Presentation is loading. Please wait.

Presentation is loading. Please wait.

Surgical management of dialysis-dependent ischemic nephropathy

Similar presentations


Presentation on theme: "Surgical management of dialysis-dependent ischemic nephropathy"— Presentation transcript:

1 Surgical management of dialysis-dependent ischemic nephropathy
Kimberley J. Hansen, MD, R.Bradley Thomason, MD, Timothy E. Craven, MSPH, Stanley B. Fuller, MD, Donna R. Keith, AS, Richard G. Appel, MD, Richard H. Dean, MD  Journal of Vascular Surgery  Volume 21, Issue 2, Pages (February 1995) DOI: /S (95) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Product-limit estimate of patient survival according to dialysis status after operation (n = 20). Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Preoperative aortogram demonstrates bilateral renal artery occlusion (A) with late RA reconstitution (B). Postoperative aortogram (C) after bilateral thromboendarterectomy and removal from dialysis dependence. Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 2 Preoperative aortogram demonstrates bilateral renal artery occlusion (A) with late RA reconstitution (B). Postoperative aortogram (C) after bilateral thromboendarterectomy and removal from dialysis dependence. Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 3 Graphic depiction of preoperative and postoperative percent decline in EGFR per week for all 20 patients. Note immediate improvement in EGFR and significant improvement in rate of decline in EGFR after operation. Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 4 Graphic depiction of preoperative and postoperative percent decline in EGFR per week for patients not receiving dialysis (solid line, n = 14) and patients receiving dialysis (broken line, n = 6) after surgery. (*Difference between preoperative and postoperative slopes in patients not dependent on dialysis after operation is significant after controlling for multiple comparisons; †Difference in preoperative slopes between patients dependent and not dependent on dialysis after operation is not significant after controlling for multiple comparisons.) Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 5 Graphic depiction of preoperative and postoperative percent decline in EGFR per week for patients dependent on dialysis (solid line, n = 20) and not dependent on dialysis (broken line, n = 53) before operation. (*Difference in preoperative slopes between subjects not receiving and receiving preoperative dialysis is significant after controlling for multiple comparisons.) Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

8 Fig. 6 Photomicrographs (Original magnification × 25) of percutaneous renal biopsies taken before operation. Glomerular obsolescence (A) is demonstrated in more than half of glomeruli present. Remaining glomeruli (B) demonstrated ischemic collapse with focal and segmental sclerosis. Dialysis was discontinued in this patient after operation. Journal of Vascular Surgery  , DOI: ( /S (95) ) Copyright © 1995 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


Download ppt "Surgical management of dialysis-dependent ischemic nephropathy"

Similar presentations


Ads by Google