Surgical revascularization of renal artery after complicated or failed percutaneous transluminal renal angioplasty Michel Lacombe, MD, Jean-Baptiste.

Slides:

Advertisements

Similar presentations

Revascularization and rescue of a failed kidney transplant in a case of autosomal dominant polycystic kidney disease Anupamaa Seshadri, BS, Christopher.

Advertisements

Endovascular management of transplant renal artery stenosis

Endovascular management of transplant renal artery stenosis

Vikram S. Kashyap, MD, Ricardo N. Sepulveda, MD, James F

Balloon angioplasty versus Viabahn stent graft for treatment of failing or thrombosed prosthetic hemodialysis grafts Thomas Vesely, MD, William DaVanzo,

Outcome of visceral chimney grafts after urgent endovascular repair of complex aortic lesions Adel Bin Jabr, MD, PhD, Bengt Lindblad, MD, PhD, Thorarinn.

Freedom from secondary interventions to treat stenotic disease after percutaneous transluminal angioplasty of infrarenal aorta: long-term results J.P.P.M.

Extrinsic compression of the external iliac artery following internal fixation of an acetabular fracture Erin Koelling, MD, Dipankar Mukherjee, MD Journal.

Deep venous thrombosis after repair of nonruptured abdominal aneurysm

Percutaneous transluminal renal angioplasty versus surgical reconstruction of atherosclerotic renal artery stenosis: A prospective randomized study Henrik.

Early and late outcomes of percutaneous treatment of TransAtlantic Inter-Society Consensus class C and D aorto-iliac lesions Wei Ye, MD, Chang-Wei Liu,

Supra-aortic vessels aneurysms: Diagnosis and prompt intervention

Linda Le, MD, William Terral, MD, Nicolas Zea, MD, Hernan A

Ali F. AbuRahma, MD, J. David Hayes, MD, Sarah K

Mark G. Davies, MD, PhD, MBA, Wael E. Saad, MD, Jean X

Balloon angioplasty versus Viabahn stent graft for treatment of failing or thrombosed prosthetic hemodialysis grafts Thomas Vesely, MD, William DaVanzo,

Isolated spontaneous dissection of the renal artery

Total laparoscopic bypass for aortoiliac occlusive lesions: 93-case experience Marc Coggia, MD, Isabelle Javerliat, MD, Isabelle Di Centa, MD, Giovanni.

Pelvic ischemia and quality of life scores after interventional occlusion of the hypogastric artery in patients undergoing endovascular aortic aneurysm.

Peter Gloviczki, MD Journal of Vascular Surgery

Todd R. Vogel, MD, MPH, Viktor Y. Dombrovskiy, MD, PhD, MPH, Paul B

Tommaso Lupattelli, MD, Giovanni Nano, MD, Luigi Inglese, MD

Revascularization and rescue of a failed kidney transplant in a case of autosomal dominant polycystic kidney disease Anupamaa Seshadri, BS, Christopher.

Diffusion of new technology for the treatment of renovascular hypertension in the United States: Surgical revascularization versus catheter-based therapy,

Blake A. Hamby, MD, Daniel E. Ramirez, MD, George E

Depression is associated with worse patency and recurrent leg symptoms after lower extremity revascularization Gregory S. Cherr, MD, Jiping Wang, MD,

Follow-up outcomes of hybrid procedures for thoracoabdominal aortic pathologies with special focus on graft patency and late mortality Claudio Bianchini.

Long-term results of a multicenter randomized study on direct versus crossover bypass for unilateral iliac artery occlusive disease Jean-Baptiste Ricco,

Failed percutaneous transluminal renal angioplasty: Experience with lesions requiring operative intervention Richard H. Dean, M.D., James T. Callis,

Open versus endovascular treatment of subclavian artery atherosclerotic disease George C. Galyfos, MD, PhD, Ioannis Kakisis, MD, PhD, Chrisostomos Maltezos,

Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: A comparative experience Marvin D. Atkins, MD, Christopher J.

