Endovascular treatment of spontaneous renal artery dissection

Spontaneous renal artery dissection complicated by renal infarction: description of two cases

“…Malignant hypertension, fibromuscular dysplasia (15), strenuous exercise (including sexual) (17), taking medication (18,19), Marfan syndrome (20), and Ehlers-Danlos syndromes ( 4) are all possible risk factors. In our two case studies, we found that both of the patients had a long history of smoking, which was similar to the reports by other researchers (6,11,21). Therefore, we believe that smoking may be another risk factor for SRAD.…”

“…Some relevant reports have suggested that the surgical effect is poor and can result in acute thrombosis of the renal artery and late anastomotic restenosis (11,15,26,27). Fortunately, owing to the advantages of avoiding clamping and allowing for rapid revascularization, endovascular treatment is emerging as a less aggressive treatment alternative, and, endovascular intervention tends to be the preferred therapeutic method with safer and more effective outcomes (6,11). The indications for vascular intervention are lesions located in the main renal artery with an enlarged false lumen of dissection, uncontrolled hypertension, and deterioration of renal function.…”

“…Endovascular stent repair is usually applied when prior medical therapy has been ineffective. There are few reports of endovascular therapy in the literature (6)(7)(8)(9)(10)(11). In this report, we describe two SRAD cases complicated by renal infarction which were successfully treated by endovascular stenting using the Abbott Absolute Pro self-expanding nitinol stent system.…”

“…Although different therapeutic strategies are available for SRAD, a consensus has not yet been reached on the most appropriate treatment. Conservative therapy, open surgery, and intravascular intervention have been reported as treatments for SRAD (5,6). Endovascular stent repair is usually applied when prior medical therapy has been ineffective.…”

Spontaneous renal artery dissection: angioplasty with stent implantation in one-year follow-up

“…Acute symptoms such as low back pain, resistant hypertension, hematuria, fever, leukocytosis, among others, are described, although most patients are initially asymptomatic. (4)(5)(6) In chronic cases, complaints related to difficult-tocontrol hypertension are reported and gastrointestinal and urinary symptoms that can mimic other diseases, making the diagnosis difficult. (7) The rarity of the disease and the non-specificity of symptoms highlight the importance of identifying risk factors, such as fibromuscular dysplasia, strenuous exercise, use of cocaine, among others, for quickest investigation of this disease.…”