1,268 results match your criteria suprarenal patients

Open repair versus evar with parallel grafts in patients with juxtarenal abdominal aortic aneurysm excluded from fenestrated endografting.

J Cardiovasc Surg (Torino) 2021 Jun 18. Epub 2021 Jun 18.

Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Science and Public Health, Padua University School of Medicine, Padua, Italy.

Background: We compared the outcomes of open surgical repair (OSR) versus EVAR with parallel graft technique (PG) in patients with juxtarenal abdominal aortic aneurysm (JAAA) excluded from fenestrated endovascular aortic repair (FEVAR) due to clinical, anatomical, technical or manufacturing time reasons.

Methods: A single-center analysis of consecutive patients who underwent elective and urgent (within 24-48 hours) repair of JAAA from January 2010 to January 2019 was performed. Two groups were compared: patients excluded from FEVAR and respectively treated by OSR or by PG for JAAA. Read More

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Risk Factors, Dynamics, and Clinical Consequences of Aortic Neck Dilatation after Standard Endovascular Aneurysm Repair.

Eur J Vasc Endovasc Surg 2021 Jun 2. Epub 2021 Jun 2.

Department of Vascular Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.

Objective: Aortic neck dilatation (AND) occurs after endovascular aneurysm repair (EVAR) with self expanding stent grafts (SESs). Whether it continues, ultimately exceeding the endograft diameter leading to abdominal aortic aneurysm (AAA) rupture, remains uncertain. Dynamics, risk factors, and clinical relevance of AND were investigated after EVAR with standard SESs. Read More

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The importance of adrenal venous sampling in ACTH-independent Cushing syndrome: A case report and literature review.

Exp Ther Med 2021 Jul 18;22(1):772. Epub 2021 May 18.

Discipline of Pediatric Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Independent Cushing's adrenocorticotropic hormone (ACTH) syndrome can have several causes, including adrenal carcinoma or simple adrenal hyperplasia. Although the distinction between malignant and benign can be effectively made through imaging investigations, in the situation where there are bilateral formations, their hormonal activity is impossible to appreciate via non-invasive techniques. The present study includes the presentation of a clinical case on the basis of which a literature review was made. Read More

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Incidence and predictors of early and delayed renal function decline after aortic aneurysm repair in the Vascular Quality Initiative database.

J Vasc Surg 2021 May 18. Epub 2021 May 18.

Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, Ala.

Background: Postoperative acute kidney injury (AKI) may complicate both open and endovascular aortic aneurysm repair (EVAR) and is associated with substantial morbidity, mortality, and health care expense. We aim to evaluate the incidence of postoperative AKI and factors associated with its occurrence and the effects of postoperative AKI on long-term renal function and mortality after open and EVAR in the Society for Vascular Surgery Vascular Quality Initiative registry.

Methods: Elective aneurysm cases were identified including thoracic endovascular aortic aneurysm repair (TEVAR) and complex endovascular aortic aneurysm repair (cEVAR), infrarenal endovascular repair (EVAR) and infrarenal open repair (OAR) from 2003 to 2019. Read More

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The role of surgical and total endovascular techniques in the treatment of ruptured juxtarenal aortic aneurysms.

Vasa 2021 May 19:1-7. Epub 2021 May 19.

Department of Vascular Surgery and Research Vascular Centre, Asklepios Clinic Langen, University of Frankfurt, Langen, Germany.

Ruptured juxtarenal aortic aneurysms (RJAAA) represent a special challenge in clinical practice, but the evidence to guide therapeutic decision-making is scarce. The aim of this study was to present two different approaches, open surgical (OAR) and chimney endovascular repair (CHEVAR), for treating patients with RJAAA. This retrospective two-center study included all patients per center undergoing OAR or CHEVAR for RJAAA between February 2008 and January 2020. Read More

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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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The Impact of Endograft Selection on Outcomes Following Treatment Outside of Instructions for Use (IFU) in Endovascular Abdominal Aortic Aneurysm Repair (EVAR).