Virendra I. Patel, MD, Mark F. Conrad, MD, Christopher J

Amy N. Roach, BS, Sebastian Larion, MS, Sadaf S. Ahanchi, MD, Chad P

Open versus endovascular revascularization for chronic mesenteric ischemia: Risk- stratified outcomes Gustavo S. Oderich, MD, Thomas C. Bower, MD, Timothy.

Thomas S. Huber, MD, PhD, Michael P. Brown, DO, James M. Seeger, MD, W

Twenty-year experience with acute distal thoracic aortic dissections

In-hospital and 30-day outcomes after tibioperoneal interventions in the US Medicare population with critical limb ischemia Todd R. Vogel, MD, MPH, Viktor.

Endovascular treatment of atherosclerotic popliteal artery disease based on dynamic angiography findings Chaoyi Cui, MD, PhD, Xintian Huang, MD, Xiaobing.

Marc L. Schermerhorn, MD, Kristina A. Giles, MD, Allen D

Patric Liang, BA, Rob Hurks, MD, PhD, Rodney P

Outcomes of renal artery angioplasty and stenting using low-profile systems Brian W. Nolan, MD, Marc L. Schermerhorn, MD, Erin Rowell, MD, Richard J.

Outcomes of reoperative open or endovascular interventions to treat patients with failing open mesenteric reconstructions for mesenteric ischemia Karina.

Sadaf S. Ahanchi, MD, Christopher L. Stout, MD, Tyler J

Outcome of drug-eluting balloon angioplasty versus endarterectomy in common femoral artery occlusive disease Tzu-Ting Kuo, MD, Po-Lin Chen, MD, Chun-Yang.

Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients Andrew M. Bakken, MD, Clinton D. Protack,

Atherectomy offers no benefits over balloon angioplasty in tibial interventions for critical limb ischemia Kevin E. Todd, BS, Sadaf S. Ahanchi, MD, Christian.

Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia Panagiotis Kougias, MD, Donald Lau, BS,

Balloon angioplasty for revision of failing lower extremity bypass grafts Haitham Ali, MD, Ahmed Elbadawy, MD, Mahmoud Saleh, MD, Ayman Hasaballah, MD

Toshifumi Kudo, MD, PhD, Fiona A. Chandra, Samuel S. Ahn, MD

Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: Long-term results Jean-Paul P.M. de Vries,

Efficacy of protected renal artery primary stenting in the solitary functioning kidney Chris Klonaris, MD, Athanasios Katsargyris, MD, Andreas Alexandrou,

Ramon Berguer, MD, PhD, Lisa M. Flynn, MD, Ronald A

Outcomes of total endovascular treatment of juxtarenal aortic aneurysms in octogenarians Diogo Silveira, MD, Georgios Pitoulias, MD, Giovanni Torsello,

Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with detachable vascular plugs Michel Batt, MD,

Linda Le, MD, Ashton Brooks, MBBS, Melissa Donovan, MD, Taylor A

A personal experience with factors influencing survival after elective open repair of infrarenal aortic aneurysms Norman R. Hertzer, MD, Edward J. Mascha,

Carotid endarterectomy with a polyurethane patch versus primary closure: A prospective randomized study Dallit Mannheim, MD, Boaz Weller, MD, Eran Vahadim,

Aortoiliac surgery in renal transplant patients

Raymond S. Martin, MD, Patrick W. Meacham, MD, Jeff A

Michel Lacombe, MD Journal of Vascular Surgery

The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair Roel Hobo, MSc, Robert J.F. Laheij,

Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results” John B. Chang, MD,

Creating functional autogenous vascular access in older patients

High incidence of restenosis/reocclusion of stents in the percutaneous treatment of long-segment superficial femoral artery disease after suboptimal angioplasty

The effectiveness of percutaneous transluminal angioplasty for the treatment of critical limb ischemia: A 10-year experience Toshifumi Kudo, MD, PhD,

Percutaneous transluminal angioplasty and stenting as first-choice treatment in patients with chronic mesenteric ischemia Bram Fioole, MD, PhD, Hendrik.

