6,277 results match your criteria Renal Artery Aneurysm

[Hybrid Treatment for Delayed Lower Limb Ischemia and Aortic Dilatation Associated with Stanford Type B Aortic Dissection:Report of a Case].

Kyobu Geka 2021 Feb;74(2):142-145

Department of Cardiovascular Surgery, Shin-Kuki General Hospital, Kuki, Japan.

We report a case of a 65-year-old man, who was transported as an emergency case to our institution because of Stanford type B dissection. He received conservative therapy, but follow-up computed tomography(CT) revealed dilatation of descending aorta and low-enhanced range from abdominal aorta to right common iliac artery due to the expansion of the false lumen on day 11 of hospitalization. So, we attempted to perform debranch thoracic endovascular aortic repair (TEVAR), but we could not delivery the stentgraft through occluded right iliac artery. Read More

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February 2021

Preliminary Outcomes of Viabahn Balloon-Expandable Endoprosthesis as Bridging Stent in Renal Arteries During Fenestrated Endovascular Aortic Repair.

J Endovasc Ther 2021 May 11:15266028211012403. Epub 2021 May 11.

Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.

Purpose: To report preliminary outcomes of Viabahn Balloon-Expandable Endoprosthesis (VBX) stent-graft as bridging stent for renal arteries in fenestrated endovascular aneurysm repair (FEVAR).

Materials And Methods: Between 2018 and 2019, patients undergoing FEVAR at 3 referral Italian university hospitals were prospectively collected. During the study period, VBX was the first-line choice as bridging stent for renal arteries. Read More

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Treatment of thoracoabdominal aortic aneurysm by prosthetic vessel replacement under left heart bypass.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021 Apr;46(4):400-403

Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China.

Objectives: Thoracoabdominal aortic aneurysm (TAAA) prosthetic vessel replacement is one of the most complex operations in the field of cardiovascular surgery. The key to success of this operation is to prevent and avoid ischemia of important organs while repairing TAAA. This study aims to summarize and analyze the effect of prosthetic vessel replacement under left heart bypass in the treatment of TAAA. Read More

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Central and peripheral arterial diseases in chronic kidney disease: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference.

Kidney Int 2021 May 5. Epub 2021 May 5.

Department of Cardiology I: Coronary and Peripheral Vascular Disease, Heart Failure, Münster University Hospital, Münster, Germany. Electronic address:

Chronic kidney disease (CKD) affects about 10% of all populations worldwide, with about 2 million people requiring dialysis. Although patients with CKD are at high risk of cardiovascular disease and events, they are often underrepresented or excluded in clinical trials, leading to important knowledge gaps about how to treat these patients. KDIGO (Kidney Disease: Improving Global Outcomes) convened the fourth clinical controversies conference on the heart, kidney and vasculature in Dublin, Ireland, in February 2020, entitled Central and Peripheral Arterial Diseases in Chronic Kidney Disease. Read More

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Repair of renal artery aneurysm with stent angiography and coil embolization.

Proc (Bayl Univ Med Cent) 2021 Jan 11;34(3):391-393. Epub 2021 Jan 11.

Baylor Scott & White, The Heart Hospital - Plano, Plano, Texas.

Renal artery aneurysms (RAAs) are rare and are frequently discovered incidentally during the workup for other renal issues. Open surgery has been a popular approach to managing RAAs; however, endovascular techniques have recently emerged as a less invasive option. Endovascular therapy involves stent angiography and coil embolization of the aneurysm. Read More

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January 2021

Ruptured abdominal aortic aneurysm repair using open proximal anastomosis under deep hypothermic circulatory arrest.

Ann Vasc Surg 2021 May 1. Epub 2021 May 1.

