Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation
This study aimed to assess the mid-term renal function of abdominal aortic aneurysm patients following suprarenal endovascular repair. From March 2005 to December 2009, 290 abdominal aortic aneurysm patients were included in the study and grouped according to whether they had received infrarenal or...
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| Format: | Article |
| Language: | English |
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MDPI AG
2011-09-01
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| Series: | Surgical Techniques Development |
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| Online Access: | http://www.pagepress.org/journals/index.php/std/article/view/2809 |
| _version_ | 1797368205454344192 |
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| author | YingBin Jia Yun Shi XiaoDong Guan Jian Li BaiMeng Zhang WeiGuo Fu |
| author_facet | YingBin Jia Yun Shi XiaoDong Guan Jian Li BaiMeng Zhang WeiGuo Fu |
| author_sort | YingBin Jia |
| collection | DOAJ |
| description | This study aimed to assess the mid-term renal function of abdominal aortic aneurysm patients following suprarenal endovascular repair. From March 2005 to December 2009, 290 abdominal aortic aneurysm patients were included in the study and grouped according to whether they had received infrarenal or suprarenal endovascular aneurysm repair. Suprarenal endovascular aneurysm repair was performed in 173 patients, with a mean age of 72(±8) years (85.0% male). Infrarenal endovascular aneurysm repair was performed in 117 patients, with a mean age of 71(±9) years (90.6% male). Preoperative and one week, 1-, 3-, 6- and 12-month postoperative serum creatinine and cystatin C values were recorded. Estimated glomerular filtration rate was calculated by cystatin-based formula and Cr-based Cockcroft formula. The t-test was used to determine statistical differences between or within groups. All patients received Talent or Zenith endograft. Patients’ characteristics and operative files in the two groups were well matched. Preoperative serum creatinine and cystatin C were 82 (±8) mmol/L and 0.89 (±0.11) mg/L for suprarenal endovascular aneurysm repair, respectively, and 81 (±11) mmol/L and 0.87 (±0.15) mg/L, respectively, for infrarenal endovascular aneurysm repair; no differences were observed between the two groups. Compared to preoperative renal markers within each group, a deterioration in serum creatinine, cystatin C and estimated glomerular filtration rate values was found at one week and 12 months after surgery（P<0.05). A deterioration in cystatin C [SR:(0.93±0.17) mg/L, IR: (0.92±0.31) mg/L] and estimated glomerular filtration rate by cystatin C was also found at six months after surgery（P<0.05). However, no differences in patient serum creatinine, cystatin C and estimated glomerular filtration rate values were observed between groups at each follow-up time interval. There was no greater significant difference in the association of the use of suprarenal fixation with midterm postoperative renal injury than with infrarenal fixation. |
| first_indexed | 2024-03-08T17:29:18Z |
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| id | doaj.art-faa5c72ca9d046eda7c8d21708e9f46f |
| institution | Directory Open Access Journal |
| issn | 2038-9574 2038-9582 |
| language | English |
| last_indexed | 2024-03-08T17:29:18Z |
| publishDate | 2011-09-01 |
| publisher | MDPI AG |
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| series | Surgical Techniques Development |
| spelling | doaj.art-faa5c72ca9d046eda7c8d21708e9f46f2024-01-02T17:25:39ZengMDPI AGSurgical Techniques Development2038-95742038-95822011-09-0111e10e1010.4081/std.2011.e101628Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixationYingBin Jia0Yun Shi1XiaoDong Guan2Jian Li3BaiMeng Zhang4WeiGuo Fu5Department of Vascular Surgery of the Fifth Hospital Affiliated to Sun Yat-Sen University, ZhuHaiDepartment of Vascular Surgery of Zhong Shan Hospital Affiliated to Fu Dan University, ShangHaiDepartment of Vascular Surgery of the Fifth Hospital Affiliated to Sun Yat-Sen University, ZhuHaiDepartment of Vascular Surgery of the Fifth Hospital Affiliated to Sun Yat-Sen University, ZhuHaiDepartment of Vascular Surgery of the Fifth Hospital Affiliated to Sun Yat-Sen University, ZhuHaiDepartment of Vascular Surgery of Zhong Shan Hospital Affiliated to Fu Dan University, ShangHaiThis study aimed to assess the mid-term renal function of abdominal aortic aneurysm patients following suprarenal endovascular repair. From March 2005 to December 2009, 290 abdominal aortic aneurysm patients were included in the study and grouped according to whether they had received infrarenal or suprarenal endovascular aneurysm repair. Suprarenal endovascular aneurysm repair was performed in 173 patients, with a mean age of 72(±8) years (85.0% male). Infrarenal endovascular aneurysm repair was performed in 117 patients, with a mean age of 71(±9) years (90.6% male). Preoperative and one week, 1-, 3-, 6- and 12-month postoperative serum creatinine and cystatin C values were recorded. Estimated glomerular filtration rate was calculated by cystatin-based formula and Cr-based Cockcroft formula. The t-test was used to determine statistical differences between or within groups. All patients received Talent or Zenith endograft. Patients’ characteristics and operative files in the two groups were well matched. Preoperative serum creatinine and cystatin C were 82 (±8) mmol/L and 0.89 (±0.11) mg/L for suprarenal endovascular aneurysm repair, respectively, and 81 (±11) mmol/L and 0.87 (±0.15) mg/L, respectively, for infrarenal endovascular aneurysm repair; no differences were observed between the two groups. Compared to preoperative renal markers within each group, a deterioration in serum creatinine, cystatin C and estimated glomerular filtration rate values was found at one week and 12 months after surgery（P<0.05). A deterioration in cystatin C [SR:(0.93±0.17) mg/L, IR: (0.92±0.31) mg/L] and estimated glomerular filtration rate by cystatin C was also found at six months after surgery（P<0.05). However, no differences in patient serum creatinine, cystatin C and estimated glomerular filtration rate values were observed between groups at each follow-up time interval. There was no greater significant difference in the association of the use of suprarenal fixation with midterm postoperative renal injury than with infrarenal fixation.http://www.pagepress.org/journals/index.php/std/article/view/2809aortic aneurysm, abdominal, renal insufficiency, vascular surgical procedures, prostheses and implants. |
| spellingShingle | YingBin Jia Yun Shi XiaoDong Guan Jian Li BaiMeng Zhang WeiGuo Fu Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation Surgical Techniques Development aortic aneurysm, abdominal, renal insufficiency, vascular surgical procedures, prostheses and implants. |
| title | Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation |
| title_full | Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation |
| title_fullStr | Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation |
| title_full_unstemmed | Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation |
| title_short | Evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation |
| title_sort | evaluation of patient renal function following endovascular aneurysm repair with suprarenal fixation |
| topic | aortic aneurysm, abdominal, renal insufficiency, vascular surgical procedures, prostheses and implants. |
| url | http://www.pagepress.org/journals/index.php/std/article/view/2809 |
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