{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:48:55Z","timestamp":1782226135205,"version":"3.54.5"},"reference-count":17,"publisher":"Galenos Yayinevi","issue":"4","license":[{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk Gogus Kalp Dama"],"accepted":{"date-parts":[[2021,9,5]]},"published-print":{"date-parts":[[2021,10,20]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    This study aims to identify pararenal aortic diameter changes following endovascular aortic repair and to investigate the effects of suprarenal fixation on renal function.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Between May 2006 and January 2019, a total of 168 patients (135 males, 33 females; mean age: 75.2\u00b18.4 years; range, 48 to 93 years) who underwent endovascular aortic repair were retrospectively analyzed. To compare the effects of graft types, we measured the change in pararenal aortic diameter at four levels: below the celiac artery, below the superior mesenteric artery, at the lowest renal artery, and 1 cm below the lowest renal artery. To evaluate the effect of suprarenal fixation on renal function, serial measurements of serum creatinine, glomerular filtration rate, creatinine clearance rate, and estimated glomerular filtration rate were made. We examined the factors related to post-procedural aortic diameter.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The mean change in the aortic diameter was statistically significant, being 12.9\u00b110% in the suprarenal fixation group and 6.19\u00b16.9% in the infrarenal fixation group only at the lowest renal artery level (p=0.001). There was no significant difference in the rate of type I endoleak (p=0.330) or renal function and adverse events (p&gt;0.107) between the groups. The formula for calculating post-procedural aortic diameter was as follows: post-procedural aortic diameter (renal artery level, mm) =1.845 (in case of suprarenal fixation) + 1.012 \u00d7 pre-procedural aortic diameter (renal artery level, mm) + 0.029 \u00d7 follow-up time (months) + 0.039 \u00d7 oversizing (%) (R2=0.773, p&lt;0.001).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Suprarenal fixation affects the infrarenal aortic diameter at the lowest renal artery level without significant type I endoleak. However, it does not result in significant renal dysfunction. Pre-procedural aortic diameter, computed tomography follow-up time, suprarenal fixation type, and stent oversizing are the only definite independent correlation factors for postprocedural aortic diameter. This formula can predict the change of aortic diameter after endovascular aortic repair.\n                  <\/jats:p>","DOI":"10.5606\/tgkdc.dergisi.2021.22110","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T16:21:32Z","timestamp":1643905292000},"page":"434-442","source":"Crossref","is-referenced-by-count":4,"title":["Effect of stent graft fixation types on pararenal aortic diameter and renal function after endovascular aortic repair"],"prefix":"10.4274","volume":"29","author":[{"given":"Choi","family":"Sangtae","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Wonsuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang","family":"Jinmo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Doojin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ko","family":"Daisik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2021,10,20]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Yazman S, Y\u00fcrekli \u0130, Y\u0131l\u0131k L, Yetkin U, \u0130ner H, G\u00fcne\u015f T, et al. Our mid-term results of endovascular repair of abdominal aortic aneurysms. Turk Gogus Kalp Dama 2016;24:274-80.","DOI":"10.5606\/tgkdc.dergisi.2016.12320"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Zettervall SL, Soden PA, Deery SE, Ultee K, Shean KE, Shuja F, et al. Comparison of renal complications between endografts with suprarenal and infrarenal fixation. Eur J Vasc Endovasc Surg 2017;54:5-11.","DOI":"10.1016\/j.ejvs.2017.02.001"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"van Schaik TG, Yeung KK, Verhagen HJ, de Bruin JL, van Sambeek MRHM, Balm R, et al. Long-term survival and secondary procedures