Cureus 2021 May 4;13(5):e14841. Epub 2021 May 4.

Vascular and Endovascular Surgery, University of Western Australia, Perth, AUS.

Background Endovascular aneurysm repair (EVAR) has become the treatment modality of choice in patients with abdominal aortic aneurysms. This has resulted in endograft utilization within instructions for use (IFU) and in cases with proximal neck anatomy outside of IFU. Purpose To identify whether graft selection influences outcomes following EVAR outside of IFU. Read More

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Aortic Neck IFU Violations During EVAR for Ruptured Infrarenal Aortic Aneurysms are Associated with Increased In-Hospital Mortality.

Ann Vasc Surg 2021 May 2. Epub 2021 May 2.

Division of Vascular Surgery and Endovascular Therapy, The Johns Hopkins Medical Institutions, Baltimore, MD.

Objective: Vascular surgeons treating patients with ruptured abdominal aortic aneurysm must make rapid treatment decisions and sometimes lack immediate access to endovascular devices meeting the anatomic specifications of the patient at hand. We hypothesized that endovascular treatment of ruptured abdominal aortic aneurysm (rEVAR) outside manufacturer instructions-for-use (IFU) guidelines would have similar in-hospital mortality compared to patients treated on-IFU or with an infrarenal clamp during open repair (ruptured open aortic aneurysm repair [rOAR]).

Methods: Vascular Quality Initiative datasets for endovascular and open aortic repair were queried for patients presenting with ruptured infrarenal AAA between 2013-2018. Read More

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Suprarenal lymphadenectomy with nephrectomy for refractory ovarian cancer.

Gland Surg 2021 Mar;10(3):1268-1270

Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.

The effect of debulking surgery is not vague in patients with refractory ovarian cancer because of drug-resistant tumor biology showing rapid growth. However, it can be considered to be beneficial for selected patients expected to show tumor response by postoperative treatment because the better perfused small tumors may favor the action of cytotoxic therapy. Among them, patients with enlarged lymph nodes and mutations can show a relatively high rate of response and improved survival by systematic lymphadenectomy followed by poly ADP ribose polymerase (PARP) inhibitors. Read More

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Open Surgical Treatment of Acute Spontaneous Isolated Abdominal Aortic Dissection.

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

Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade; Faculty of Medicine, University of Belgrade, Serbia.

Background: The aim of this paper is to report our single-center experience in the open surgical treatment of acute spontaneous infrarenal isolated abdominal aortic dissection (siIAAD).

Methods: This was a single center retrospective study. Between January 2015 and 2020 ten patients were treated due to acute siIAAD with open surgery. Read More

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A Systematic Review and Meta-Analysis of Ligation Versus Repair of Inferior Vena Cava Injuries.

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

Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA.

Objective: Inferior vena cava (IVC) injuries have a high mortality rate that may be related to the location of injury and type of repair. Previous studies have been either single center series or database studies lacking granular detail. These have reported conflicting results. Read More

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Balloon Endoclamping for Postdissection Infrarenal Aorto-Iliac Aneurysm Repair.

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

Lancisi Cardiovascular Center, Vascular Surgery Unit, Ancona, Italy.

Background: Isolated post dissection infrarenal and iliac aneurysm is a rare condition that often requires surgical treatment. Surgical repair should involve the replacement of the aneurysmal segments and a wide fenestration in the residual proximal untreated abdominal aorta. However, in these patients proximal aortic clamping may be challenging. Read More

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Time-to-Event Analysis of the Impact of Endovascular Aortic Aneurysm Repair on Chronic Renal Decline.

