Renal artery aneurysms: presentation of five cases

Paschalis-Purtak, K.; Januszewicz, M.; Pucilowska-Jankowska, B.; Szmidt, J; Rowiński, Olgierd; Prejbisz, Aleksander; G, Szostek; Michałowska, Ilona; Makowiecka-Cieśla, Magdalena; Kabat, Marek; Januszewicz, Andrzej

doi:10.1038/sj.jhh.1002274

Cited by 3 publications

(3 citation statements)

References 10 publications

(24 reference statements)

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“…In recent years, the advent of endovascular repair also now represents a safe and alternative approach in selected patients. Literature review (Table 1) demonstrates good treatment outcomes of endovascular repair of RAA, with technical success rates of >90% and complication rates of <10%, which is comparable to that of open repair [1][2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 97%

Angio-embolization of a Large Renal Artery Aneurysm: A Case Report and Literature Review

Yeo¹,

Neo²,

Lo³

et al. 2017

Angiol

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We report a rare case of a large 7.8 cm renal artery aneurysm with subsequent successful endovascular coil embolization. A 54-year-old lady presented with a 3-day history of gross hematuria. Computed tomography (CT) angiogram revealed a large 7.8 cm right renal artery aneurysm, which was successfully embolized with endovascular coils. 1-month and 12-months surveillance showed preservation of renal function with decreasing aneurysm size. Endovascular coil embolization of large renal artery aneurysm is a safe and viable treatment modality. Literature review demonstrates good treatment outcomes, with technical success rates of >90% and complication rates of <10%.

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Section: Discussionmentioning

confidence: 97%

Angio-embolization of a Large Renal Artery Aneurysm: A Case Report and Literature Review

Yeo¹,

Neo²,

Lo³

et al. 2017

Angiol

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“…Aneurysm rupture presents with back pain, abdominal pain, ileus, and hemorrhagic shock as the bleeding progresses. Clinicians should have high index of suspicion as delay in treatment may result in increased morbidity and may lead to nephrectomy, and RAA rupture has a reported mortality as high as 10% [15]. Although surgery was the primary modality in yesteryears, endovascular intervention may be a safer treatment and includes two main modalities, transcatheter embolization or exclusion of the aneurysm using stent grafts.…”

Section: Discussionmentioning

confidence: 99%

“…Paschalis-Purtak et al [15] have reported a case series with 5 patients. Patients were followed-up for a mean duration of 11 months.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Ruptured Renal Artery Aneurysm: A Case-Based Literature Review

Sedhai

Basnyat

Dar

et al. 2019

Case Reports in Medicine

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Renal artery aneurysms are extremely uncommon with a reported incidence of less than one percent in general population. They are being more frequently detected due to increasing availability and use of abdominal imaging. Renal artery aneurysm rupture is an extremely unusual cause of acute flank pain with hemodynamic instability. Given the rarity of diagnoses, clinicians may not consider and address this ruptured renal artery aneurysm early which can potentially lead to adverse clinical outcomes. We report the case of a 55-year-old male who presented with retroperitoneal bleeding from a ruptured aneurysm of the interlobular branch of renal artery. He was endovascularly treated with coil embolization. We have also reviewed the inherent literature.

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Endovascular interventions in management of renal artery aneurysm

Ghosh¹,

Dutta²

2021

BJR

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Renal artery aneurysm is a rare disease. With modern non-invasive imaging modalities, the disease is being increasingly diagnosed. It is a slow-growing aneurysm with high mortality in the event of rupture; especially in pregnant females and patients with multiple comorbidities. Traditionally, aneurysms located in the main renal artery had been successfully treated with endoprosthesis but technical limitations existed in more distal locations where patients were treated surgically. With advances in endovascular therapy, numerous techniques have been employed to manage complex RAA in artery bifurcation, branch and segmental arteries with excellent technical and clinical success. The various recent techniques include the use of flow diverter stents, remodelling with stent-assisted coil embolization[SACE], balloon-assisted coil embolization[BACE], selective embolization with coils-sac packing, inflow occlusion and coil trapping and selective embolization with liquid embolic agents-Hystroacril and Onyx. A combination of stent-graft with liquid embolization and liquid with microcoil embolization have been advocated with success. The most common complication encountered is renal infarction. This is mostly without impairment of renal function and secondary to embolization. Endovascular therapy has shorter operative time, less blood loss, shorter intensive care stay, done under conscious sedation and is associated with lesser postoperative morbidity compared to surgery. Reduction in hypertension, improvement of renal function and symptoms has been seen in most studies. Endovascular management of RAA has become the management of choice even with complex anatomy and technically challenging lesions.

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Renal artery aneurysms: presentation of five cases

Cited by 3 publications

References 10 publications

Angio-embolization of a Large Renal Artery Aneurysm: A Case Report and Literature Review

Angio-embolization of a Large Renal Artery Aneurysm: A Case Report and Literature Review

Endovascular Treatment of Ruptured Renal Artery Aneurysm: A Case-Based Literature Review

Endovascular interventions in management of renal artery aneurysm

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