scholarly journals Intraparenchymal Renal Artery Pseudoaneurysm and Arteriovenous Fistula on a Solitary Kidney Occurring 38 Years after Blunt Trauma

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Daniel Benamran ◽  
Benedicte de Clippele ◽  
Frank Hammer ◽  
Bertrand Tombal
Keyword(s):  
Renal Artery ◽  
Arteriovenous Fistula ◽  
Blunt Trauma ◽  
Left Kidney ◽  
Solitary Kidney ◽  
Endovascular Embolization ◽  
Artery Pseudoaneurysm ◽  
Kidney Trauma ◽  
Renal Artery Pseudoaneurysm

Pseudoaneurysm and arteriovenous fistulae of the renal artery are rare complications of kidney trauma. They commonly result from open traumas and occur within days after the injury. Common symptoms include acute haematuria, pain, or hypertension. We report the case of a fifty-three-year-old man presenting with symptomatic complex chronic high flow kidney arteriovenous fistula with interposition of a pseudoaneurysmal pouch and arterial aneurysmal dilatation in a solitary left kidney 38 years after a blunt trauma. Those conditions were successfully treated by endovascular embolization followed by regular radiologic, biological, and clinical follow-up. To the best of our knowledge, few similar cases were reported more than 20 years after trauma. However, no case combining an arteriovenous fistula and a pseudoaneurysm revealing as late as 38 years after trauma was found. In addition, management of those conditions on a solitary kidney and outcomes has not been described. We believe that our case depicts the clinical presentation and management of this rare entity that should not be unrecognized due to its potential lethal implications.

Renal Artery Pseudoaneurysm Resulting from Blunt Trauma

2012 ◽  
Vol 78 (2) ◽  
pp. 57-58
Author(s):  
Elizabeth Jackson ◽  
Joseph Ibrahim ◽  
James Herman
Keyword(s):  
Renal Artery ◽  
Blunt Trauma ◽  
Artery Pseudoaneurysm ◽  
Renal Artery Pseudoaneurysm

scholarly journals Endovascular management of a large renal artery aneurysm: a case report and review of the literature

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alec Zhu ◽  
Peter Connolly ◽  
A. Ari Hakimi
Keyword(s):  
Interventional Radiology ◽  
Case Report ◽  
Renal Artery ◽  
Renal Mass ◽  
Artery Aneurysm ◽  
Endovascular Embolization ◽  
Surgical Approaches ◽  
Renal Artery Aneurysm ◽  
Artery Pseudoaneurysm ◽  
Renal Artery Pseudoaneurysm

Abstract Background A renal artery aneurysm is a rare clinical presentation that can be found incidentally on imaging or during workup for refractory hypertension. Its presentation can be similar to that of a renal artery pseudoaneurysm, but the etiologies of the two vascular lesions differ. We present a patient who had an incidental finding of a large renal artery aneurysm that was managed with endovascular embolization. We also describe the literature surrounding the etiology, presentation and management of both renal artery aneurysms and renal artery pseudoaneurysms. Case presentation A 62-year-old man was referred to a urologic oncologist for workup of a newly found renal mass. Initial imaging with computed tomography showed a homogenous, well-circumscribed mass arising from the right kidney. Further evaluation with Doppler ultrasonography demonstrated pulsatile flow within the renal mass that was concerning for a renal artery pseudoaneurysm. The patient initially underwent a diagnostic angiogram by interventional radiology and was found to have a true renal artery aneurysm. Interventional radiology considered placement of a covered stent or angioembolization, but treatment was deferred due to concern for compromising the patient’s renal function. Patient was subsequently transferred to a neighboring hospital for management by vascular surgery. After considering both open surgical and endovascular approaches, the patient ultimately underwent angioembolization of the renal artery aneurysm. Short-term follow-up showed successful exclusion of the aneurysm with minimal adverse effects to the patient. Conclusions Our case report documents a unique case of an incidentally found large renal artery aneurysm that was successfully managed with endovascular embolization. Renal artery aneurysms and renal artery pseudoaneurysms, which can present similarly on imaging, are important diagnostic considerations in a patient presenting with a new renal mass. While open surgical approaches can be used to repair aneurysms, endovascular approaches using stenting or angioembolization are safe and effective options for treating renal aneurysms and renal pseudoaneurysms.

