Abdominal aortic aneurysm and renal artery stenosis: renal function and blood pressure before and after endovascular treatment.
We describe three patients with abdominal aortic aneurysm (AAA) and renal artery stenosis (RAS). These patients were treated by placement of an aortic endograft and angioplasty or stenting of the renal artery. After the procedure renal function improved or remained stable in two patients and deteriorated slightly in one. Blood pressure was reduced in one hypertensive patient and remained normal in the other two normotensive patients. In conclusion, simultaneous treatment of AAA and RAS with aortic endograft placement and renal artery angioplasty with or without stent, is a safe and effective technique for selected high-risk patients.
Agroyannis
B
B
Department of Nephrology, Radiology and Vascular Surgery, Aretaieon University Hospital, Athens Greece.
Chatziioannou
A
A
Mourikis
D
D
Patsakis
N
N
Katsenis
K
K
Kalliafas
S
S
Dimakakos
P
P
Vlachos
L
L
D000368:Aged; D017130:Angioplasty; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D001794:Blood Pressure; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications / Q000503:physiopathology* / Q000601:surgery; D015607:Stents