Experiences of Surgical Treatment for Juxtarenal XXXX .

@entity1 @entity8 @entity254 @entity177 @entity432
PURPOSE: To evaluate the outcomes of @entity432 ( @entity432 ), a review of 15 @entity1 who underwent aortic bypass replacement following aortorenal thrombectomy, especially focusing on the safety of suprarenal aortic clamping or transient aortic compression, was undertaken. MATERIALS AND METHODS: During the period of June 2001 to November 2012, 15 @entity1 with @entity432 (chronic 10, acute 5) were analyzed retrospectively. @entity432 with combined stenosis of the renal artery was found in 2 @entity1 , renal artery thrombus in 8 @entity1 , and normal in 5 @entity1 . RESULTS: All @entity1 were males. Mean age was 61.7  11.2 years. There were 14 aortobifemoral bypass grafting and 1 aortobiiliac bypass grafting. Six Dacron and 9 PTFE artificial Y-grafts were implanted to the aorta with end-to-end @entity254 in the proximal aorta. Suprarenal aortic clamping was performed in 7 @entity1 , supraceliac clamping in 2 @entity1 , and transient aortic compression in 6 @entity1 . There were 13 cases with aortic clamping time <10 minutes and 2 cases with >10 minutes. @entity8 was performed in 10 (66.7%) @entity1 . There were no operative mortality cases. The perioperative morbidity rate was 26.7% (4/15). @entity177 was impaired in four @entity1 . The renal functions of these cases were recovered postoperatively. CONCLUSION: Aortic bypass replacement following aortorenal thrombectomy with suprarenal aortic clamping or transient aortic compression for @entity432 is the optimal treatment. It is important to focus on short renal ischemic time during suprarenal aortic clamping for prevention of @entity8 . It provides unmatched perioperative and long-term results.
