Clinical impact of chronic renal insufficiency on endovascular aneurysm repair

Brian Park, Arun Mavanur, A. David Drezner, James Gallagher, James O. Menzoian

Research output: Contribution to journalArticlepeer-review

Abstract

Endovascular aneurysm repair of abdominal aortic aneurysms has become a viable alternative to open repair. A significant proportion of this patient population has chronic renal insufficiency. The surgical outcomes associated with endovascular repair in 342 patients, with and without chronic renal insufficiency, are reported. Perioperative mortality, length of admission, length of intensive care unit admission, and rates of acute renal failure, congestive heart failure, myocardial infarction, conversion to open surgery, progression to hemodialysis, and incidence of endoleaks were retrospectively reviewed and analyzed. Endovascular repair demonstrated higher rates of acute renal failure, longer length of stay, and longer intensive care unit admissions in patients with chronic renal insufficiency. Patients with severe renal dysfunction demonstrated markedly elevated mortality and morbidity. These results indicate that chronic renal insufficiency is not an absolute contraindication to endovascular repair in patients with moderate renal dysfunction, but patients with severe renal dysfunction perform poorly after aortic reconstruction.

Original languageEnglish (US)
Pages (from-to)437-445
Number of pages9
JournalVascular and endovascular surgery
Volume40
Issue number6
DOIs
StatePublished - Dec 2006
Externally publishedYes

Keywords

  • Aneurysm
  • Endograft
  • Renal

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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