Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair
PURPOSEWe aimed to present our clinical experience with the renal artery catheterization (RAC) technique, which reduces the volume of intra-arterial contrast media (ICM) used during endovascular aortic repair (EVAR), and describe the short-term results of this technique. MATERIALS AND METHODSWe retr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2013-05-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/reduction-of-iodinated-contrast-load-with-the-rena/56705
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| _version_ | 1827823630181990400 |
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| author | Murat Canyiğit Levent Çetin Emrah Uğuz Oktay Algın Aslıhan Küçüker Halil Arslan Erol Şener |
| author_facet | Murat Canyiğit Levent Çetin Emrah Uğuz Oktay Algın Aslıhan Küçüker Halil Arslan Erol Şener |
| author_sort | Murat Canyiğit |
| collection | DOAJ |
| description | PURPOSEWe aimed to present our clinical experience with the renal artery catheterization (RAC) technique, which reduces the volume of intra-arterial contrast media (ICM) used during endovascular aortic repair (EVAR), and describe the short-term results of this technique. MATERIALS AND METHODSWe retrospectively evaluated 16 patients (15 males and one female) who underwent EVAR between March 2011 and February 2012 using the RAC technique for an abdominal aortic aneurysm. A Simmons-1 catheter was preferred for renal artery cannulation. The mean age of the patients at the time of treatment was 70 years (range, 61–82 years). Fifteen cases were fusiform aneurysms, and one case was a saccular aneurysm. Creatinine and estimated glomerular filtration rate (eGFR) values were recorded before the procedure and during the first 72 hours postprocedure. RESULTSBifurcated stent grafts were implanted with 100% procedural success using the RAC technique. The inferiorly positioned renal artery was cannulated with a Simmons-1 catheter in the first five patients, and was maintained at the level of the renal artery orifice in the remaining patients. The mean volume of the ICM used was 47 mL (range, 23–83 mL). The creatinine and eGFR values were not significantly different between the pre- and postoperative periods (P > 0.05). CONCLUSIONReducing the volume of ICM used during EVAR is critical for protecting renal function. The RAC technique is a safe and effective method in appropriate patients when performed by experienced clinicians. |
| first_indexed | 2024-03-12T02:14:25Z |
| format | Article |
| id | doaj.art-be04e054a8fe44a397b83b3fd655197d |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:14:25Z |
| publishDate | 2013-05-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-be04e054a8fe44a397b83b3fd655197d2023-09-06T10:50:07ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122013-05-0119324425010.5152/dir.2012.00113049054Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repairMurat Canyiğit0Levent Çetin1Emrah Uğuz2Oktay Algın3Aslıhan Küçüker4Halil Arslan5Erol Şener6 Department of Radiology, Ankara Ataturk Training and Research Hospital, Ankara, Turkey Department of Cardiovascular Surgery, Ankara Atatürk Training and Research Hospital, Ankara, Turkey Department of Cardiovascular Surgery, Ankara Atatürk Training and Research Hospital, Ankara, Turkey Departments of Radiology, Uludağ University Faculty of Medicine, Bursa, Turkey Department of Cardiovascular Surgery, Ankara Atatürk Training and Research Hospital, Ankara, Turkey Clinics of Urology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey Department of Cardiovascular Surgery, Ankara Ataturk Training and Research Hospital, Ankara, Turkey PURPOSEWe aimed to present our clinical experience with the renal artery catheterization (RAC) technique, which reduces the volume of intra-arterial contrast media (ICM) used during endovascular aortic repair (EVAR), and describe the short-term results of this technique. MATERIALS AND METHODSWe retrospectively evaluated 16 patients (15 males and one female) who underwent EVAR between March 2011 and February 2012 using the RAC technique for an abdominal aortic aneurysm. A Simmons-1 catheter was preferred for renal artery cannulation. The mean age of the patients at the time of treatment was 70 years (range, 61–82 years). Fifteen cases were fusiform aneurysms, and one case was a saccular aneurysm. Creatinine and estimated glomerular filtration rate (eGFR) values were recorded before the procedure and during the first 72 hours postprocedure. RESULTSBifurcated stent grafts were implanted with 100% procedural success using the RAC technique. The inferiorly positioned renal artery was cannulated with a Simmons-1 catheter in the first five patients, and was maintained at the level of the renal artery orifice in the remaining patients. The mean volume of the ICM used was 47 mL (range, 23–83 mL). The creatinine and eGFR values were not significantly different between the pre- and postoperative periods (P > 0.05). CONCLUSIONReducing the volume of ICM used during EVAR is critical for protecting renal function. The RAC technique is a safe and effective method in appropriate patients when performed by experienced clinicians. http://www.dirjournal.org/archives/archive-detail/article-preview/reduction-of-iodinated-contrast-load-with-the-rena/56705 |
| spellingShingle | Murat Canyiğit Levent Çetin Emrah Uğuz Oktay Algın Aslıhan Küçüker Halil Arslan Erol Şener Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair Diagnostic and Interventional Radiology |
| title | Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair |
| title_full | Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair |
| title_fullStr | Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair |
| title_full_unstemmed | Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair |
| title_short | Reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair |
| title_sort | reduction of iodinated contrast load with the renal artery catheterization technique during endovascular aortic repair |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/reduction-of-iodinated-contrast-load-with-the-rena/56705
|
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