scholarly journals Mid-term outcome of transarterial embolization of renal artery pseudoaneurysm and arteriovenous fistula after partial nephrectomy screened by early postoperative contrast-enhanced CT

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Satoru Morita ◽  
Yuka Matsuzaki ◽  
Takahiro Yamamoto ◽  
Kumi Kamoshida ◽  
Hiroshi Yamazaki ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Transarterial Embolization ◽  
Term Outcome ◽  
Artery Pseudoaneurysm ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Renal Artery Pseudoaneurysm

Abstract Purpose To retrospectively evaluate the mid-term outcome of transarterial embolization (TAE) of renal artery pseudoaneurysm (RAP) including arteriovenous fistula (AVF) after partial nephrectomy screened by early postoperative contrast-enhanced CT (CE-CT). Materials and methods Eighty-two patients (7.0%) who underwent TAE after partial nephrectomy were reviewed, from 1166 partial nephrectomies performed over 6 years. In 18 patients (22.0%), TAE was performed emergently on the median postoperative day (POD) seven. In the remaining patients, elective TAE was performed on the median POD six for RAP detected by early postoperative CE-CT or that emerged on follow-up CE-CT. Results In one patient (1.2%), TAE was performed twice because one of two RAPs could not be embolized during the first TAE, being successfully embolized at the second TAE after readmission with hematuria. Otherwise, no bleeding recurrence or RAPs were observed during the median 1354 follow-up days. Thus, the primary and secondary success rates of TAE were 98.8% (81 of 82 patients) and 100% (82 of 82 patients), respectively. On angiography, the average number of lesions was 1.7 ± 0.9 and the average RAP size was 12.8 ± 6.0 mm. The shapes of the lesions varied: oval-round 60, oval-round + AVF 36, irregular + AVF 14, AVF 12, irregular 10, disruption 4, and extravasation 3. No major complications were observed. The median inpatient days after TAE were two. No estimated glomerular filtration rate deterioration was observed (64.6 ± 18.6 vs. 64.2 ± 18.4 mL/min/1.73 m2, p = 0.902). Conclusion TAE is largely effective and safe for treating bleedings or RAPs, including AVFs, after partial nephrectomy, as screened by early postoperative CE-CT.

scholarly journals A Rare Case of Spontaneous Asymptomatic Renal Artery Pseudoaneurysm Treated with Coil Embolization: A Case Report

2017 ◽  
Vol 01 (01) ◽  
pp. 056-060
Author(s):  
Dinesh Chataut ◽  
Santosh Maharjan ◽  
Om Panta ◽  
Ram Ghimire
Keyword(s):  
Renal Artery ◽  
Renal Biopsy ◽  
Coil Embolization ◽  
Left Kidney ◽  
Ultrasound Images ◽  
Renal Surgery ◽  
Vascular Abnormality ◽  
Artery Pseudoaneurysm ◽  
Multiple Imaging ◽  
Renal Artery Pseudoaneurysm

Background Renal artery pseudoaneurysm (RAP) is a rare renal vascular abnormality but a life-threatening condition that requires multiple imaging modalities for diagnosis and successful management. It can occur as a complication associated with a percutaneous renal biopsy procedure, renal surgery, and trauma. Asymptomatic spontaneous RAP is also a rare entity and not reported in literature. Case Presentation A 28-year-old patient presented to the outpatient department for ultrasound of the breast for mastalgia and routine ultrasound of the abdomen. Ultrasound breast was normal; however, a cystic lesion with color uptake with a yin–yang pattern and to-and-fro spectral waveform was seen in the lower pole of left kidney suggesting a pseudoaneurysm. A computed tomography renal angiogram confirmed the diagnosis. The patient was completely asymptomatic with no history of any renal surgery or intervention or any trauma to the abdomen. Her general and systemic examinations were unremarkable. Digital subtraction angiography and coil embolization of the pseudoaneurysm were performed. Absent of flow in the lesion was demonstrated in postembolization angiography images and ultrasound images. Conclusion RAP has always been described in patients after renal biopsy, surgery, interventions, or trauma. However, we present a case of asymptomatic spontaneous RAP, which was incidentally discovered and effectively treated with coil embolization.

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