Department of Cardiovascular Surgery, Iwate Medical University, 2-1-1 Idaidori, Yahaba-cho, Shiwa, Iwate 028-3695, Japan. Electronic address:

Proximal aortic clamping under normothermia is generally adequate for operative repair of abdominal aortic rupture; however, the hypothermic circulatory arrest technique is not as common. Proximal exposure and clamping are sometimes difficult due to the risk of bleeding, rerupture, and ischemia. We present a successful case of a ruptured abdominal aortic aneurysm (AAA) that was repaired using cardiopulmonary bypass with hypothermic circulatory arrest. Read More

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Surgical Explantation of a Fenestrated Endovascular Abdominal Aortic Aneurysm Repair Device Complicated by Aorto-Enteric Fistula.

EJVES Vasc Forum 2021 19;50:12-18. Epub 2020 Dec 19.

Vascular Surgery Department, Bordeaux University Hospital, Bordeaux, France.

Introduction: Alarming outcomes have been reported following infected endovascular aortic aneurysm repair (EVAR) device explantation. Infected fenestrated EVAR (FEVAR) exposes patients to even worse procedural risks.

Report: A 67 year old man with a prior history of FEVAR presented with impaired general condition, abdominal and back pain, and increased C reactive protein. Read More

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December 2020

Emergency Endovascular Repair of Symptomatic Post-dissection Thoraco-abdominal Aneurysm Using a Physician Modified Fenestrated Endograft During the Waiting Period for a Manufactured Endograft.

EJVES Vasc Forum 2020 6;49:11-15. Epub 2020 Sep 6.

Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA.

Introduction: Fenestrated branched endovascular aortic repair with custom manufactured devices (CMDs) has been applied to treat post-dissection thoraco-abdominal aortic aneurysms (TAAA), but the long waiting period for device manufacture limits its application in symptomatic or contained ruptured aneurysms.

Report: A 59 year old female presented with a 7 cm chronic post-dissection extent II TAAA. The patient underwent first stage total arch repair with the elephant trunk technique. Read More

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September 2020

The Impact of EndoAnchor Penetration on Endograft Structure: First Report of Explant Analysis.

EJVES Vasc Forum 2020 29;49:4-10. Epub 2020 Aug 29.

Groupe Européen de Recherche sur les Prothèses appliquées à la Chirurgie Vasculaire, Strasbourg, France.

Objective: The adjunctive use of Heli-FX EndoAnchors (EAs) in endovascular aneurysm repair has been proposed for the treatment or prevention of type Ia endoleaks. The aim of this study was to evaluate the impact of the penetration of EAs on endograft textile structure from two aortic endografts that had been explanted for persistent type Ia endoleak despite the implantation of EAs.

Methods: An Aorfix aortic endograft was implanted in an 85 year old man. Read More

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Significant Aortic Neck Dilation Occurs Following Repair of Juxtarenal Aneurysms with Fenestrated Endovascular Aneurysm Repair.

J Vasc Surg 2021 Apr 27. Epub 2021 Apr 27.

Division of Vascular Surgery, Department of Surgery. University of Washington, Seattle WA.

Objectives: Aortic neck dilation is a reported mode of failure and can be associated with aneurysm sac expansion following standard endovascular repair of aortic aneurysms. Fenestrated repairs of the juxtarenal segment increase the seal zone length and are often utilized to treat this disease progression. However, the frequency and risk factors for neck dilation following fenestrated repairs is unknown. Read More

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The application of infraclavicular brachial plexus block with retroclavicular approach for arterio-venous fistula aneurysm.

Agri 2021 Apr;33(2):119-121

Department of Anaesthesiology and Reanimation, Başkent University Faculty of Medicine, Konya, Turkey.

Infraclavicular block provides adequate anesthesia to the arm, forearm, and antecubital region. There are many different approaches to infraclavicular brachial plexus block. Corocoid approach which is mostly preferred is not appropriate in some cases that needle orientation disappear. Read More

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Adherence to instruction for use after endovascular repair of popliteal artery aneurysm.

Vascular 2021 Apr 19:17085381211007312. Epub 2021 Apr 19.

