scholarly journals Transposition of the Left Renal Vein in Nutcracker Syndrome

2006 ◽  
Vol 31 (1) ◽  
pp. 80-82 ◽  
Author(s):  
J.Y. Kim ◽  
J.H. Joh ◽  
H.Y. Choi ◽  
Y.S. Do ◽  
S.W. Shin ◽  
...  
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome

V484: Laparoscopic Spleno-Renal Venous Bypass for Left Renal Vein Nutcracker Syndrome

2007 ◽  
Vol 177 (4S) ◽  
pp. 161-162
Author(s):  
Benjamin I. Chung ◽  
Monish Aron ◽  
Nicholas J. Hegarty ◽  
Inderbir S. Gill
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome ◽  
Venous Bypass

The desperate plea of women with the nutcracker syndrome

Phlebologie ◽  
2010 ◽  
Vol 39 (02) ◽  
pp. 104-111
Author(s):  
J. L. Villavicencio
Keyword(s):  
Renal Vein ◽  
Imaging Techniques ◽  
Left Renal Vein ◽  
Diagnostic Tools ◽  
Nutcracker Syndrome ◽  
Treatment Techniques ◽  
Children And Young Adults ◽  
Good Number ◽  
Pelvic Congestion

Summary Objective: To increase awareness on the severe impact of the nutcracker syndrome in women with undiagnosed disease. Patients and methods: We reviewed the medical literature and analyzed six representative series with 73 patients with nutcracker syndrome. Women with left flank pain, dyspareunia, dysuria, dysmenorrhea, micro- or macrohaematuria and pelvic congestion symptoms, should be carefully investigated for evidence of meso aortic left renal vein compression. A good number of our colleagues do not believe in the existence of the nutcracker syndrome and send these patients in a long pilgrimage in search of someone who can help them to get relief to their pain. New and improved imaging techniques can assist in the diagnosis but retrograde reno-gonadal phlebography and renocaval gradient are the most reliable diagnostic tools. Results: Among an assortment of treatment techniques, renal vein transposition and endovenous stenting were the two most commonly used procedures. There are no long term studies on renal vein stenting in children and young adults. Its use in these cases should be carefully considered. The nutcracker syndrome may present with pelvic congestion symptoms and its diagnosis missed. The patient's age, severity of symptoms and haemo dynamic renal studies should guide the treatment. Conclusion: An increased awareness of the existence of the nutcracker syndrome may prevent many unfortunate undiagnosed women from spending many months and often years of suffering.

scholarly journals Nutcracker syndrome - a mini review on current knowledge

2021 ◽  
pp. e527
Author(s):  
Jakub Tomasz Kramek ◽  
Zbigniew Krasiński ◽  
Hubert Stępak
Keyword(s):  
Renal Vein ◽  
Treatment Guidelines ◽  
Current Knowledge ◽  
Varicose Veins ◽  
Left Renal Vein ◽  
Nutcracker Syndrome ◽  
Invasive Treatment ◽  
Macroscopic Hematuria ◽  
Orthostatic Proteinuria ◽  
Renal Autotransplantation

Nutcracker syndrome (NCS) seems to be an under-diagnosed condition defined as external compression of the left renal vein and consequent blood outflow impairment. The majority of cases involve the left renal vein entrapment between abdominal aorta and the superior mesenteric artery. The exact epidemiology is unknown due to lack of consensus on diagnostic criteria and often asymptomatic courses. NCS may occur at any age with peak presentation in the second and third decade of life. There is a slight prevalence in females. The most frequent presentations include micro and macroscopic hematuria, orthostatic proteinuria, orthostatic hypotension, flank pain. Patients may develop pelvic congestion syndrome comprising dyspareunia, dysmenorrhea, abdominal pain, pelvic, gluteal, vulvar varicose veins and varicocele in men. Clinical suspicion of NCS based on signs and symptoms, requires imaging confirmation utilising modalities such as doppler ultrasonography, computed tomography and magnetic resonance angiography, intravascular ultrasound and phlebography. Treatment options of NCS range from conservative surveillance to nephrectomy, thus appropriate approach should be based on clinical manifestation and severity of symptoms. Patients presenting with mild to moderate haematuria, and acceptable symptoms should be treated conservatively. In cases of severe symptoms or when conservative management fails, invasive treatment should be considered. Recommended open surgical procedures include left renal vein distal transposition and renal autotransplantation. Endovascular stenting approach seems to be an encouraging solution.  Further long term follow-up is required to create objective treatment guidelines.

