakt...: Malina, Martin; Brunkwall, J; Ivancev, Krassi; Lindh, Mats; Lindblad, Bengt; Risberg, B

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: European Journal ...

Av lärosätet: Lunds universitet

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