Aortic Aneurysm, Abdominal, Endovascular Procedures, Renal Artery Stenosis
Conditions
Brief summary
The investigators conducted a bicentric prospective study to quantify the hemodynamic disturbances to the ostia of the renal arteries generated by the implantation EVAR with suprarenal fixation immediately postoperatively.
Interventions
Patient will be enrolled when the decision of an endovascular procedure with supra renal fixation is required. Before the intervention, Duplex scan will be necessary to evaluate renal arteries ostia. This exam will be realised in the month after the intervention and one year later.
Sponsors
Study design
Eligibility
Inclusion criteria
* elective EVAR with supra renal fixation * women who have been postmenopausal for at least 24 months or are surgically sterilized, or for women of childbearing potential, use of an effective method of contraception * consent to participate * Affiliation to a French social security
Exclusion criteria
* stenosis of at least one renal artery * dialysis * rupture of abdominal aortic aneurysm * renal stenting during the procedure * fenestrated EVAR * legal incapacity or limited legal capacity * subject being in the exclusion period of another study * pregnant woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| systolic maximum speed at the ostia of the renal arteries | one month | Quantify the hemodynamic disturbances to the ostia of the renal arteries generated by the implantation of a suprarenal fixation aortic stent immediately postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| proportion of patients with renal artery stenosis | one year | — |
| proportion of disappearance of the notch (pre-systolic notch) | one year | — |
| proportion of increase in systolic rise time | one year | — |
| systolic maximum speed at the ostia of the renal arteries | one year | Quantify the hemodynamic disturbances to the ostia of the renal arteries generated by the implantation of a suprarenal fixation aortic stent immediately postoperatively. |
| proportion of post-stenotic turbulence | one year | — |
| glomerular filtration rate | one year | estimation of the glomerular filtration rate calculated by CKD-EPI between the preoperative and at one year |
| proportion of decrease of the resistance index | one year | — |
Countries
France