Clinical study on relationship between renal artery involvement and renal function in acute Stanford A aortic dissection
10.7507/1007-4848.201901013
- VernacularTitle:急性 Stanford A 型主动脉夹层肾动脉受累分型与肾功能关系的临床研究
- Author:
GE Yipeng
1
;
LI Chengnan
1
;
ZHONG Yongliang
1
;
XIA Yu
1
;
XIAO Fucheng
1
;
HU Haiou
1
;
ZHENG Tie
1
;
ZHU Junming
1
;
SUN Lizhong
1
Author Information
1. Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, P.R.China
- Publication Type:Journal Article
- Keywords:
Acute Stanford type A aortic dissection;
type of renal artery involvement;
renal function
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(9):870-873
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the involvement of renal artery in acute Stanford type A aortic dissection (TAAD) using CT angiography (CTA) and to analyze the difference of renal function among different types of renal artery involvement. Methods From January 2016 to November 2017, 151 patients of acute TAAD with renal artery involvement were included in the study. There were 118 males and 33 females, with an average age of 47.93±10.53 years. All patients underwent aortic CTA to confirm the TAAD. According to CTA，involvement of one side of renal artery can be divided into four types: type A, large tear near renal artery orifice, difficult to distinguish true or false lumen; type B, the orifice of the renal artery originates entirely from the false lumen; type C, the orifice of the renal artery originates entirely from the true lumen; type D, renal artery dissection is observed, renal artery intima can be seen. The levels of serum creatinine (sCr) and creatinine clearance (CC) in all groups were analyzed and compared. Results The results of one-way ANOVA analysis showed that there was no significant difference in sCr or CC among the groups (P>0.05). There was no significant difference in age, sex, proportion of hypertension history and onset time among the above groups (P>0.05). Conclusion The three most common types of renal artery involvement were BC type, CC type, and AC type. The types of renal artery involvement do not affect renal function.
