PMID- 22841276
OWN - NLM
STAT- MEDLINE
DCOM- 20130103
LR  - 20220408
IS  - 1873-2623 (Electronic)
IS  - 0041-1345 (Linking)
VI  - 44
IP  - 6
DP  - 2012 Jul-Aug
TI  - Long-term outcome of single institutional experience with conservative and 
      surgical management for renal artery aneurysm.
PG  - 1795-9
LID - 10.1016/j.transproceed.2012.05.037 [doi]
AB  - BACKGROUND: Spontaneous rupture risk of a renal artery aneurysm (RAA) is 
      extremely low. Indications for surgical repair of RAA remain uncertain. 
      OBJECTIVE: Long-term outcomes of conservative therapy and surgical repair were 
      evaluated. PATIENTS: The study included 58 patients (17 males, 41 females) who 
      were diagnosed with RAA during the last 21 years. Median age at the time of 
      diagnosis was 62 (19-85) years, and the median follow-up 69 months (range 3-216). 
      METHODS: The patients were divided into two groups, conservative group (n = 30) 
      who had been followed with blood pressure control, and treatment group (n = 29), 
      who underwent an intervention. RESULTS: Multiple efferent aneurysmal branches 
      were observed in seven conservative and 16 treatment cases (P = .002). The median 
      maximum diameter of the aneurysm was lower in the conservative than the treatment 
      group (15 versus 25 mm, P = .005). Two conservative group cases showed increases 
      in aneurysm size during follow-up. The hypertensive state showed essentially no 
      change in either group during the follow-up. Renal function decreased with age 
      similarly both in conservative and treatment groups. CONCLUSIONS: Our 
      conservative management criteria for RAA are justifiable and even too strict.
CI  - Copyright (c) 2012 Elsevier Inc. All rights reserved.
FAU - Morita, K
AU  - Morita K
AD  - Department of Urology, Hokkaido University Hospital, Sapporo, Japan. 
      kenordic@mac.com
FAU - Seki, T
AU  - Seki T
FAU - Iwami, D
AU  - Iwami D
FAU - Sasaki, H
AU  - Sasaki H
FAU - Fukuzawa, N
AU  - Fukuzawa N
FAU - Nonomura, K
AU  - Nonomura K
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Transplant Proc
JT  - Transplantation proceedings
JID - 0243532
RN  - 0 (Antihypertensive Agents)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Aneurysm/diagnosis/mortality/surgery/*therapy
MH  - Antihypertensive Agents/therapeutic use
MH  - Embolization, Therapeutic
MH  - Female
MH  - Humans
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - *Nephrectomy/adverse effects/mortality
MH  - Patient Selection
MH  - Postoperative Complications/etiology
MH  - Predictive Value of Tests
MH  - Renal Artery/*surgery
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Risk Factors
MH  - Time Factors
MH  - Treatment Outcome
MH  - *Vascular Surgical Procedures/adverse effects/mortality
MH  - Young Adult
EDAT- 2012/07/31 06:00
MHDA- 2013/01/04 06:00
CRDT- 2012/07/31 06:00
PHST- 2012/07/31 06:00 [entrez]
PHST- 2012/07/31 06:00 [pubmed]
PHST- 2013/01/04 06:00 [medline]
AID - S0041-1345(12)00502-7 [pii]
AID - 10.1016/j.transproceed.2012.05.037 [doi]
PST - ppublish
SO  - Transplant Proc. 2012 Jul-Aug;44(6):1795-9. doi: 
      10.1016/j.transproceed.2012.05.037.