PMID- 25475915
OWN - NLM
STAT- MEDLINE
DCOM- 20170130
LR  - 20170130
IS  - 1827-191X (Electronic)
IS  - 0021-9509 (Linking)
VI  - 57
IP  - 5
DP  - 2016 Oct
TI  - Long-term follow-up of endovascular treatment of renal artery aneurysms with 
      covered stent deployment.
PG  - 625-33
AB  - BACKGROUND: The aim of this study was to assess the technical success and 
      clinical long-term results of renal artery aneurysm (RAA) treatment using covered 
      stents. METHODS: We performed a retrospective study on endovascular treatment of 
      nine patients with 10 RAAs, arising from the main renal artery or from the 
      proximal portion of large segmental arteries. All procedures were performed in 
      our department between 2004 and 2011. The aneurysms were excluded using covered 
      stents. Our follow-up included laboratories indexes, Computed 
      Tomography-angiography (CTA) at 1-6-12-24 months and 48-month Duplex-ultrasound 
      examination. RESULTS: Study population included 4 males and 5 females (mean age: 
      63.5+/-7.3 y.o.). Six were affected by fibromuscular dysplasia and associated renal 
      artery stenosis. The population showed a significant decrease of arterial blood 
      pressure (from baseline values of 163.9+/-19.4/98.9+/-9.2 mmHg to 128.9+/-6.5/79.4+/-4.6 
      mmHg at 24 months follow-up) and of drug posology (baseline 3.7+/-0.7 drugs to 
      1.6+/-0.7 drugs at 24 months). Also they showed a significant decrease of serum 
      creatinine levels (baseline 1.9+/-1.4 mg/dL vs.1.1+/-0.4 mg/dL at 12 months) and 
      increase of glomerular filtration rate (from baseline values 46.9+/-23 mL/min/1.73 
      m2 to 69.1+/-20 mL/min/1.73 m2 at 24 months follow-up). CTA demonstrated patency of 
      the cover stents, absence of endoleaks and re-stenosis in all patients. Only in 
      one patient the inferior segmental artery was sacrificed due to the presence of 
      its early origin, resulting in a small area of renal parenchyma infarction with 
      no significant clinical consequences. CONCLUSIONS: The procedure revealed to be 
      safe for renal function, feasible and effective for the exclusion of the 
      aneurismal sac and restoring vessel patency.
FAU - Gandini, Roberto
AU  - Gandini R
AD  - Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and 
      Radiation Therapy, University Hospital "Tor Vergata", Rome, Italy - 
      danielemorosetti@hotmail.com.
FAU - Morosetti, Daniele
AU  - Morosetti D
FAU - Chiocchi, Marcello
AU  - Chiocchi M
FAU - Chiaravalloti, Antonio
AU  - Chiaravalloti A
FAU - Citraro, Daniele
AU  - Citraro D
FAU - Loreni, Giorgio
AU  - Loreni G
FAU - DA Ros, Valerio
AU  - DA Ros V
FAU - Salvatori, Eva
AU  - Salvatori E
FAU - Simonetti, Giovanni
AU  - Simonetti G
LA  - eng
PT  - Journal Article
DEP - 20141205
PL  - Italy
TA  - J Cardiovasc Surg (Torino)
JT  - The Journal of cardiovascular surgery
JID - 0066127
SB  - IM
MH  - Aged
MH  - Aneurysm/diagnostic imaging/*surgery
MH  - *Blood Vessel Prosthesis
MH  - Blood Vessel Prosthesis Implantation/adverse effects/*instrumentation
MH  - Computed Tomography Angiography
MH  - Endovascular Procedures/adverse effects/*instrumentation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prosthesis Design
MH  - Renal Artery/diagnostic imaging/*surgery
MH  - Retrospective Studies
MH  - Rome
MH  - *Stents
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ultrasonography, Doppler, Duplex
EDAT- 2014/12/06 06:00
MHDA- 2017/01/31 06:00
CRDT- 2014/12/06 06:00
PHST- 2014/12/06 06:00 [entrez]
PHST- 2014/12/06 06:00 [pubmed]
PHST- 2017/01/31 06:00 [medline]
AID - R37Y9999N00A140254 [pii]
PST - ppublish
SO  - J Cardiovasc Surg (Torino). 2016 Oct;57(5):625-33. Epub 2014 Dec 5.