Document Detail

Endovascular repair of a ruptured renal artery aneurysm.
MedLine Citation:
PMID:  12751934     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the percutaneous treatment of a ruptured renal artery aneurysm (RAA) using a stent-graft. CASE REPORT: An 86-year-old woman had sudden onset of right-sided back pain and a swollen left leg. Computed tomography disclosed a right retroperitoneal mass involving the kidney; the inferior vena cava was compressed, with thrombus in the left common iliac artery. There was a suggestion of RAA associated with contrast extravasation. Angiography confirmed a saccular aneurysm of the distal right main renal artery immediately proximal to the first segmental branch. A Jostent peripheral stent-graft was implanted with complete exclusion of the lesion. At 6-month follow-up, the patient remained asymptomatic, but there was a suggestion of in-stent restenosis, which is being followed closely. CONCLUSIONS: In elderly patients who are hemodynamically stable and have aneurysm anatomy that is suitable for stent-graft placement, the endovascular approach may allow rapid and definitive treatment of the hemorrhage.
Nathan P Schneidereit; Shung Lee; D Christopher Morris; Jerry C Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  10     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-05-19     Completed Date:  2003-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  71-4     Citation Subset:  IM    
Division of General Surgery, Vancouver General Hospital, University of British Columbia, Canada.
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MeSH Terms
Aged, 80 and over
Aneurysm, Ruptured / radiography,  surgery*
Blood Vessel Prosthesis Implantation*
Renal Artery / radiography,  surgery*
Tomography, X-Ray Computed

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