| False aneurysm formation following cutting balloon angioplasty in the renal artery of a child. | |
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MedLine Citation:
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PMID: 16363905 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report the fortuitous discovery of a false aneurysm 7 years after cutting balloon angioplasty for severe renal artery fibromuscular dysplasia in a child. CASE REPORT: A 3-year-old girl with neurofibromatosis was referred to our institution because of high blood pressure (220/160 mmHg). Computed tomography identified coarctation of the aorta and severe bilateral renal artery stenoses. The coarctation was successfully resected. One month later, bilateral renal artery angioplasty with a 3-mm balloon was unsatisfactory, so a second angioplasty one month later was done with a 3.25-mm cutting balloon. This procedure was complicated by a minimal arterial rupture, which resolved spontaneously after inflation of a regular balloon. Normal blood pressure was restored. The child was lost to follow-up until 7 years later, when recurrent hypertension (200 mmHg systolic) prompted referral again. Arteriography showed a very severe stenosis on the right side and a 30-mm false aneurysm of the left renal artery at the rupture site. Due to her age, the patient underwent surgery, which brought the blood pressure under control. CONCLUSIONS: False aneurysm of the renal arteries is a rare complication of percutaneous angioplasty. In a child, the cutting balloon would appear to be contraindicated for concentric dysplastic stenoses that are resistant to regular balloon angioplasty. |
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Authors:
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Thomas Caramella; Annie Lahoche; Ziad Negaiwi; Christophe Lions; Serge Willoteaux; Valerie Boivin; Virginia Gaxotte; Jean-Paul Beregi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 12 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2005-12-20 Completed Date: 2006-03-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 746-9 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Radiology, Hôpital Cardiologique, CHRU de Lille, France. thomas.caramella@laposte.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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etiology*,
surgery Angioplasty, Balloon / adverse effects* Child, Preschool Female Fibromuscular Dysplasia / therapy* Humans Renal Artery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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