Department of Clinical Sciences, Lund University, Malmö, Sweeden.

Objectives: Endovascular repair (ER) of popliteal artery aneurysm (PAA) is an alternative to open repair. However, there is no standardized protocol for when to opt for ER and the decision is therefore at the discretion of the clinician. This study aims to evaluate the adherence to the Instruction For Use (IFU) in patients undergoing ER for PAA and factors associated with stent graft patency at one year. Read More

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First Fenestrated Endovascular Aortic Aneurysm Repair in Pakistan.

J Coll Physicians Surg Pak 2021 Apr;30(4):469-471

Department of General Surgery, Shifa International Hospital, Islamabad, Pakistan.

Fenestrated grafts form an alternative to open surgery, and are already increasingly being offered as part of the standard spectrum of treatment in developed countries. The past two decades have seen rapid developments in fenestrated endovascular aneurysm repair (fEVAR)/branched (bEVAR) expertise, to the point where the results are striking and can compete with those of conventional surgery. We here report the case of an 82-year male, who was diagnosed with an abdominal aortic aneurysm 10 years ago. Read More

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Risk Factors for Fasciotomy After Revascularization for Acute Lower Limb Ischaemia.

Front Surg 2021 29;8:662744. Epub 2021 Mar 29.

Department of Clinical Sciences, Lund University, Malmö, Sweden.

Acute lower limb ischaemia (ALI) is a life and limb threatening vascular emergency. Acute compartment syndrome (ACS) may develop upon revascularization. The risk of fasciotomy was hypothesized to be decreased in women due to their lower calf muscle mass. Read More

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Pressure gradient measurement to verify hemodynamic results of the chimney endovascular aortic repair (chEVAR) technique.

PLoS One 2021 14;16(4):e0249549. Epub 2021 Apr 14.

Department of Cardiology, Medical University of Wrocław, Wrocław, Poland.

Purpose: The use of the pressure gradient measurements to assess the renal artery flow hemodynamics after chimney endovascular aortic repair (chEVAR).

Methods: The study was a prospective analysis of 37 chEVAR procedures performend in 24 patients with perirenal aortic aneurysm. In all patients the measurement of: distal renal artery pressure (Pd), aortic pressure (Pa), Pd/Pa ratio (Pd/Pa) and mean gradient (MG) between the aorta and the distal renal artery were performed. Read More

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Ischemic Nephropathy Following Occlusion of Abdominal Aortic Aneurysm Graft: A Case Report.

Cureus 2021 Mar 10;13(3):e13799. Epub 2021 Mar 10.

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

In this report, we present a case of a 55-year-old female with a past medical history of abdominal aortic aneurysm (AAA) graft, femoral-femoral bypass graft, questionable history of chronic kidney disease (CKD), abdominal hernia repair, alcoholic pancreatitis, chronic abdominal pain on opioids, and tobacco abuse who presented with acute on chronic abdominal pain with an unexplained rise of creatinine and anuria. The patient was found to have complete occlusion of AAA graft and was determined to have ischemic nephropathy (IN). Read More

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Clinical characteristics and long-term outcomes of endovascular treatment of renal artery fibromuscular dysplasia with branch lesions.

Pediatr Nephrol 2021 Apr 10. Epub 2021 Apr 10.

Department of Vascular and Endovascular Surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, 7#Weiwu Road, Zhengzhou, Henan, 450003, China.

Background: Renal artery fibromuscular dysplasia (FMD) can cause arterial stenosis, dissection, and aneurysm of renal arteries. This study aimed to analyze the clinical characteristics and evaluate the long-term outcomes of renal branch artery FMD in children and adults.

Methods: Sixty-one patients with renal artery FMD underwent endovascular treatment, including 23 children and 38 adults. Read More

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Robotic Surgery For in situ Renal Artery Aneurysm Repair: Technical Note and Literature Review About a Mini- Invasive Alternative.

