Evidence map›Paper›PMID 34733652›Full record

ArticleTranslational andrology and urology2021

Natural history of asymptomatic renal artery pseudoaneurysm after robot-assisted partial nephrectomy.

Tatsuya Takayama, Akifumi Fujita, Toru Sugihara, Akira Fujisaki, Masahiro Yamazaki, Tomohiro Kameda, Jun Kamei, Satoshi Ando, Shinsuke Kurokawa, Tetsuya Fujimura

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Article in Translational andrology and urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 48% of its field
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Tatsuya TakayamaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Akifumi FujitaDepartment of Radiology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Toru SugiharaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Akira FujisakiDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Masahiro YamazakiDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Tomohiro KamedaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Jun KameiDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Satoshi AndoDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Shinsuke KurokawaDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Tetsuya FujimuraDepartment of Urology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the natural history of renal artery pseudoaneurysm (RAP) after robot-assisted partial nephrectomy (RAPN).

methodsFrom May 2016 to September 2020, 106 patients underwent RAPN for renal tumors at our institution. Among 100 patients, excluding 6 who were ineligible for contrast-enhanced computed tomography (CE-CT), 4 underwent renal artery selective embolization (RAE), of which 2 cases were emergency RAE within 7 days after RAPN and the other 2 were prophylactic RAE 8 or more days after RAPN. In 98 patients examined for the clinical course of asymptomatic RAP managed by surveillance, excluding the 2 who underwent emergency RAE, routine CE-CT was performed at 7 days, 1 month and 3 months after RAPN. Factors influencing the occurrence of RAP among these 98 patients, including the 2 who underwent emergency RAE and excluding the 2 who underwent prophylactic RAE, were analyzed by logistic regression analysis.

resultsMedian [interquartile range (IOR), range] observation period, age, radiographic tumor size, and maximum diameter of RAP were 20.8 (23.9, 3.0-57.6) months, 63 (18, 22-84) years, 23 (11, 9-48) mm, and 6.6 (5.2, 3.0-16.0) mm, respectively. CE-CT detected 28 RAPs in 23 (23.0%) of 100 patients by 7 days after RAPN and routine CE-CT detected 25 RAPs in 21 (21.4%) of 98 patients excluding 2 who underwent emergency RAE at 7 days after RAPN. RAP was diagnosed by routine CE-CT in 21 (21.4%), 1 (1.0%), and 0 (0%) patients at 7 days, 1 month, and 3 months after RAPN, respectively. In univariate analysis, age [odds ratio (OR) 0.144: 69-84

conclusionsAsymptomatic RAP up to 15 mm in diameter resolved spontaneously 3 months after RAPN. Young age (under 56 years) may be a factor in the development of RAP.

Indexed as

agecomorbidityKidney neoplasmspseudoaneurysmrobotics

Identifiers

PMID34733652
PMCPMC8511543
OpenAlexW3195893787

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.