Aranzulla Tiziana Claudia, Colombo Antonio, Sangiorgi Giuseppe Massimo
Interventional Cardiology Unit, San Raffaele Hospital and EMO Centro Cuore Columbus, Milan, Italy.
J Invasive Cardiol. 2007 Aug;19(8):E246-53.
Renal artery aneurysms are rare vascular anomalies in which rupture is associated with devastating consequences. Only a few reported cases involved percutaneous treatment. Recently, technological advances have expanded indications for percutaneous treatment of such complex peripheral lesions. Despite this, certain anatomical settings such as extreme vessel tortuosity or angulation of the afferent vessel continue to pose challenges. New steerable devices may play a crucial role in those cases where conventional techniques have failed. We report a case of successful percutaneous treatment of a renal artery aneurysm and stenosis in a young male using the Venture catheter.
肾动脉动脉瘤是罕见的血管异常,其破裂会带来灾难性后果。仅有少数报道的病例涉及经皮治疗。近来,技术进步扩大了此类复杂外周病变经皮治疗的适应证。尽管如此,某些解剖学情况,如血管极度迂曲或输入血管成角,仍然构成挑战。新型可操纵装置可能在传统技术失败的病例中发挥关键作用。我们报告一例使用Venture导管成功经皮治疗年轻男性肾动脉动脉瘤和狭窄的病例。