after open or endovascular repair of abdominal aortic aneurysms. J Vasc Surg 2017;66:1379-89.","DOI":"10.1016\/j.jvs.2017.05.122"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Kouvelos GN, Oikonomou K, Antoniou GA, Verhoeven EL, Katsargyris A. A systematic review of proximal neck dilatation after endovascular repair for abdominal aortic aneurysm. J Endovasc Ther 2017;24:59-67.","DOI":"10.1177\/1526602816673325"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Tayfur K, \u00dcrkmez M, Yal\u00e7\u0131n M, Bademci \u015eenel M, G\u00f6dekmerdan E, Ko\u00e7 A, et al. Mid-term results of endovascular repair in isolated abdominal aortic aneurysms. Turk Gogus Kalp Dama 2015;23:274-9.","DOI":"10.5606\/tgkdc.dergisi.2015.10624"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Saratzis A, Sarafidis P, Melas N, Hunter JP, Saratzis N, Kiskinis D, et al. Suprarenal graft fixation in endovascular abdominal aortic aneurysm repair is associated with a decrease in renal function. J Vasc Surg 2012;56:594-600.","DOI":"10.1016\/j.jvs.2012.01.078"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"\u00dcnal EU, Akkaya BB, Karahan M, T\u00fcmer NB, Civelek \u0130, \u00c7elikten E, et al. What has changed in our endovascular practice at abdominal aortic aneurysms? Cardiovasc Surg Int 2020;7:56-6.","DOI":"10.5606\/e-cvsi.2020.820"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Broker HS, Foteh KI, Murphy EH, Davis CM, Clagett GP, Modrall JG, et al. Device-specific aneurysm sac morphology after endovascular aneurysm repair: Evaluation of contemporary graft materials. J Vasc Surg 2008;47:702-6.","DOI":"10.1016\/j.jvs.2007.11.049"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Hager ES, Cho JS, Makaroun MS, Park SC, Chaer R, Marone L, et al. Endografts with suprarenal fixation do not perform better than those with infrarenal fixation in the treatment of patients with short straight proximal aortic necks. J Vasc Surg 2012;55:1242-6.","DOI":"10.1016\/j.jvs.2011.11.088"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Tonnessen BH, Sternbergh WC 3rd, Money SR. Mid- and long-term device migration after endovascular abdominal aortic aneurysm repair: A comparison of AneuRx and Zenith endografts. J Vasc Surg 2005;42:392-400.","DOI":"10.1016\/j.jvs.2005.05.040"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Napoli V, Sardella SG, Bargellini I, Petruzzi P, Cioni R, Vignali C, et al. Evaluation of the proximal aortic neck enlargement following endovascular repair of abdominal aortic aneurysm: 3-years experience. Eur Radiol 2003;13:1962-71.","DOI":"10.1007\/s00330-003-1859-y"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Kret MR, Tran K, Lee JT. Change in aortic neck diameter after endovascular aortic aneurysm repair. Ann Vasc Surg 2017;43:115-20.","DOI":"10.1016\/j.avsg.2016.11.013"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Sternbergh WC 3rd, Money SR, Greenberg RK, Chuter TA; Zenith Investigators. Influence of endograft oversizing on device migration, endoleak, aneurysm shrinkage, and aortic neck dilation: Results from the Zenith Multicenter Trial. J Vasc Surg 2004;39:20-6.","DOI":"10.1016\/j.jvs.2003.09.022"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Rodway AD, Powell JT, Brown LC, Greenhalgh RM. Do abdominal aortic aneurysm necks increase in size faster after endovascular than open repair? Eur J Vasc Endovasc Surg 2008;35:685-93.","DOI":"10.1016\/j.ejvs.2007.12.015"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Abbruzzese TA, Kwolek CJ, Brewster DC, Chung TK, Kang J, Conrad MF, et al. Outcomes following endovascular abdominal aortic aneurysm repair (EVAR): An anatomic and device-specific analysis. J Vasc Surg 2008;48:19-28.","DOI":"10.1016\/j.jvs.2008.02.003"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Monahan TS, Chuter TA, Reilly LM, Rapp JH, Hiramoto JS. Long-term follow-up of neck expansion after endovascular aortic aneurysm repair. J Vasc Surg 2010;52:303-7.","DOI":"10.1016\/j.jvs.2010.03.018"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM, et al. Reporting standards for endovascular aortic aneurysm repair. 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