Stent-assisted coil embolization of a symptomatic renal artery aneurysm at a bifurcation point
Abstract Purpose 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...
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| Veröffentlicht in: | Annals of vascular surgery 2017-07, Vol.42, p.299.e11-299.e14 |
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| container_end_page | 299.e14 |
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| container_title | Annals of vascular surgery |
| container_volume | 42 |
| creator | Nassiri, Naiem Huntress, Lauren A |
| description | Abstract Purpose 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 extra-parenchymal, 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 peri-operatively or at three months follow-up. Sustained symptomatic relief was achieved. Conclusion Endovascular therapy can provide safe and effective aneurysm treatment within challenging bifurcated renal artery anatomy. |
| doi_str_mv | 10.1016/j.avsg.2016.10.042 |
| format | Article |
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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 extra-parenchymal, 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 peri-operatively or at three months follow-up. Sustained symptomatic relief was achieved. Conclusion Endovascular therapy can provide safe and effective aneurysm treatment within challenging bifurcated renal artery anatomy.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2016.10.042</identifier><identifier>PMID: 28279720</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aneurysm - diagnostic imaging ; Aneurysm - physiopathology ; Aneurysm - therapy ; Angiography ; Angioplasty, Balloon - instrumentation ; Embolization, Therapeutic - instrumentation ; Female ; Humans ; Middle Aged ; Prosthesis Design ; Renal Artery - diagnostic imaging ; Renal Artery - physiopathology ; Renal Circulation ; Stents ; Surgery ; Treatment Outcome</subject><ispartof>Annals of vascular surgery, 2017-07, Vol.42, p.299.e11-299.e14</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-f7a2d482d92848b760a785266e5cf942a5ab98abe542fc1a5240a0ff9a0f3a723</citedby><cites>FETCH-LOGICAL-c411t-f7a2d482d92848b760a785266e5cf942a5ab98abe542fc1a5240a0ff9a0f3a723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.avsg.2016.10.042$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28279720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nassiri, Naiem</creatorcontrib><creatorcontrib>Huntress, Lauren A</creatorcontrib><title>Stent-assisted coil embolization of a symptomatic renal artery aneurysm at a bifurcation point</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>Abstract Purpose 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 extra-parenchymal, 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 peri-operatively or at three months follow-up. Sustained symptomatic relief was achieved. Conclusion Endovascular therapy can provide safe and effective aneurysm treatment within challenging bifurcated renal artery anatomy.</description><subject>Aneurysm - diagnostic imaging</subject><subject>Aneurysm - physiopathology</subject><subject>Aneurysm - therapy</subject><subject>Angiography</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Embolization, Therapeutic - instrumentation</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Prosthesis Design</subject><subject>Renal Artery - diagnostic imaging</subject><subject>Renal Artery - physiopathology</subject><subject>Renal Circulation</subject><subject>Stents</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EotvCH-CAfOSSxXbsOJEQEqpoi1SJQ-m11sQZIy9JvNhOpfDrcbSFAwcuHuvpvdHMN4S84WzPGW_eH_bwmL7vRfkXYc-keEZ2vOGqUp3Uz8mOtR2rFOuaM3Ke0oExLlrZviRnohW604LtyMNdxjlXkJJPGQdqgx8pTn0Y_S_IPsw0OAo0rdMxh6kolkacYaQQM8aVwoxLXNNEIRdb790S7Sl3DH7Or8gLB2PC10_1gtxfff52eVPdfr3-cvnptrKS81w5DWKQrRi6bcBeNwx0q0TToLKukwIU9F0LPSopnOWghGTAnOvKU4MW9QV5d-p7jOHngimbySeL41jmC0syvNWN7FSjVbGKk9XGkFJEZ47RTxBXw5nZuJqD2biajeumFa4l9Pap_9JPOPyN_AFZDB9OBixbPnqMJlmPs8XBR7TZDMH_v__Hf-J29LO3MP7AFdMhLLFAL3uYJAwzd9tlt8NyXbO6Vrr-DUt8n3U</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Nassiri, Naiem</creator><creator>Huntress, Lauren A</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170701</creationdate><title>Stent-assisted coil embolization of a symptomatic renal artery aneurysm at a bifurcation point</title><author>Nassiri, Naiem ; Huntress, Lauren A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-f7a2d482d92848b760a785266e5cf942a5ab98abe542fc1a5240a0ff9a0f3a723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aneurysm - diagnostic imaging</topic><topic>Aneurysm - physiopathology</topic><topic>Aneurysm - therapy</topic><topic>Angiography</topic><topic>Angioplasty, Balloon - instrumentation</topic><topic>Embolization, Therapeutic - instrumentation</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Prosthesis Design</topic><topic>Renal Artery - diagnostic imaging</topic><topic>Renal Artery - physiopathology</topic><topic>Renal Circulation</topic><topic>Stents</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nassiri, Naiem</creatorcontrib><creatorcontrib>Huntress, Lauren A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nassiri, Naiem</au><au>Huntress, Lauren A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stent-assisted coil embolization of a symptomatic renal artery aneurysm at a bifurcation point</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>42</volume><spage>299.e11</spage><epage>299.e14</epage><pages>299.e11-299.e14</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>Abstract Purpose 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 extra-parenchymal, 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 peri-operatively or at three months follow-up. Sustained symptomatic relief was achieved. Conclusion Endovascular therapy can provide safe and effective aneurysm treatment within challenging bifurcated renal artery anatomy.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28279720</pmid><doi>10.1016/j.avsg.2016.10.042</doi></addata></record> |
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| ispartof | Annals of vascular surgery, 2017-07, Vol.42, p.299.e11-299.e14 |
| issn | 0890-5096 1615-5947 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aneurysm - diagnostic imaging Aneurysm - physiopathology Aneurysm - therapy Angiography Angioplasty, Balloon - instrumentation Embolization, Therapeutic - instrumentation Female Humans Middle Aged Prosthesis Design Renal Artery - diagnostic imaging Renal Artery - physiopathology Renal Circulation Stents Surgery Treatment Outcome |
| title | Stent-assisted coil embolization of a symptomatic renal artery aneurysm at a bifurcation point |
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