腎動脈瘤に対する瘤形成術（tailoring technique）の治療成績に関する検討

腎動脈瘤手術には，囊状の瘤壁を切除後に残存瘤壁を利用し動脈を形成するtailoring techniqueがある。今回，当院でtailoring techniqueを用いた腎動脈瘤手術症例8例を対象とし，術後の早期・遠隔期成績を検討した。術後急性腎障害をきたしたのは1例のみで透析に至った症例はなく，遠隔期（平均観察期間：5.3±3.6年）に腎動脈の狭窄や閉塞，動脈瘤の再発をきたした症例は認められなかった。腎動脈瘤に対する瘤形成術は術後成績が良好であり，有効な術式と考えられた。...

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Published in脈管学 Vol. 59; no. 10; pp. 89 - 93
Main Authors 久良木, 亮一, 小野原, 俊博, 坂本, 直孝, 吉川, 正博, 今井, 伸一
Format Journal Article
LanguageJapanese
Published 日本脈管学会 10.10.2019
Subjects
aneurysmorrhaphy
renal artery aneurysm
tailoring technique
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ISSN0387-1126
1880-8840
DOI10.7133/jca.19-00018

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Abstract 腎動脈瘤手術には，囊状の瘤壁を切除後に残存瘤壁を利用し動脈を形成するtailoring techniqueがある。今回，当院でtailoring techniqueを用いた腎動脈瘤手術症例8例を対象とし，術後の早期・遠隔期成績を検討した。術後急性腎障害をきたしたのは1例のみで透析に至った症例はなく，遠隔期（平均観察期間：5.3±3.6年）に腎動脈の狭窄や閉塞，動脈瘤の再発をきたした症例は認められなかった。腎動脈瘤に対する瘤形成術は術後成績が良好であり，有効な術式と考えられた。
AbstractList 腎動脈瘤手術には，囊状の瘤壁を切除後に残存瘤壁を利用し動脈を形成するtailoring techniqueがある。今回，当院でtailoring techniqueを用いた腎動脈瘤手術症例8例を対象とし，術後の早期・遠隔期成績を検討した。術後急性腎障害をきたしたのは1例のみで透析に至った症例はなく，遠隔期（平均観察期間：5.3±3.6年）に腎動脈の狭窄や閉塞，動脈瘤の再発をきたした症例は認められなかった。腎動脈瘤に対する瘤形成術は術後成績が良好であり，有効な術式と考えられた。
Author 今井, 伸一
久良木, 亮一
吉川, 正博
小野原, 俊博
坂本, 直孝
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References 4) 田邊佐和香，腰地孝昭，森岡浩一，他：血管形成術を行った2本の流出動脈を有する腎動脈瘤の2例．日臨外会誌2018; 79: 718–722
3) Duran M, Hausmann DF, Grabitz K, et al: Reconstruction for renal artery aneurysms using the tailoring technique. J Vasc Surg 2017; 65: 438–443
8) Rundback JH, Rizvi A, Rozenblit GN, et al: Percutaneus stentgraft management of renal artery aneurysms. J Vasc Interv Radiol 2000; 11: 1189–1193
10) English WP, Pearce JD, Craven TE, et al: Surgical management of renal artery aneurysms. J Vasc Surg 2004; 40: 53–60
6) Henke PK, Cardneau JD, Welling TH 3rd, et al: Renal artery aneurysms : a 35-year clinical experience with 252 aneuryms in 168 patients. Ann Surg 2001; 234: 454–463; discussion, 462–463
9) Klausner JQ, Lawrence PF, Harlander-Locke MP, et al; Vascular Low-Frequency Disease Consortium: The contemporary management of renal artery aneurysms. J Vasc Surg 2015; 61: 978–984.e1
14) 五十嵐仁，山中一朗，岩倉　篤：腎動脈瘤の3手術例．日心外会誌2018; 47: 307–311
7) Hirsch AT, Haskal ZJ, Hertzer NR, et al; American Association for Vascular Surgery/Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines: ACC/AHA guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic). J Vasc Interv Radiol 2006; 17: 1383–1398
11) Pfeiffer T, Reiher L, Grabitz K, et al: Reconstruction for renal artery aneurysm: operative techniques and long-term results. J Vasc Surg 2003; 37: 293–300
2) Tsilimparis N, Reeves JG, Dayama A, et al: Endovascular vs open repair of renal artery aneurysms: outcomes of repair and long-term renal function. J Am Coll Surg 2013; 217: 263–269
