Incidence of Renal Infarctions after Endovascular AAA Repair: Relationship to Infrarenal versus Suprarenal Fixation

Abstract

Transrenal fixation of aortic endografts had a 3-fold higher risk for renal infarction in this large patient population. There is no significant difference for specific endografts, but modular designs were associated with a higher rate of renal infarction. The need to occlude preoperatively diagnosed accessory renal arteries with an endograft should be considered a contraindication for current available devices.