PMID- 35283006
OWN - NLM
STAT- MEDLINE
DCOM- 20220524
LR  - 20220623
IS  - 1532-2165 (Electronic)
IS  - 1078-5884 (Linking)
VI  - 63
IP  - 5
DP  - 2022 May
TI  - Renal Artery Repair with Kidney Autotransplantation for Renal Artery Aneurysms.
PG  - 732-742
LID - S1078-5884(22)00019-3 [pii]
LID - 10.1016/j.ejvs.2022.01.015 [doi]
AB  - OBJECTIVE: Kidney autotransplantation (ATx) is a treatment option for distal 
      renal artery aneurysm (RAA). This systematic review evaluated the indications, 
      treatment strategy, and outcome of kidney ATx to verify the value of this 
      procedure in treating RAA. DATA SOURCES: PubMed, Embase, and Web of Science. 
      REVIEW METHODS: All study types were included, except study protocols and animal 
      studies, without time or language restrictions. Data sources were reviewed until 
      April 2021 to identify relevant articles evaluating operating time, cold and warm 
      ischaemia time, total complications, length of hospital stay, and mortality rate 
      in patients with RAA receiving kidney ATx. RESULTS: The literature search 
      retrieved 644 articles. Of these, 55 clinical studies (including 37 case reports 
      and 18 case series) investigating 199 patients were eligible for inclusion. 
      Endovascular treatment had failed in 17% of 70 patients with RAA. Heterotopic 
      kidney ATx was performed in 81% of patients, and 19% received orthotopic kidney 
      ATx. Unplanned nephrectomy was reported in only one patient (0.1%). 
      Post-operative complications were reported in 6.9% of patients, including urinary 
      tract infection (2.0%), wound infection (1.3%), acute renal insufficiency (0.6%), 
      graft thrombosis (0.6%), kidney hypoperfusion (0.6%), haematoma (0.6%), 
      lymphocoele (0.6%), pseudoaneurysm (0.6%), and arterial occlusion (0.6%). None of 
      the patients died peri-operatively, and organ loss was reported in only one 
      patient (0.05%). No further organ loss or death was reported during follow up 
      (median follow up duration 12 months). CONCLUSION: In patients with distal 
      perihilar RAA, surgical repair with kidney ATx appears to be a suitable 
      alternative when endovascular approaches are not appropriate. In these cases, 
      kidney ATx saves the kidney and provides good clinical outcomes. However, these 
      findings should be interpreted with caution, considering the lack of data 
      regarding the adverse events, potential for favourable publication bias among 
      included studies, and the absence of consecutive series and prospective trials.
CI  - Copyright (c) 2022 European Society for Vascular Surgery. Published by Elsevier 
      B.V. All rights reserved.
FAU - Ramouz, Ali
AU  - Ramouz A
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Hafezi, Mohammadreza
AU  - Hafezi M
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Ali-Hasan-Al-Saegh, Sadeq
AU  - Ali-Hasan-Al-Saegh S
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Shafiei, Saeed
AU  - Shafiei S
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Dezfouli, Sepehr A
AU  - Dezfouli SA
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Probst, Pascal
AU  - Probst P
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Demirel, Serdar
AU  - Demirel S
AD  - Department of Vascular and Endovascular Surgery, University of Heidelberg, 
      Heidelberg, Germany.
FAU - Bockler, Dittmar
AU  - Bockler D
AD  - Department of Vascular and Endovascular Surgery, University of Heidelberg, 
      Heidelberg, Germany.
FAU - Mehrabi, Arianeb
AU  - Mehrabi A
AD  - Department of General, Visceral, and Transplantation Surgery, University of 
      Heidelberg, Heidelberg, Germany. Electronic address: 
      arianeb.mehrabi@med.uni-heidelberg.de.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20220310
PL  - England
TA  - Eur J Vasc Endovasc Surg
JT  - European journal of vascular and endovascular surgery : the official journal of 
      the European Society for Vascular Surgery
JID - 9512728
SB  - IM
MH  - *Aneurysm/complications/diagnostic imaging/surgery
MH  - Humans
MH  - Kidney
MH  - *Kidney Diseases
MH  - Prospective Studies
MH  - Renal Artery/diagnostic imaging/surgery
MH  - Retrospective Studies
MH  - Transplantation, Autologous
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Aneurysm
OT  - Autografts
OT  - Kidney
OT  - Renal artery
OT  - Review
EDAT- 2022/03/15 06:00
MHDA- 2022/05/25 06:00
CRDT- 2022/03/14 05:41
PHST- 2021/04/29 00:00 [received]
PHST- 2021/12/22 00:00 [revised]
PHST- 2022/01/16 00:00 [accepted]
PHST- 2022/03/15 06:00 [pubmed]
PHST- 2022/05/25 06:00 [medline]
PHST- 2022/03/14 05:41 [entrez]
AID - S1078-5884(22)00019-3 [pii]
AID - 10.1016/j.ejvs.2022.01.015 [doi]
PST - ppublish
SO  - Eur J Vasc Endovasc Surg. 2022 May;63(5):732-742. doi: 
      10.1016/j.ejvs.2022.01.015. Epub 2022 Mar 10.