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

Division of Vascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: Although randomized studies have revealed the long-term outcomes of the endovascular repair (ER) of abdominal aortic aneurysm (AAA) compared to open repair (OR), there is controversy surrounding chronic renal decline (CRD) after ER. This study reviewed our propensity-matched cohorts of ER and OR to compare CRD rates using a time-to-event analysis. The ER groups undergoing suprarenal (SR) or infrarenal (IR) proximal fixation were also compared with the OR group. Read More

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Prenatal Imaging Diagnosis of Suprarenal Lesions.

Fetal Diagn Ther 2021 17;48(3):235-242. Epub 2021 Mar 17.

Department of Surgery, Boston Children's Hospital/Harvard Medical School, Boston, Massachusetts, USA,

Introduction: Prenatal suprarenal lesions represent diverse pathologies. This study investigated prenatal imaging features and regression patterns associated with specific lesion diagnoses.

Methods: This is a multicenter retrospective review of fetuses with prenatally diagnosed suprarenal lesions between 2001 and 2019. Read More

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Primary renal carcinoid tumors: Three case reports.

Medicine (Baltimore) 2021 Feb;100(8):e24714

Department of Radiology, The First Affiliated Hospital of Nanchang University.

Rationale: Primary renal carcinoid tumors are very rare and only about 100 cases have been reported in the medical literature. There are even fewer articles on the imaging manifestations of primary renal carcinoid tumors.

Patient Concerns: We present 3 cases of patients with lumbago and hematuria. Read More

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February 2021

Initial Clinical Experience With a New Conformable Abdominal Aortic Endograft: Aortic Neck Coverage and Curvature Analysis in Challenging Aortic Necks.

J Endovasc Ther 2021 06 4;28(3):407-414. Epub 2021 Mar 4.

Clinic of Vascular and Endovascular Surgery, Ospedale Policlinico San Martino, Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, Italy.

Objectives: Aim of this work was to investigate precision of deployment and conformability of a new generation GORE EXCLUDER Conformable Endoprosthesis with active control system (CEXC Device, W.L. Gore and Associates, Flagstaff, AZ, USA) by analyzing aortic neck coverage and curvature. Read More

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Remodeling of Abdominal Aortic Angulation and Curvature After Endovascular Aneurysm Repair in Patients With vs Without Late Type Ia Endoleak or Endograft Migration.

J Endovasc Ther 2021 Apr 4;28(2):342-351. Epub 2021 Mar 4.

Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, the Netherlands.

Purpose: To investigate aortic remodeling of the supra- and infrarenal aorta from preoperative to 1 month and midterm follow-up after endovascular aneurysm repair (EVAR) by analyzing changes in angulation and curvature in patients with vs without late type Ia endoleak or device migration.

Materials And Methods: From a multicenter database, 35 patients (mean age 76±5 years; 31 men) were identified with late (>1 year) type Ia endoleak or endograft migration (≥10 mm) and defined as the complication group. The control group consisted of 53 patients (mean age 75±7 years; 48 men) with >1-year computed tomography angiography (CTA) follow-up and no evidence of endoleaks. Read More

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Large adrenal mass heralding the diagnosis of occult extra-adrenal malignancy in two patients.

BMJ Case Rep 2021 Feb 22;14(2). Epub 2021 Feb 22.

Department of Endocrinology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

We report two cases highlighting the role of fluorine-18-fluorodeoxyglucose positron emission tomography/computerised tomography (18F FDG PET/CT) in the diagnostic and preoperative workup of indeterminate adrenal masses. Case 1: a 60-year-old man was diagnosed with a large left-sided adrenal mass with indeterminate radiological characteristics on CT. Biochemical investigations ruled out tumour hypersecretion. Read More

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February 2021

Characteristics and outcomes of small abdominal aortic aneurysm rupture in the American College of Surgeons National Surgical Quality Improvement Program database.

J Vasc Surg 2021 Feb 19. Epub 2021 Feb 19.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale School of Medicine, New Haven, Conn. Electronic address:

Objective: The current guidelines recommend elective abdominal aortic aneurysm (AAA) repair at 5.5 cm for men and 5.0 cm for women. Read More

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February 2021

Frailty is a Poor Predictor of Postoperative Morbidity and Mortality After Ruptured Abdominal Aortic Aneurysm.

