Acute renal failure after redo thoracoabdominal aortic aneurysm repair in a patient with a solitary kidney: Successful percutaneous treatment

Yue, R. L., Collins, T. J., Sternbergh, C., Ramee, S. R. and White, C. J. (2000) Acute renal failure after redo thoracoabdominal aortic aneurysm repair in a patient with a solitary kidney: Successful percutaneous treatment. Journal of Endovascular Therapy, 7 5: 399-403.


Author Yue, R. L.
Collins, T. J.
Sternbergh, C.
Ramee, S. R.
White, C. J.
Title Acute renal failure after redo thoracoabdominal aortic aneurysm repair in a patient with a solitary kidney: Successful percutaneous treatment
Journal name Journal of Endovascular Therapy   Check publisher's open access policy
ISSN 1526-6028
Publication date 2000-10
Sub-type Article (original research)
DOI 10.1583/1545-1550(2000)007<0399:ARFART>2.0.CO;2
Volume 7
Issue 5
Start page 399
End page 403
Total pages 5
Place of publication Lawrence, KS, United States
Publisher Allen Press
Language eng
Formatted abstract Purpose: To report the successful percutaneous treatment of renal artery stenosis that precipitated renal failure following surgical repair of a thoracoabdominal aortic aneurysm (TAAA).

Methods and Results: A 70-year-old woman with a solitary kidney became anuric 2 hours after urgent repair of a symptomatic true aneurysm of the Carrel patch from an 8-year-old TAAA repair. After medical treatment failed, aortography was performed, identifying complete occlusion of the solitary renal artery. Balloon dilation and implantation of a Palmaz stent restored renal perfusion and improved function. At 6-month follow-up, she was normotensive and her creatinine within normal limits.

Conclusions: Renal artery stenosis or occlusion is a treatable cause of acute renal failure after TAAA repair. Percutaneous treatment options are likely to be better tolerated than surgical revascularization in this patient population.
Keyword Renal artery stenosis
Complication
Palmaz stent
Balloon dilation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 10:07:03 EST