Journal of Vascular Surgery
Volume 45, Issue 4 , Pages 694-700 , April 2007

Suprarenal fixation of endovascular aortic stent grafts: Assessment of medium-term to long-term renal function by analysis of juxtarenal stent morphology

Presented at the Northern Ireland Vascular Surgical Society Annual Meeting, Limavady, Sep 10, 2005 (Winner of Best Clinical Paper); The British Society of Interventional Radiology, Brighton, Nov 2-4, 2005; and The Society of Academic and Research Surgery, Edinburgh, Jan 11-13, 2006.

  • Mark E. O’Donnell, DSEM, MRCS

      Affiliations

    • Department of Vascular Surgery, Royal Victoria Hospital, Belfast, United Kingdom
    • Corresponding Author InformationReprint requests: Mark E. O’Donnell, DSEM, MRCSEd, 42 Woodrow Gardens, Saintfield BT24 7WG UK.
  • ,
  • Zhonghua Sun, PhD

      Affiliations

    • Department of Medical Imaging Science; and Curtin University of Technology, Perth, Western Australia.
  • ,
  • R. John Winder, PhD

      Affiliations

    • Health and Rehabilitation Sciences Research Institute, University of Ulster, Ulster, United Kingdom
  • ,
  • Peter K. Ellis, MRCP, FRCR

      Affiliations

    • Department of Clinical Radiology, Royal Victoria Hospital, Belfast, United Kingdom
  • ,
  • Louis L. Lau, MD, FRCS

      Affiliations

    • Department of Vascular Surgery, Royal Victoria Hospital, Belfast, United Kingdom
  • ,
  • Paul H. Blair, MD, FRCS

      Affiliations

    • Department of Vascular Surgery, Royal Victoria Hospital, Belfast, United Kingdom

Received 10 September 2006 ,Accepted 8 December 2006.

  • Image Result

    Zenith self-expanding modular bifurcated aortic endograft with magnified view of the uncovered suprarenal stent struts.

    Zenith self-expanding modular bifurcated aortic endograft with magnified view of the uncovered suprarenal stent struts.

  • Image Result

    Helical computed tomography angiography formatted for three-dimensional postprocessing shows (a) intraluminal threshold view, (b) metallic stent threshold view, and (c) combined image demonstrating th

    Helical computed tomography angiography formatted for three-dimensional postprocessing shows (a) intraluminal threshold view, (b) metallic stent threshold view, and (c) combined image demonstrating the stent strut crossing the luminal ostia.

  • Image Result
    Virtual intravascular imaging. A, Peripheral encroachment of the renal artery ostia (stent struts shown by black arrows). B, No encroachment of the renal artery ostia (clear ostia shown by white arrow

    Virtual intravascular imaging. A, Peripheral encroachment of the renal artery ostia (stent struts shown by black arrows). B, No encroachment of the renal artery ostia (clear ostia shown by white arrows).

  • Image Result
    Analysis variance test for linear trend in serum creatinine concentration (mmol/L) for the anatomic configuration subgroup (presence of centrally located struts around one, both, or none of the renal

    Analysis variance test for linear trend in serum creatinine concentration (mmol/L) for the anatomic configuration subgroup (presence of centrally located struts around one, both, or none of the renal artery ostia).

  • Image Result
    Analysis variance test for linear trend in serum creatinine concentration (mmol/L) for the quantitative configuration subgroup (quantity of struts present at either of the renal artery ostia).

    Analysis variance test for linear trend in serum creatinine concentration (mmol/L) for the quantitative configuration subgroup (quantity of struts present at either of the renal artery ostia).

 Competition of interest: none.

PII: S0741-5214(06)02252-X

doi: 10.1016/j.jvs.2006.12.017

Journal of Vascular Surgery
Volume 45, Issue 4 , Pages 694-700 , April 2007