Endovascular management of fusiform renal artery aneurysm in a patient with refractory hypertension using hydrocoils and embospheres

• Published in: Clinical imaging Vol. 36; no. 4; pp. 409 - 412
• Main Authors: Sildiroglu, Onur, Arslan, Bulent, Turba, Ulku C
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-07-2012; Elsevier Limited
• Subjects: Acrylic Resins - therapeutic use; Adult; Aneurysm - complications; Aneurysm - diagnostic imaging; Aneurysm - therapy; Angiography, Digital Subtraction - methods; Embolization, Therapeutic - methods; Endovascular Procedures - instrumentation; Endovascular Procedures - methods; Endovascular treatment; Follow-Up Studies; Gelatin - therapeutic use; Humans; Hypertension, Renal - diagnostic imaging; Hypertension, Renal - etiology; Hypertension, Renal - therapy; Male; Radiology; Renal Artery - diagnostic imaging; Renal artery aneurysm; Risk Assessment; Severity of Illness Index; Time Factors; Tomography, X-Ray Computed - methods; Treatment Outcome; Endovascular treatment; Renal artery aneurysm
• ISSN: 0899-7071; 1873-4499
• DOI: 10.1016/j.clinimag.2011.09.011

Abstract We are reporting endovascular management of a renal artery aneurysm causing renal hypertension. The aneurysm by mass effect compressed the adjacent artery resulting in a hemodynamically significant stenosis. Endovascular management included embosphere embolization of the renal parenchyma distal to the stenosed segment and hydrocoil embolization of the aneurysm itself.