Impact of incidental renal artery stenosis on long-term mortality in patients with peripheral arterial disease undergoing vascular procedure Kwok-Wai.

Deep venous thrombosis after repair of nonruptured abdominal aneurysm

Scott M. Surowiec, MD, Mark G. Davies, MD, PhD, Shirley W

Richard L. McCann, MD, R.Randal Bollinger, MD, Glenn E. Newman, MD

Presentation transcript:

Surgical revascularization of renal artery after complicated or failed percutaneous transluminal renal angioplasty Michel Lacombe, MD, Jean-Baptiste Ricco, MD, PhD Journal of Vascular Surgery Volume 44, Issue 3, Pages 537-544 (September 2006) DOI: 10.1016/j.jvs.2006.05.036 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Patient age distribution according to the etiology of renal artery disease. For the entire series, mean age was 34.4 years, and median age was 28 years (25th percentile, 13.5 years; 75th percentile, 59.5 years). Bimodal age distribution was correlated with underlying disease etiology. Young patients presented with renal fibrodysplasia or Takayasu’s disease (mean age, 18 ± 11 years), whereas older patients presented with atheroma disease (mean age, 61 ± 12 years). Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Study flowchart shows the outcome of 52 percutaneous transluminal renal angioplasties (PTRA) procedures in 45 patients. Major complications of PTRA occurred in 19 arteries (15 patients) and immediate or late failure occurred in 33 PTRA (30 patients). Forty-eight renal artery reconstruction procedures were performed, including 10 involving extracorporeal repair. Primary nephrectomy was performed in three cases. One patient had an atrophic kidney that prevented operative treatment. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Angiography shows covered perforation of a renal artery during angioplasty. Large arrow indicates a periarterial hematoma. Small arrow indicates the angioplasty catheter. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Operative view shows postangioplasty dissection of the renal artery associated with arterial thrombosis. The patient underwent emergent treatment. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 5 A, Angiography shows dissection (arrow) after angioplasty of a recurrent stenosis of the left renal artery after splenorenal anastomosis in a patient with only one kidney. B, Angiography after emergent extracorporeal repair with autotransplantation of the kidney into the left iliac fossa and renal artery anastomosis to the common iliac artery. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 6 Significant aggravation of a renal artery stenosis after angioplasty in a patient with arterial fibrodysplasia. A, Initial status: right renal artery fibrodysplasia with proximal stenosis (arrow). B, Final status after two angioplasties. The stenosis (arrows) has extended and now involves the full length of the previously healthy superior renal artery branch. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 7 Evolution of a pseudo aneurysm occurring after a right renal artery angioplasty. A, Immediate result after angioplasty in September 1998. B, Same artery in January 2001. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 8 Primary patency (Kaplan-Meier method) observed after 48 renal artery revascularization procedures with the number of patients exposed to risk for each interval and calculation of 95% confidence interval. At 5 years, primary patency was 94.1% ± 5.8% for the 18 revascularizations in patients with atheromatous lesions (full lines), and 93.3% ± 6.7% for the 30 revascularizations in patients with nonatheromatous lesions (dotted lines). Primary patency was 93.5% ± 6.5% at 5 years for the entire series. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 9 Interval between the last percutaneous transluminal renal artery angioplasty (PTRA) and open surgical treatment. The mean interval (vertical line) was 263 days (25th percentile, 11 days; 75th percentile, 285 days). Thirteen procedures (25.5%), including seven emergent procedures, were performed ≤first 30 days after PTRA. Journal of Vascular Surgery 2006 44, 537-544DOI: (10.1016/j.jvs.2006.05.036) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions