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ISSN (Print): 1381-6128
ISSN (Online): 1873-4286

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Systematic Review Article

Acute Kidney Injury after Complex Endovascular Aneurysm Repair

Author(s): Nathan L. Liang*, Abhisekh Mohapatra, Efthymios D. Avgerinos and Athanasios Katsargyris

Volume 25, Issue 44, 2019

Page: [4686 - 4694] Pages: 9

DOI: 10.2174/1381612825666191129095829

Price: $65

Abstract

Background: Complex endovascular repair of abdominal aortic aneurysm carries higher perioperative morbidity than standard infrarenal endovascular repair.

Objective: This study reviews the incidence and associated factors of acute kidney injury in complex aortic endovascular repair of juxtarenal, pararenal, and thoracoabdominal aortic aneurysms.

Methods: A literature review was performed for all studies on the endovascular repair of juxtarenal, pararenal, and thoracoabdominal aneurysms that evaluated rates of acute kidney injury as an outcome. Outcomes were further analyzed by the level of anatomic complexity and method of repair.

Results: 52 studies met inclusion criteria, with a total of 5454 individuals undergoing repair from 2004 to 2017. The overall rate of acute kidney injury ranged widely from 0 to 41%, with a rate of hemodialysis from 0 to 19% (temporary) and 0 to 14% (permanent). Increasing anatomic complexity was associated with higher rates of acute kidney injury. Mode of endovascular repair, learning curve effect, and preoperative chronic renal insufficiency did not demonstrate any associations with the outcome.

Conclusion: Published rates of acute kidney injury in complex aortic aneurysm repair vary widely with few definitively associated factors other than increasing anatomic complexity and operative time. Further study is needed for the identification of predictors related to postoperative acute kidney injury.

Keywords: Aorta, aneurysm, endovascular, kidney, renal, thoracoabdominal, juxtarenal, pararenal.

« Previous Next »
[1]
Schermerhorn ML, Buck DB, O’Malley AJ, et al. Long-term outcomes of abdominal aortic aneurysm in the medicare population. N Engl J Med 2015; 373(4): 328-38.
[http://dx.doi.org/10.1056/NEJMoa1405778] [PMID: 26200979]
[2]
Dua A, Kuy S, Lee CJ, Upchurch GR Jr, Desai SS. Epidemiology of aortic aneurysm repair in the United States from 2000 to 2010. J Vasc Surg 2014; 59(6): 1512-7.
[http://dx.doi.org/10.1016/j.jvs.2014.01.007] [PMID: 24560865]
[3]
Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 1991; 5(6): 491-9.
[http://dx.doi.org/10.1007/BF02015271] [PMID: 1837729]
[4]
Lederle FA, Freischlag JA, Kyriakides TC, et al. Outcomes following endovascular vs. open repair of abdominal aortic aneurysm: a randomized trial. JAMA 2009; 302(14): 1535-42.
[http://dx.doi.org/10.1001/jama.2009.1426] [PMID: 19826022]
[5]
Paravastu SCV, Jayarajasingam R, Cottam R, Palfreyman SJ, Michaels JA, Thomas SM. Endovascular repair of abdominal aortic aneurysm. Cochrane Database Syst Rev 2014; 1(1) CD004178
[PMID: 24453068]
[6]
Mastracci TM, Eagleton MJ, Kuramochi Y, Bathurst S, Wolski K. Twelve-year results of fenestrated endografts for juxtarenal and group IV thoracoabdominal aneurysms. J Vasc Surg 2015; 61(2): 355-64.
[http://dx.doi.org/10.1016/j.jvs.2014.09.068] [PMID: 25619574]
[7]
Oderich GS, Ribeiro MS, Sandri GA, et al. Evolution from physician-modified to company-manufactured fenestrated-branched endografts to treat pararenal and thoracoabdominal aortic aneurysms. J Vasc Surg 2019; 70(1): 31-42.e7.
[PMID: 30583902]
[8]
Schwierz E, Kolvenbach RR, Yoshida R, Yoshida W, Alpaslan A, Karmeli R. Experience with the sandwich technique in endovascular thoracoabdominal aortic aneurysm repair. J Vasc Surg 2014; 59(6): 1562-9.
[http://dx.doi.org/10.1016/j.jvs.2013.12.044] [PMID: 24613690]
[9]
Tran K, Lee AM, McFarland GE, Sgroi MD, Lee JT. Complex endovascular aneurysm repair is associated with higher perioperative mortality but not late mortality compared with infrarenal endovascular aneurysm repair among octogenarians. J Vasc Surg 2019; 69(2): 327-33.
[http://dx.doi.org/10.1016/j.jvs.2018.04.064] [PMID: 29970274]
[10]
Chaikof EL, Blankensteijn JD, Harris PL, et al. Ad Hoc Committee for standardized reporting practices in vascular surgery of the society for vascular surgery/american association for vascular surgery. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg 2002; 35(5): 1048-60.
[http://dx.doi.org/10.1067/mva.2002.123763] [PMID: 12021727]
[11]
Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. Acute Dialysis Quality Initiative workgroup. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004; 8(4): R204-12.
[http://dx.doi.org/10.1186/cc2872] [PMID: 15312219]
[12]
Mehta RL, Kellum JA, Shah SV, et al. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007; 11(2): R31.
[http://dx.doi.org/10.1186/cc5713] [PMID: 17331245]
[13]
International Society of Nephrology. Chapter 5.4: Vascular acces for renal replacement therapy in AKI. KDIGO Clin Pract Guidel Acute Kidney Inj 2012; 2(1): 3.
[14]
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. In: J Clin Epidemiol. 2009; 62: pp. 1-34.
[15]
Spanos K, Kölbel T, Theodorakopoulou M, et al. Early outcomes of the t-branch off-the-shelf multibranched stent-graft in urgent thoracoabdominal aortic aneurysm repair. J Endovasc Ther 2018; 25(1): 31-9.
[http://dx.doi.org/10.1177/1526602817747282] [PMID: 29235388]
[16]
Oderich GS, Farber MA, Silveira PG, et al. Technical aspects and 30-day outcomes of the prospective early feasibility study of the GORE EXCLUDER thoracoabdominal branched endoprosthesis (TAMBE) to treat pararenal and extent IV thoracoabdominal aortic aneurysms. J Vasc Surg 2019; 70(2): 358-68.e6.
[http://dx.doi.org/10.1016/j.jvs.2018.10.103] [PMID: 30612825]
[17]
Eagleton MJ, Follansbee M, Wolski K, Mastracci T, Kuramochi Y. Fenestrated and branched endovascular aneurysm repair outcomes for type II and III thoracoabdominal aortic aneurysms. J Vasc Surg 2016; 63(4): 930-42.
[http://dx.doi.org/10.1016/j.jvs.2015.10.095] [PMID: 26792544]
[18]
Katsargyris A, Oikonomou K, Kouvelos G, Mufty H, Ritter W, Verhoeven ELG. Comparison of outcomes for double fenestrated endovascular aneurysm repair versus triple or quadruple fenestrated endovascular aneurysm repair in the treatment of complex abdominal aortic aneurysms. J Vasc Surg 2017; 66(1): 29-36.
[http://dx.doi.org/10.1016/j.jvs.2016.11.043] [PMID: 28189357]
[19]
Timaran DE, Knowles M, Soto-Gonzalez M, et al. Gender and perioperative outcomes after fenestrated endovascular repair using custom-made and off-the-shelf devices. J Vasc Surg 2016; 64(2): 267-72.
[http://dx.doi.org/10.1016/j.jvs.2016.02.062] [PMID: 27316411]
[20]
Holden A, Mertens R, Hill A, Mariné L, Clair DG. Initial experience with the Ventana fenestrated system for endovascular repair of juxtarenal and pararenal aortic aneurysms. J Vasc Surg 2013; 57(5): 1235-45.
[http://dx.doi.org/10.1016/j.jvs.2012.10.125] [PMID: 23466185]
[21]
Anderson J, Nykamp M, Danielson L, Remund T, Kelly PW. A novel endovascular debranching technique using physician-assembled endografts for repair of thoracoabdominal aneurysms. J Vasc Surg 2014; 60(5): 1177-84.
[http://dx.doi.org/10.1016/j.jvs.2014.05.090] [PMID: 24997805]
[22]
Roy IN, Millen AM, Jones SM, et al. Long-term follow-up of fenestrated endovascular repair for juxtarenal aortic aneurysm. Br J Surg 2017; 104(8): 1020-7.
[http://dx.doi.org/10.1002/bjs.10524] [PMID: 28401533]
[23]
Grimme FAB, Zeebregts CJ, Verhoeven ELG, Bekkema F, Reijnen MMJP, Tielliu IFJ. Visceral stent patency in fenestrated stent grafting for abdominal aortic aneurysm repair. J Vasc Surg 2014; 59(2): 298-306.
[http://dx.doi.org/10.1016/j.jvs.2013.08.005] [PMID: 24080136]
[24]
Oderich GS, Greenberg RK, Farber M, et al. Results of the United States multicenter prospective study evaluating the Zenith fenestrated endovascular graft for treatment of juxtarenal abdominal aortic aneurysms. J Vasc Surg 2014; 60(6): 1420-8. e1-5
[http://dx.doi.org/10.1016/j.jvs.2014.08.061] [PMID: 25195145]
[25]
Verhoeven ELG, Katsargyris A, Bekkema F, et al. Editor’s choice - Ten-year experience with endovascular repair of thoracoabdominal aortic aneurysms: Results from 166 consecutive patients. Eur J Vasc Endovasc Surg 2015; 49(5): 524-31.
[http://dx.doi.org/10.1016/j.ejvs.2014.11.018] [PMID: 25599593]
[26]
Caradu C, Morin J, Poirier M, Midy D, Ducasse E. Monocentric evaluation of chimney versus fenestrated endovascular aortic repair for juxtarenal abdominal aortic aneurysm. Ann Vasc Surg 2017; 40: 28-38.
[http://dx.doi.org/10.1016/j.avsg.2016.09.013] [PMID: 28161566]
[27]
Banno H, Cochennec F, Marzelle J, Becquemin JP. Comparison of fenestrated endovascular aneurysm repair and chimney graft techniques for pararenal aortic aneurysm. J Vasc Surg 2014; 60(1): 31-9.
[http://dx.doi.org/10.1016/j.jvs.2014.01.036] [PMID: 24560863]
[28]
Tsilimparis N, Debus SE, Biehl M, et al. Fenestrated-branched endografts and visceral debranching plus stenting (hybrid) for complex aortic aneurysm repair. J Vasc Surg 2018; 67(6): 1684-9.
[http://dx.doi.org/10.1016/j.jvs.2017.09.049] [PMID: 29502996]
[29]
Soler R, Bartoli MA, Faries C, et al. Fenestrated endovascular aneurysm repair and open surgical repair for the treatment of juxtarenal aortic aneurysms. J Vasc Surg 2019; 70(3): 683-90.
[http://dx.doi.org/10.1016/j.jvs.2018.11.041] [PMID: 30850294]
[30]
Fiorucci B, Speziale F, Kölbel T, et al. Short- and midterm outcomes of open repair and fenestrated endografting of pararenal aortic aneurysms in a concurrent propensity-adjusted comparison. J Endovasc Ther 2019; 26(1): 105-12.
[http://dx.doi.org/10.1177/1526602818820090] [PMID: 30591005]
[31]
Motta F, Crowner JR, Kalbaugh CA, et al. Stenting of superior mesenteric and celiac arteries does not increase complication rates after fenestrated-branched endovascular aneurysm repair. J Vasc Surg 2019; 70(3): 691-701.
[http://dx.doi.org/10.1016/j.jvs.2018.11.043] [PMID: 30837181]
[32]
Oikonomou K, Kasprzak P, Schierling W, Kopp R, Pfister K. Graft complexity-related outcomes of fenestrated endografting for abdominal aortic aneurysms. J Endovasc Ther 2017; 24(2): 230-6.
[http://dx.doi.org/10.1177/1526602817691752] [PMID: 28205454]
[33]
Manning BJ, Agu O, Richards T, Ivancev K, Harris PL. Early outcome following endovascular repair of pararenal aortic aneurysms: triple- versus double- or single-fenestrated stent-grafts. J Endovasc Ther 2011; 18(1): 98-105.
[http://dx.doi.org/10.1583/10-3122.1] [PMID: 21314357]
[34]
Schneider DB, Agrusa CJ, Ellozy SH, et al. Analysis of the learning curve and patient outcomes of endovascular repair of thoracoabdominal aortic aneurysms using fenestrated and branched stent grafts: prospective, nonrandomized, single-center physician-sponsored investigational device exemption clinical study. Ann Surg 2018; 268(4): 640-9.
[http://dx.doi.org/10.1097/SLA.0000000000002960] [PMID: 30080733]
[35]
Starnes BW, Caps MT, Arthurs ZM, Tatum B, Singh N. Evaluation of the learning curve for fenestrated endovascular aneurysm repair. J Vasc Surg 2016; 64(5): 1219-27.
[http://dx.doi.org/10.1016/j.jvs.2016.04.049] [PMID: 27575815]
[36]
Tran K, Fajardo A, Ullery BW, Goltz C, Lee JT. Renal function changes after fenestrated endovascular aneurysm repair. J Vasc Surg 2016; 64(2): 273-80.
[http://dx.doi.org/10.1016/j.jvs.2016.01.041] [PMID: 27237402]
[37]
Sailer AM, Nelemans PJ, van Berlo C, et al. Endovascular treatment of complex aortic aneurysms: prevalence of acute kidney injury and effect on long-term renal function. Eur Radiol 2016; 26(6): 1613-9.
[http://dx.doi.org/10.1007/s00330-015-3993-8] [PMID: 26431707]
[38]
Van Calster K, Bianchini A, Elias F, et al. Risk factors for early and late mortality after fenestrated and branched endovascular repair of complex aneurysms. J Vasc Surg 2019; 69(5): 1342-55.
[http://dx.doi.org/10.1016/j.jvs.2018.08.159] [PMID: 30477943]
[39]
Dossabhoy SS, Simons JP, Flahive JM, et al. Fenestrated endovascular aortic aneurysm repair using physician-modified endovascular grafts versus company-manufactured devices. J Vasc Surg 2018; 67(6): 1673-83.
[http://dx.doi.org/10.1016/j.jvs.2017.10.055] [PMID: 29224942]
[40]
Saratzis A, Nduwayo S, Sarafidis P, Sayers RD, Bown MJ. Renal function is the main predictor of acute kidney injury after endovascular abdominal aortic aneurysm repair. Ann Vasc Surg 2016; 31: 52-9.
[http://dx.doi.org/10.1016/j.avsg.2015.10.010] [PMID: 26658089]
[41]
Juszczak MT, Murray A, Koutsoumpelis A, et al. Elective fenestrated and branched endovascular thoraco-abdominal aortic repair with supracoeliac sealing zones and without prophylactic cerebrospinal fluid drainage: early and medium-term outcomes. Eur J Vasc Endovasc Surg 2019; 57(5): 639-48.
[http://dx.doi.org/10.1016/j.ejvs.2018.12.012] [PMID: 31005508]
[42]
de Niet A, Post RB, Reijnen MMPJ, Zeebregts CJ, Tielliu IFJ. Geometric changes over time in bridging stents after branched and fenestrated endovascular repair for thoracoabdominal aneurysm. J Vasc Surg 2019; 70(3): 702-9.
[http://dx.doi.org/10.1016/j.jvs.2018.12.023] [PMID: 30837180]
[43]
Van Calster K, Bianchini A, Elias F, et al. Risk factors for early and late mortality after fenestrated and branched endovascular repair of complex aneurysms. J Vasc Surg 2019; 69(5): 1342-55.
[PMID: 30477943]
[44]
Lareyre F, Raffort J, Carboni J, et al. Impact of polar renal artery coverage after fenestrated endovascular aortic repair for juxtarenal and type IV thoracoabdominal aortic aneurysms. Ann Vasc Surg 2019; 58: 45-53.e1.
[http://dx.doi.org/10.1016/j.avsg.2018.10.040] [PMID: 30738151]
[45]
Gallitto E, Faggioli G, Mascoli C, et al. Impact of previous open aortic repair on the outcome of thoracoabdominal fenestrated and branched endografts. J Vasc Surg 2018; 68(6): 1667-75.
[http://dx.doi.org/10.1016/j.jvs.2018.02.051] [PMID: 29804738]
[46]
Ibrahim W, Spanos K, Gussmann A, et al. Early and midterm outcome of multilayer flow modulator stent for complex aortic aneurysm treatment in Germany. J Vasc Surg 2018; 68(4): 956-64.
[http://dx.doi.org/10.1016/j.jvs.2018.01.037] [PMID: 29602471]
[47]
Le Houérou T, Fabre D, Alonso CG, et al. In situ antegrade laser fenestrations during endovascular aortic repair. Eur J Vasc Endovasc Surg 2018; 56(3): 356-62.
[http://dx.doi.org/10.1016/j.ejvs.2018.05.014] [PMID: 30196815]
[48]
Stenson K, Patterson B, Grima MJ, de Bruin J, Holt P, Loftus I. Endovascular aneurysm sealing with chimney grafts to treat juxtarenal and suprarenal abdominal aortic aneurysms: early results from 62 cases. J Vasc Surg 2018; (July): 1-10.
[49]
Baba T, Ohki T, Kanaoka Y, et al. Clinical outcomes of total endovascular aneurysm repair for aortic aneurysms involving the proximal anastomotic aneurysm following initial open repair for infrarenal abdominal aortic aneurysm. Ann Vasc Surg 2018; 49(February): 123-33.
[http://dx.doi.org/10.1016/j.avsg.2017.10.033] [PMID: 29421415]
[50]
Starnes BW, Tatum B, Singh N. Procedural and perioperative results in patients treated with fenestrated endovascular aneurysm repair planned by automated software in a physician-sponsored investigational device exemption trial of physician-modified endografts. J Vasc Surg 2018; 68(5): 1297-307.
[http://dx.doi.org/10.1016/j.jvs.2018.02.045] [PMID: 29706473]
[51]
Blankensteijn LL, Dijkstra ML, Tielliu IFJ, et al. Midterm results of the fenestrated Anaconda endograft for short-neck infrarenal and juxtarenal abdominal aortic aneurysm repair. J Vasc Surg 2017; 65(2): 303-10.
[http://dx.doi.org/10.1016/j.jvs.2016.08.092] [PMID: 28029566]
[52]
Thompson M, Youssef M, Jacob R, et al. Early experience with endovascular aneurysm sealing in combination with parallel grafts for the treatment of complex abdominal aneurysms: the ASCEND registry. J Endovasc Ther 2017; 24(6): 764-72.
[http://dx.doi.org/10.1177/1526602817731103] [PMID: 28895447]
[53]
Budtz-Lilly J, Wanhainen A, Eriksson J, Mani K. Adapting to a total endovascular approach for complex aortic aneurysm repair: outcomes after fenestrated and branched endovascular aortic repair. J Vasc Surg 2017; 66(5): 1349-56.