Ann Vasc Surg 2021 Apr 6. Epub 2021 Apr 6.

Department of Vascular Surgery and Kidney Transplantation, University of Strasbourg, Strasbourg, France; Groupe Européen de Recherche sur les Prothèses appliquées à la Chirurgie Vasculaire, Strasbourg, France.

Case Report: Classical surgical options for renal artery aneurysm (RAA) are usually restricted to endovascular surgery or open repair, either using an in-situ or ex-situ approach. A 45-year-old woman presenting with a 20-mm complex RAA with hilum location, not suitable for endovascular repair renal was treated with a mini-invasive robotic approach. This approach allowed an in-situ reconstruction in a complete mini-invasive manner with the Da Vinci Xi robot (Intuitive Surgical, Sunnyvale, CA). Read More

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Ex-Vivo Repair of Complex Hilar Renal Artery Aneurysms and Auto-Transplantation of Solitary Kidney.

Ann Vasc Surg 2021 Apr 5. Epub 2021 Apr 5.

Division of Transplant Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA.

Renal artery aneurysms (RAA) are rare and challenging to repair. We present a case of a 48-year-old female with solitary right kidney who had complex aneurysms near the renal hilum. CT angiogram showed fibromuscular dysplasia (FMD) features of the renal artery and 2 saccular aneurysms measuring 2. Read More

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Aortic Pathology During COVID - 19 Pandemics. Clinical Reports in Literature and Open Questions on the two Co-Occurring Conditions.

Ann Vasc Surg 2021 Apr 3. Epub 2021 Apr 3.

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

Background: Cardiovascular involvement in SARS-CoV-2 infection has emerged as one of viral major clinical features during actual pandemic; limb arterial ischemic events, venous thrombosis, acute myocardial infection and stroke have occurred in patients. Acute aortic conditions have also been described, followed by interesting observations on cases, hypothesis, raised since the emergence of the pandemics.

Methods: a review of cases in literature of aortic pathology in patients with clinically suspected/microbiologically confirmed COVID-19 infection has been carried out to analyze anagraphic data, clinical presentation, treatment options and outcome. Read More

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Contemporary experience with paravisceral aortic aneurysm (PVAAA) repair in a tertiary center.

Ann Vasc Surg 2021 Apr 2. Epub 2021 Apr 2.

Division of Vascular and Endovascular Surgery, University of California, San Francisco, San Francisco, California.

Objectives: To describe contemporary outcomes from a single center capable of both complex open and endovascular aortic repair for paravisceral aortic aneurysms (PVAAA).

Methods: Data on all patients receiving open or endovascular (endo) treatment for aortic aneurysms with proximal extent at or above the renal arteries and distal to the inferior pulmonary ligament (IPL) were reviewed. Coarsened exact matching (CEM) on age, aneurysm type, gender, coronary artery disease (CAD), previous aortic surgery and symptomatic status created balanced cohorts for outcomes comparisons. Read More

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When More Is Better: Underused Advanced Imaging Exams That Can Improve Outcomes and Reduce Cost of Care.

Am J Med 2021 Apr 2. Epub 2021 Apr 2.

Department of Radiology. Electronic address:

Appropriate use of resources is a tenet of care transformation efforts, with a national campaign to reduce low-value imaging. The next level of performance improvement is to bolster evidence-based screening, imaging surveillance, and diagnostic innovation, which can avert more costly, higher-risk elements of unnecessary care like emergent interventions. Clinical scenarios in which underused advanced imaging can improve outcomes and reduce total cost of care are reviewed, including abdominal aortic aneurysm surveillance, coronary artery disease diagnosis, and renal mass characterization. Read More

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Primary brachial artery aneurysm with associated basilic vein aneurysm.

J Surg Case Rep 2021 Mar 29;2021(3):rjab056. Epub 2021 Mar 29.

Department of Vascular Surgery, Nelson Hospital, Nelson Marlborough District Health Board, Nelson, New Zealand.