V12-06 RETROPERITONEAL LAPAROSCOPIC REIMPLANTATION OF THE LEFT RENAL VEIN FOR NUTCRACKER SYNDROME

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Ming Chen ◽  
Tao Tao ◽  
Bin Xu ◽  
Lei Zhang ◽  
Shu-qiu Chen ◽  
...  
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome

Outcomes of left renal vein stenting in patients with nutcracker syndrome

2019 ◽  
Vol 7 (6) ◽  
pp. 853-859 ◽  
Author(s):  
Efthymios D. Avgerinos ◽  
Zein Saadeddin ◽  
Rishab Humar ◽  
Karim Salem ◽  
Michael Singh ◽  
...  
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome

scholarly journals Nutcracker Syndrome: A Rare Cause of Hematuria

2006 ◽  
Vol 6 ◽  
pp. 745-746 ◽  
Author(s):  
Emmanuel C. Gorospe ◽  
Michael O. Aigbe
Keyword(s):  
Superior Mesenteric Artery ◽  
Renal Vein ◽  
Mesenteric Artery ◽  
Left Renal Vein ◽  
Nutcracker Syndrome ◽  
Renal Veins ◽  
Collecting System

Nutcracker syndrome is the compression of the left renal vein between the aorta and superior mesenteric artery. It is a rare cause of hematuria which results from the rupture of congested renal veins into the collecting system.

Robotic-assisted Laparoscopic Transposition of the Left Renal Vein for Treatment of the Nutcracker Syndrome

Urology ◽  
2015 ◽  
Vol 86 (6) ◽  
pp. e27-e28 ◽  
Author(s):  
Ping Wang ◽  
Taile Jing ◽  
Jie Qin ◽  
Dan Xia ◽  
Shuo Wang
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome ◽  
Robotic Assisted

Nutcracker Syndrome: Case Report on the Management of Recurrent Stenosis After Stenting

2017 ◽  
Vol 51 (4) ◽  
pp. 203-208 ◽  
Author(s):  
Natasha Hansraj ◽  
Abdul Hamdi ◽  
Ali Khalifeh ◽  
Eric Wise ◽  
Rajabrata Sarkar ◽  
...  
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Stent Migration ◽  
Venous Hypertension ◽  
Intractable Pain ◽  
Nutcracker Syndrome ◽  
Extrinsic Compression ◽  
Vein Bypass ◽  
Renal Venous Hypertension

Nutcracker syndrome is a clinical entity leading to renal venous hypertension due to extrinsic compression of the left renal vein by the superior mesenteric artery. Current surgical therapy involves placement of an oversized renal vein stent with partial protrusion into the inferior vena cava (IVC) to relieve stenosis and prevent stent migration. Here, we present a patient with intractable pain and hematuria secondary to nutcracker syndrome who underwent left renal vein stent placement and developed recurrent symptoms due to flow-limiting kinking at the left renal hilum, with partial obstruction of the IVC from pseudointimal hyperplasia. This was treated with stent excision and construction of a left neorenal vein bypass. Thus, given these complications, we should perhaps revisit the recommendations for oversizing of the stent.

Nutcracker Syndrome Due to Left Renal Vein Compression by an Aberrant Right Renal Artery

2007 ◽  
Vol 50 (2) ◽  
pp. 326-329 ◽  
Author(s):  
Antonio Basile ◽  
Dimitrios Tsetis ◽  
Giacomo Calcara ◽  
Michele Figuera ◽  
Francesco Coppolino ◽  
...  
Keyword(s):  
Renal Artery ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome
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