scholarly journals A Case of Rapid Progressive Kidney Dysfunction with Severely Calcified Stenotic Aorta

2018 ◽  
Vol 8 (3) ◽  
pp. 253-260
Author(s):  
Makoto Harada ◽  
Yusuke Miyashita ◽  
Tohru Ichikawa ◽  
Mamoru Kobayashi
Keyword(s):  
Renal Function ◽  
Coral Reef ◽  
Renal Artery ◽  
Endovascular Therapy ◽  
Surgical Complication ◽  
Rapid Progression ◽  
Kidney Dysfunction ◽  
Rare Type ◽  
Renal Artery Reconstruction ◽  
Artery Reconstruction

Coral reef aorta is rare type of atherosclerotic diseases with severe calcification in the visceral part of the aorta. We present a case of coral reef aorta with severe abdominal aortic stenosis in a 67-year-old man. The patient presented with hypertension, claudication, and rapid progression of renal dysfunction over several months. Angiography revealed a severely stenotic suprarenal abdominal aorta resulting in renal ischemia and dysfunction. In addition, his right kidney was completely atrophied. After open surgical repair of the stenotic aorta including renal artery reconstruction, renal function did not improve. There was stenotic anastomosis to the renal artery. After endovascular therapy to the stenotic anastomosis, renal function dramatically improved. Stenotic coral reef aorta may be the cause of kidney dysfunction. In addition, surgical complication of stenotic anastomosis may be successfully treated by endovascular therapy.

scholarly journals The effects of dopexamine on renal function in surgical renal artery reconstruction: a pilot study

Critical Care ◽  
10.1186/cc267 ◽  
1998 ◽  
Vol 2 (Suppl 1) ◽  
pp. P138
Author(s):  
ED Cheetham ◽  
PDF Dodd ◽  
L Gurnani ◽  
JM Eddleston ◽  
MG Walker
Keyword(s):  
Renal Function ◽  
Pilot Study ◽  
Renal Artery ◽  
Renal Artery Reconstruction ◽  
Artery Reconstruction

scholarly journals Renal artery reconstruction for the preservation of renal function

1996 ◽  
Vol 24 (3) ◽  
pp. 371-382 ◽  
Author(s):  
Richard P. Cambria ◽  
David C. Brewster ◽  
Gilbert J. L'Italien ◽  
Jonathan P. Gertler ◽  
William M. Abbott ◽  
...  
Keyword(s):  
Renal Function ◽  
Renal Artery ◽  
Renal Artery Reconstruction ◽  
Artery Reconstruction

Concomitant Aortic and Renal Artery Reconstruction in Patients on an Intensive Antihypertensive Medical Regimen: Long-Term Outcome

1998 ◽  
Vol 12 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Mark J. Kulbaski ◽  
Andrzej S. Kosinski ◽  
Robert B. Smith ◽  
Atef A. Salam ◽  
Thomas F. Dodson ◽  
...  
Keyword(s):  
Renal Artery ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Medical Regimen ◽  
Renal Artery Reconstruction ◽  
Artery Reconstruction

Successful ex vivo renal artery reconstruction and renal autotransplantation

2001 ◽  
Vol 71 (2) ◽  
pp. 79-82 ◽  
Author(s):  
Carolyn S. L. Cho ◽  
Philip W. Robinson ◽  
Alexander B. F. Grant ◽  
Adrian D. Hibberd
Keyword(s):  
Renal Artery ◽  
Ex Vivo ◽  
Renal Artery Reconstruction ◽  
Renal Autotransplantation ◽  
Artery Reconstruction

Endovascular interventions in management of renal artery aneurysm

2021 ◽  
pp. 20201151
Author(s):  
Sandipan Ghosh ◽  
Soumya Kanti Dutta
Keyword(s):  
Renal Function ◽  
Renal Artery ◽  
Endovascular Therapy ◽  
Coil Embolization ◽  
Clinical Success ◽  
Artery Aneurysm ◽  
Renal Infarction ◽  
Renal Artery Aneurysm ◽  
Selective Embolization ◽  
Complex Anatomy

Renal artery aneurysm is a rare disease. With modern non-invasive imaging modalities, the disease is being increasingly diagnosed. It is a slow-growing aneurysm with high mortality in the event of rupture; especially in pregnant females and patients with multiple comorbidities. Traditionally, aneurysms located in the main renal artery had been successfully treated with endoprosthesis but technical limitations existed in more distal locations where patients were treated surgically. With advances in endovascular therapy, numerous techniques have been employed to manage complex RAA in artery bifurcation, branch and segmental arteries with excellent technical and clinical success. The various recent techniques include the use of flow diverter stents, remodelling with stent-assisted coil embolization[SACE], balloon-assisted coil embolization[BACE], selective embolization with coils-sac packing, inflow occlusion and coil trapping and selective embolization with liquid embolic agents-Hystroacril and Onyx. A combination of stent-graft with liquid embolization and liquid with microcoil embolization have been advocated with success. The most common complication encountered is renal infarction. This is mostly without impairment of renal function and secondary to embolization. Endovascular therapy has shorter operative time, less blood loss, shorter intensive care stay, done under conscious sedation and is associated with lesser postoperative morbidity compared to surgery. Reduction in hypertension, improvement of renal function and symptoms has been seen in most studies. Endovascular management of RAA has become the management of choice even with complex anatomy and technically challenging lesions.

ELECTROSPUN VASCULAR GRAFTS FOR RENAL ARTERY RECONSTRUCTION

2009 ◽  
Vol 181 (4S) ◽  
pp. 810-810
Author(s):  
Bryan Tillman ◽  
Sang Jin Lee ◽  
Saami Yazdani ◽  
Anthony Atala ◽  
James J Yoo
Keyword(s):  
Renal Artery ◽  
Vascular Grafts ◽  
Renal Artery Reconstruction ◽  
Artery Reconstruction
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