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  • Transrenal fixation of aortic stent-grafts: short- to midterm effects on renal function--a systematic review
  • Sun Z; Stevenson G
  • Radiology 2006[Jul]; 240 (1): 65-72
  • PURPOSE: To perform a systematic review of the short- to midterm effects of transrenal fixation of aortic stent-grafts on renal function in patients with abdominal aortic aneurysms. MATERIALS AND METHODS: A search of the PubMed, MEDLINE, and EMBASE databases for English-language literature was performed. Studies with at least 10 patients were included for data analysis. Only studies on transrenal fixation of aortic stent-grafts that included follow-up results for renal function were included. A log-linear model was used for meta-analysis to compare transrenal fixation with infrarenal fixation. RESULTS: Twenty-two studies met the inclusion criteria. Because two studies analyzed the same group of patients, one was excluded, for a total of 21 studies. Comparisons between transrenal fixation and infrarenal fixation were found in seven studies. For transrenal versus infrarenal fixation, the combined odds ratio, 95% confidence interval, and P value were found to be statistically significant with respect to postprocedural renal infarction only (combined odds ratio, 5.189; 95% confidence interval: 3.198, 8.420; P < .001). No significant difference was found between transrenal and infrarenal fixation with respect to renal dysfunction, renal artery occlusion, or endoleaks (P > .05). CONCLUSION: Transrenal fixation of aortic stent-grafts seems to be a relatively safe alternative compared with infrarenal fixation in terms of short- to midterm follow-up. Postprocedural renal infarction, however, was significantly higher for transrenal fixation.
  • |*Postoperative Complications/epidemiology[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Aortic Aneurysm, Abdominal/*surgery[MESH]
  • |Blood Vessel Prosthesis Implantation/*adverse effects/methods[MESH]
  • |Creatinine/blood[MESH]
  • |Evidence-Based Medicine[MESH]
  • |Humans[MESH]
  • |Kidney Diseases/epidemiology/*etiology[MESH]
  • |Linear Models[MESH]
  • |Renal Artery[MESH]
  • |Stents/*adverse effects[MESH]

  • *{{pmid16720868}}
    *<b>[ Transrenal fixation of aortic stent-grafts: short- to midterm effects on renal function--a systematic review ]</b> Radiology 2006; 240(1) ; 65-72 Sun Z; Stevenson G


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