» Articles » PMID: 36285170

An Isolated Traumatic Renal Artery Pseudoaneurysm Treated by Renal Artery Stent Insertion: a Case Report Presenting a Nephron-sparing Approach

Overview
Journal J Surg Case Rep
Specialty General Surgery
Date 2022 Oct 26
PMID 36285170
Authors
Affiliations
Soon will be listed here.
Abstract

Penetrating or blunt traumas can rarely lead to renal artery pseudoaneurysms (RAPs). Renal parenchymal lacerations usually accompany them, and nephrectomy is performed in these cases. Although angioembolization of the renal artery can negate the need for nephrectomy while treating the RAP, it is not a nephron-sparing procedure. Herein, we present a case of isolated (i.e. without accompanying renal laceration) left RAP. During conservative follow-up, the RAP enlarged, and subsequently, it was treated by renal artery stent insertion. An expandable covered stent was used during this procedure. The renal function was preserved without experiencing any complications.

References
1.
Parildar M, Oran I, Memis A . Embolization of visceral pseudoaneurysms with platinum coils and N-butyl cyanoacrylate. Abdom Imaging. 2002; 28(1):36-40. DOI: 10.1007/s00261-002-0021-7. View

2.
Yamacake K, Lucon M, Lucon A, Mesquita J, Srougi M . Renal artery pseudoaneurysm after blunt renal trauma: report on three cases and review of the literature. Sao Paulo Med J. 2013; 131(5):356-62. PMC: 10876317. DOI: 10.1590/1516-3180.2013.1315488. View

3.
Mizobata Y, Yokota J, Fujimura I, Sakashita K . Successful evaluation of pseudoaneurysm formation after blunt renal injury with dual-phase contrast-enhanced helical CT. AJR Am J Roentgenol. 2001; 177(1):136-8. DOI: 10.2214/ajr.177.1.1770136. View

4.
Lee R, Porter J . Traumatic renal artery pseudoaneurysm: diagnosis and management techniques. J Trauma. 2003; 55(5):972-8. DOI: 10.1097/01.TA.0000032251.70194.65. View

5.
Keeling A, McGrath F, Lee M . Interventional radiology in the diagnosis, management, and follow-up of pseudoaneurysms. Cardiovasc Intervent Radiol. 2008; 32(1):2-18. DOI: 10.1007/s00270-008-9440-3. View