Ann Vasc Surg 2021 Feb 5. Epub 2021 Feb 5.

Division of Vascular Surgery and Endovascular Therapy, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. Electronic address:

Background: Frailty has gained prominence as a predictor of postoperative outcomes across a number of surgical specialties, vascular surgery included. The role of frailty is less defined in the acute surgical setting. We assessed the prognostic value of frailty for patients undergoing surgery for a ruptured abdominal aortic aneurysm (rAAA). Read More

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February 2021

Effect of aortic angulation on the outcomes of fenestrated-branched endovascular aortic repair.

J Vasc Surg 2021 Feb 4. Epub 2021 Feb 4.

Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn. Electronic address:

Objective: To investigate the effect of aortic angulation on the early and midterm outcomes of fenestrated-branched endovascular aneurysm repair for thoracoabdominal aortic aneurysms (TAAA) or pararenal aortic aneurysms (PRAA).

Methods: We retrospectively reviewed the data of consecutive patients enrolled in a prospective nonrandomized physician-sponsored investigational device exemption study (2013-2018). The infrarenal, suprarenal, and supraceliac aortic angles were measured on three-dimensional reconstructions of the preoperative computed tomography angiogram; a 45° cutoff was used for the analysis. Read More

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February 2021

Society for Vascular Surgery femoral runoff score is associated with limb-based patency after aortofemoral bypass.

J Vasc Surg 2021 Feb 3. Epub 2021 Feb 3.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, Va. Electronic address:

Objective: Despite advancements, aortofemoral bypass (AFB) remains the most durable option for aortoiliac occlusive disease. Although runoff has been shown to be associated with AFB patency, the association of the Society for Vascular Surgery (SVS) thigh runoff scoring system with patency has not been assessed. The aim of the present study was to evaluate the association between the SVS runoff scoring system and limb-based primary patency after AFB. Read More

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February 2021

Local Pressure Drives Low-Density Lipoprotein Accumulation and Coronary Atherosclerosis in Hypertensive Minipigs.

J Am Coll Cardiol 2021 Feb;77(5):575-589

Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain; Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark. Electronic address:

Background: The mechanisms by which hypertension accelerates coronary artery disease are poorly understood. Patients with hypertension often have confounding humoral changes, and to date, no experimental models have allowed analysis of the isolated effect of pressure on atherosclerosis in a setting that recapitulates the dimensions and biomechanics of human coronary arteries.

Objectives: This study sought to analyze the effect of pressure on coronary atherosclerosis and explore the underlying mechanisms. Read More

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February 2021

Nationwide Study to Predict Colonic Ischemia after Abdominal Aortic Aneurysm Repair in The Netherlands.

Ann Vasc Surg 2021 May 28;73:407-416. Epub 2020 Dec 28.

Department of Vascular Surgery, Haga Teaching Hospital, The Hague, the Netherlands.

Background: Colonic ischemia remains a severe complication after abdominal aortic aneurysm (AAA) repair and is associated with a high mortality. With open repair being one of the main risk factors of colonic ischemia, deciding between endovascular or open aneurysm repair should be based on tailor-made medicine. This study aims to identify high-risk patients of colonic ischemia, a risk that can be taken into account while deciding on AAA treatment strategy. Read More

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Aortic Rupture during Endovascular Aneurysm Repair. Report of Our Experience and Review of the Literature.

Aorta (Stamford) 2020 Aug 11;8(4):98-103. Epub 2020 Dec 11.

Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece.

Background:  Aortic neck wall rupture during endovascular repair of abdominal aortic aneurysms (EVAR) is an underreported potentially fatal complication. Only a few cases have been reported. The main cause of this complication is repeated attempts at balloon inflation or overdilation to treat an intraoperative Type 1a endoleak. Read More

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Meta-analysis on the effect of pituitary adenoma resection on pituitary function.

