Stent-Assisted Coil Embolization of a Symptomatic Renal Artery Aneurysm at a Bifurcation Point.

Abstract:

BACKGROUND:Symptomatic renal artery aneurysms at bifurcation points present challenging clinical scenarios rarely amenable to endovascular repair due to concerns regarding parenchymal loss following intervention. Herein, we add to the scant body of literature describing successful endovascular repair of a saccular, symptomatic renal artery aneurysm situated at a bifurcation point. METHODS:A 52-year-old woman with a 2.5-cm extraparenchymal, saccular, symptomatic left renal artery aneurysm underwent self-expanding stent-assisted detachable platinum microcoil embolization. RESULTS:Complete aneurysm exclusion was achieved with minimal parenchymal loss. There were no perioperative complications, and no evidence of acute kidney injury perioperatively or at 3-month follow-up. Sustained symptomatic relief was achieved. CONCLUSIONS:Endovascular therapy can provide safe and effective aneurysm treatment within challenging bifurcated renal artery anatomy.

journal_name

Ann Vasc Surg

authors

Nassiri N,Huntress LA

doi

10.1016/j.avsg.2016.10.042

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

299.e11-299.e14

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(17)30335-7

journal_volume

42

pub_type

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