[http://dx.doi.org/10.1016/j.jvs.2017.03.422] [PMID: 28647195]
[54]
Wooster M, Zwiebel B, Back M, Shames M. Early experience with snorkels and chimneys for expanding the indications for use of endovascular aneurysm repair. Ann Vasc Surg 2017; 41: 105-9.
[http://dx.doi.org/10.1016/j.avsg.2016.09.037] [PMID: 28238925]
[55]
Shahverdyan R, Gray D, Gawenda M, Brunkwall J. Single centre results of total endovascular repair of complex aortic aneurysms with custom made anaconda fenestrated stent grafts. Eur J Vasc Endovasc Surg 2016; 52(4): 500-8.
[http://dx.doi.org/10.1016/j.ejvs.2016.07.005] [PMID: 27552931]
[56]
Donas KP, Lee JT, Lachat M, et al. Collected world experience about the performance of the snorkel/chimney endovascular technique in the treatment of complex aortic pathologies: the PERICLES registry. Ann Surg 2015; 262(3): 546-53.
[http://dx.doi.org/10.1097/SLA.0000000000001405] [PMID: 26258324]
[57]
XiaoHui M, Wei G, ZhongZhou H, XiaoPing L, Jiang X, Xin J. Endovascular repair with chimney technique for juxtarenal aortic aneurysm: a single center experience. Eur J Vasc Endovasc Surg 2015; 49(3): 271-6.
[http://dx.doi.org/10.1016/j.ejvs.2014.11.012] [PMID: 25631457]
[58]
Scali ST, Neal D, Sollanek V, et al. Outcomes of surgeon-modified fenestrated-branched endograft repair for acute aortic pathology presented at the Plenary Session at the Thirty-ninth Annual Meeting of the Southern Association for Vascular Surgery, Scottsdale, Ariz, January 14-17, 2015. J Vasc Surg 2015; 62(5): 1148-1159.e2.
[http://dx.doi.org/10.1016/j.jvs.2015.06.133] [PMID: 26254453]
[59]
Kristmundsson T, Sonesson B, Dias N, Törnqvist P, Malina M, Resch T. Outcomes of fenestrated endovascular repair of juxtarenal aortic aneurysm. J Vasc Surg 2014; 59(1): 115-20.
[http://dx.doi.org/10.1016/j.jvs.2013.07.009] [PMID: 24011738]
[60]
Vemuri C, Oderich GS, Lee JT, et al. Postapproval outcomes of juxtarenal aortic aneurysms treated with the Zenith fenestrated endovascular graft. J Vasc Surg 2014; 60(2): 295-300.
[http://dx.doi.org/10.1016/j.jvs.2014.01.071] [PMID: 24680241]
[61]
Quiñones-Baldrich WJ, Holden A, Mertens R, et al. Prospective, multicenter experience with the ventana fenestrated system for juxtarenal and pararenal aortic aneurysm endovascular repair. J Vasc Surg 2013; 58(1): 1-9.
[http://dx.doi.org/10.1016/j.jvs.2012.12.065] [PMID: 23588110]
[62]
Suominen V, Pimenoff G, Salenius J. Fenestrated and chimney endografts for juxtarenal aneurysms: early and midterm results. Scand J Surg 2013; 102(3): 182-8.
[http://dx.doi.org/10.1177/1457496913490464] [PMID: 23963033]
[63]
British Society for Endovascular Therapy and the Global Collaborators on Advanced Stent-Graft Techniques for Aneurysm Repair (GLOBALSTAR) Registry. Early results of fenestrated endovascular repair of juxtarenal aortic aneurysms in the United Kingdom. Circulation 2012; 125(22): 2707-15.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.111.070334] [PMID: 22665884]
[64]
Tambyraja AL, Fishwick NG, Bown MJ, Nasim A, McCarthy MJ, Sayers RD. Fenestrated aortic endografts for juxtarenal aortic aneurysm: medium term outcomes. Eur J Vasc Endovasc Surg 2011; 42(1): 54-8.
[http://dx.doi.org/10.1016/j.ejvs.2011.03.033] [PMID: 21514856]
[65]
Siegenthaler MP, Weigang E, Brehm K, et al. Endovascular treatment for thoracoabdominal aneurysms: outcomes and results. Eur J Cardiothorac Surg 2008; 34(4): 810-9.
[http://dx.doi.org/10.1016/j.ejcts.2008.07.046] [PMID: 18775661]

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