There are but a handful of reported brachial artery aneurysms, the majority of which are pseudoaneurysms or false aneurysms caused by trauma or fistula creation. True or primary brachial artery aneurysms are even more rare, and if they occur, they often do so in isolation. In this case report, we discuss the interesting finding of a large primary brachial aneurysm together with an adjacent aneurysmal basilic vein identified intra-operatively. Read More

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Evacuation Technique of Left-Sided Inferior Vena Cava for a Successful Open Repair of a Large Juxtarenal Aortic Aneurysm.

Vasc Specialist Int 2021 Mar;37(1):41-45

Department of Radiology, School of Medicine of University of Patras, Patras, Greece.

We report a case of successful open repair of a 7.5-cm juxtarenal abdominal aortic aneurysm (AAA) in the presence of a left-sided inferior vena cava (LS-IVC) crossing the aorta at the level of the renal arteries in a 72-year-old man. The orifice of the right renal artery was slightly caudal to that of the left renal artery and concomitant occlusive diseases of both iliac arteries were present. Read More

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Treating a thrombotic giant dissecting renal artery aneurysm through ex-vivo vascular reconstructive surgery followed by kidney reimplantation.

Rev Cardiovasc Med 2021 Mar;22(1):175-179

'Grigore T. Popa' University of Medicine and Pharmacy, 507184 Iasi, Romania.

Renal artery aneurysms, although rare, may give rise to complications both per se (due to the risk of thrombosis and subsequent wall rupture) and by impairment of the renal function (due to extrinsic compression and high blood pressure). We describe a paucisymptomatic young patient with acute thrombosis of a massive dissecting renal artery aneurysm, for which the successful treatment was performed through ex-vivo vascular surgery followed by autotransplantation of the reconstructed kidney. The aneurysm was described through abdominal echography, computed tomography angiography, and transfemoral transcatheter arterial angiography. Read More

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Bilateral acute pyelonephritis with left renal artery aneurysm as a cause of bilateral spontaneous subcapsular haematoma: lessons learnt.

BMJ Case Rep 2021 Mar 31;14(3). Epub 2021 Mar 31.

Department of Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu, India.

Forniceal ruptures after acute pyelonephritis are relatively common. Bilateral spontaneous subcapsular haematoma (SSCH) is an uncommon sequela to pyelonephritis. We report a case of SSCH where the underlying cause of haematoma was a vascular anomaly. Read More

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Management of an Aortoenteric Fistula in a Patient with End Stage Renal and Liver Disease, Prior Endovascular Aortic Repair With Type II Endoleak.

Vasc Endovascular Surg 2021 Mar 29:15385744211004649. Epub 2021 Mar 29.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.

Primary aortoenteric fistula (AEF) is an uncommon but life-threatening condition. We present a case of primary AEF in an octogenarian with previous endovascular aortic repair, type II endoleak and end stage liver and renal disease. He was successfully treated with accessory renal artery ligation, duodenojejunostomy, aneurysm sac debridement and irrigation and closure of the aneurysm sac over a drain. Read More

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Sex-related outcomes after fenestrated-branched endovascular aneurysm repair for thoracoabdominal aortic aneurysms in the U.S. Fenestrated and Branched Aortic Research Consortium.

J Vasc Surg 2021 Mar 26. Epub 2021 Mar 26.

Division of Vascular Surgery, Department of Surgery, University of Washington Medical Center, Seattle, Wash. Electronic address:

Objective: Fenestrated-branched endovascular aneurysm repair (FBEVAR) has expanded the treatment of patients with thoracoabdominal aortic aneurysms (TAAAs). Previous studies have demonstrated that women are less likely to be treated with standard infrarenal endovascular aneurysm repair because of anatomic ineligibility and experience greater mortality after both infrarenal and thoracic aortic aneurysm repair. The purpose of the present study was to describe the sex-related outcomes after FBEVAR for treatment of TAAAs. Read More

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