scholarly journals Endovascular repair of a complex renal artery aneurysm using Pipeline (TM) Embolization Device (PED) assisted coil embolization

2021 ◽  
Vol 15 (10) ◽  
pp. 1-9
Author(s):  
Jeff Jingfeng Liang ◽  
Gary Duckwiler ◽  
Jeremy Middleton ◽  
John Moriarty ◽  
Justin McWilliams

Background: We describe the treatment of a renal artery aneurysm with complex anatomy using coils and the Pipeline (TM) Embolization Device (Medtronic, Irvine, CA), a flow-diverting stent typically used for the treatment of intracranial aneurysms. Methods: A 62-year-old female with history of an asymptomatic right renal artery aneurysm that was discovered incidentally 10 years ago was found to have enlargement of the aneurysm (1.9cm to 2.7cm) on a repeat surveillance CT scan. She was successfully treated with combined Pipeline Embolization Device and coil embolization of the aneurysm sac. Results: Post-procedural angiography showed complete occlusion of the aneurysm with maintenance of perfusion to the entire kidney. Conclusion: Pipeline (TM) assisted coil embolization may be an option for parenchyma-sparing treatment of renal artery aneurysms with complex anatomy.

2021 ◽  
pp. 20201151
Author(s):  
Sandipan Ghosh ◽  
Soumya Kanti Dutta

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.


2008 ◽  
Vol 68 (3) ◽  
pp. e141-e145
Author(s):  
Shigeo Takebayashi ◽  
Shinichiroh Iso ◽  
Masahiro Yao ◽  
Takeshi Kishida ◽  
Kazumi Noguchi

2009 ◽  
Vol 27 (7) ◽  
pp. 275-279 ◽  
Author(s):  
Makiyo Hagihara ◽  
Akira Kitagawa ◽  
Yuichiro Izumi ◽  
Yukihiko Ohshima ◽  
Eisuke Katsuda ◽  
...  

2007 ◽  
Vol 69 (5) ◽  
pp. 697-700 ◽  
Author(s):  
Yoshimitsu Soga ◽  
Koyu Sakai ◽  
Masakiyo Nobuyoshi

2018 ◽  
Vol 52 (3) ◽  
pp. 207-211 ◽  
Author(s):  
Antony Aziz ◽  
Sung Ham

We present a case demonstrating the use of an endovascular robotic system in the treatment of a saccular renal artery aneurysm located at the renal hilum in a young patient.


2010 ◽  
Vol 4 (4) ◽  
Author(s):  
Bjoern Kitzing ◽  
John Vedelago ◽  
Nick Bagic ◽  
Grace Lai ◽  
Richard Waugh

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