Neurol Neurochir Pol 2021 10;55(1):24-32. Epub 2020 Dec 10.

920th Hospital of the Combined Service Force of the Chinese People's Liberation Army, No. 212 Daguan Street, Xishan District, 650032 Kunming, China.

Objective: A meta-analysis was conducted on the effect of pituitary adenoma resection on pituitary function.

Methods: The Cochrane Library, Ovid, PubMed, the Excerpta Medica Database (EMBASE), and the Chinese Biomedical Literature Databases (CBM) were searched to find trials about the evaluation of pituitary target glands before and after pituitary adenoma resection. The databases were searched from the earliest available trials until the end of September 2019. Read More

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Editor's Choice - Fenestrated or Branched Endovascular versus Open Repair for Complex Aortic Aneurysms: Meta-Analysis of Time to Event Propensity Score Matched Data.

Eur J Vasc Endovasc Surg 2021 02 4;61(2):228-237. Epub 2020 Dec 4.

Vascular Centre, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S999, Université Paris Saclay, Le Plessis-Robinson, France.

Objective: The aim of this review was to investigate comparative outcomes of fenestrated or branched endovascular aneurysm repair (F/BEVAR) with open repair for juxta/para/suprarenal or thoraco-abdominal aortic aneurysms.

Methods: Electronic bibliographic sources (MEDLINE and Embase) were interrogated using the Healthcare Databases Advanced Search interface. Eligible studies compared F/BEVAR with open repair for complex aortic aneurysms using propensity score or Cox regression modelling/multivariable logistic regression analysis. Read More

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February 2021

Exclusion of complex aortic aneurysm with chimney endovascular aortic repair is applicable in a minority of patients treated with fenestrated endografts.

Interact Cardiovasc Thorac Surg 2021 Apr;32(3):460-466

Department of Vascular and Endovascular Surgery, Hospital Ottakring, Vienna, Austria.

Objectives: The Medtronic Endurant II stent graft has recently received Conformité Européenne (CE) approval for the use in chimney endovascular aortic repair (ChEVAR) for the treatment for juxtarenal aortic aneurysms. The aim of this study was to assess the percentage of patients treated by fenestrated endovascular repair who would have been alternatively suitable for the treatment by the CE approved Medtronic ChEVAR.

Methods: Preoperative computed tomography scans of 100 patients who underwent fenestrated endovascular aortic repair (FEVAR) between April 2013 and February 2017 were retrospectively assessed for the applicability of the ChEVAR technique according to the Medtronic instructions for use. Read More

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Respiratory changes in biometry of suprarenal inferior vena cava in patients with varicose veins of lower extremities.

Phlebology 2021 May 17;36(4):313-321. Epub 2020 Nov 17.

Institute of Hygiene and Environmental Medicine, University Hospital Leipzig, Leipzig, Germany.

Aim: This study examines respiratory biometry of inferior vena cava in patients with varicose veins of lower extremities.

Material And Methods: We performed retrospective analysis of clinical and ultrasound data of 67 patients with primary varicose veins.

Results: The largest expiratory (mean 16. Read More

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Specific inhibition of SHP2 suppressed abdominal aortic aneurysm formation in mice by augmenting the immunosuppressive function of MDSCs.

Life Sci 2021 Jan 12;265:118751. Epub 2020 Nov 12.

Clinical Laboratory, Hebei General Hospital, China. Electronic address:

Aims: To address the roles of SHP2 in regulating angiotensin II (Ang II) induced abdominal aortic aneurysm (AAA) and the potential molecular mechanisms.

Main Methods: AAA model was established in apolipoprotein E-deficient (apoE) mice infused with Ang II. Suprarenal aortic luminal diameters were ultrasonically measured to determine the presentation of AAA in mice. Read More

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January 2021