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NDT Advance Access originally published online on July 21, 2006
Nephrology Dialysis Transplantation 2006 21(9):2362-2365; doi:10.1093/ndt/gfl264
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Editorial Comment

Endovascular abdominal aortic aneurysm repair and renal function

Peter R. Taylor1, John Reidy2 and John E. Scoble3

1 Department of Vascular Surgery, 2 Department of Radiology and 3 Department of Nephrology, Guy's & St. Thomas' NHS Foundation Trust, London SE1 7EH, UK

Correspondence and offprint requests to: Dr J. E. Scoble, 6th floor, New Guy's House, Guy's Hospital, London SE1 9RT, UK. Email: john.scoble@gstt.nhs.uk

Keywords: aortic stent; renal artery stenosis

The first 150 words of the full text of this article appear below.



   Introduction
 
Post-operative renal failure is relatively common following aortic aneurysm surgery and is associated with a poor outcome [1,2]. The interdependent relationship of aneurysms and renal failure is well-known to clinicians, leading to close working relationships between vascular surgeons and nephrologists. The traditional method of surgical repair for abdominal aortic aneurysms involves open access to the aorta, the application of vascular clamps and the replacement of the aneurysmal segment by a synthetic graft manufactured from either polyester or polytetrafluoroethylene (PTF) which is sutured into place. In patients with short necks, the clamps may compromise renal blood flow as they have to be applied immediately below, or occasionally above, the level of the renal arteries. There is some evidence that the application of clamps distally to the iliac arteries before clamping proximally may increase the number of atheroemboli detected in the renal arteries. The length of ischaemic time . . . [Full Text of this Article]



   Endovascular aortic aneurysm repair
 


   The renal artery ostia and aortic stent placement
 


   Outcomes with endovascular aortic aneurysm repair
 


   Implications of endovascular aortic aneurysm repair for the nephrologist
 

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