13) Wahlberg E, DiMuzio PJ, Stoney RJ: Aortic clamping during elective operations for infrarenal disease: the influence of clamping time on renal function. J Vasc Surg 2002; 36: 13–18
12) Coleman DM, Stanley JC: Renal artery aneurysms. J Vasc Surg 2015; 62: 779–785
5) 広岡茂樹，石原　良：腎動脈瘤破裂に対し緊急手術を施行し救命しえた1例．日心外会誌1992; 21: 73–77
1) Abdel-Kerim A, Cassagnes L, Alfidja A, et al: Endovascular treatment of eight renal artery aneurysms. Acta Radiol 2012; 53: 430–434
References_xml – reference: 3) Duran M, Hausmann DF, Grabitz K, et al: Reconstruction for renal artery aneurysms using the tailoring technique. J Vasc Surg 2017; 65: 438–443
– reference: 6) Henke PK, Cardneau JD, Welling TH 3rd, et al: Renal artery aneurysms : a 35-year clinical experience with 252 aneuryms in 168 patients. Ann Surg 2001; 234: 454–463; discussion, 462–463
– reference: 4) 田邊佐和香，腰地孝昭，森岡浩一，他：血管形成術を行った2本の流出動脈を有する腎動脈瘤の2例．日臨外会誌2018; 79: 718–722
– reference: 12) Coleman DM, Stanley JC: Renal artery aneurysms. J Vasc Surg 2015; 62: 779–785
– reference: 10) English WP, Pearce JD, Craven TE, et al: Surgical management of renal artery aneurysms. J Vasc Surg 2004; 40: 53–60
– reference: 11) Pfeiffer T, Reiher L, Grabitz K, et al: Reconstruction for renal artery aneurysm: operative techniques and long-term results. J Vasc Surg 2003; 37: 293–300
– reference: 14) 五十嵐仁，山中一朗，岩倉　篤：腎動脈瘤の3手術例．日心外会誌2018; 47: 307–311
– reference: 13) Wahlberg E, DiMuzio PJ, Stoney RJ: Aortic clamping during elective operations for infrarenal disease: the influence of clamping time on renal function. J Vasc Surg 2002; 36: 13–18
– reference: 5) 広岡茂樹，石原　良：腎動脈瘤破裂に対し緊急手術を施行し救命しえた1例．日心外会誌1992; 21: 73–77
– reference: 2) Tsilimparis N, Reeves JG, Dayama A, et al: Endovascular vs open repair of renal artery aneurysms: outcomes of repair and long-term renal function. J Am Coll Surg 2013; 217: 263–269
– reference: 7) Hirsch AT, Haskal ZJ, Hertzer NR, et al; American Association for Vascular Surgery/Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines: ACC/AHA guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic). J Vasc Interv Radiol 2006; 17: 1383–1398
– reference: 9) Klausner JQ, Lawrence PF, Harlander-Locke MP, et al; Vascular Low-Frequency Disease Consortium: The contemporary management of renal artery aneurysms. J Vasc Surg 2015; 61: 978–984.e1
– reference: 1) Abdel-Kerim A, Cassagnes L, Alfidja A, et al: Endovascular treatment of eight renal artery aneurysms. Acta Radiol 2012; 53: 430–434
– reference: 8) Rundback JH, Rizvi A, Rozenblit GN, et al: Percutaneus stentgraft management of renal artery aneurysms. J Vasc Interv Radiol 2000; 11: 1189–1193
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SubjectTerms aneurysmorrhaphy
renal artery aneurysm
tailoring technique
Title 腎動脈瘤に対する瘤形成術（tailoring technique）の治療成績に関する検討
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