Abdominal aortic aneurysm (AAA) is a degenerative disease of the
aortic wall with potentially fatal complications. Open repair (OR) was
considered the gold standard, until the emergence of endovascular aneurysm
repair (EVAR), which is less invasive and equally (if not more) effective.
As the popularity of endovascular procedures grows, related complications
become more evident, with kidney damage being one of them. Although acute
kidney injury (AKI) following EVAR is relatively common, its true incidence
is still uncertain. Also, there is insufficient data concerning long-term
renal outcomes after EVAR, especially with repeated contrast agent exposure.
Despite the lack of firm evidence on the effectiveness of individual
strategies, it is evident that prevention of AKI following EVAR requires a
multifactorial approach. This review focuses on recent findings based on
human studies regarding the current evidence of renal impairment after EVAR,
its quantification and strategies for its prevention.
Keywords: Endovascular aneurysm repair, acute kidney injury, contrast-induced nephropathy, OR, EVAR, Scr.
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