Das Jeeban Paul, Asadi Hamed, Kok Hong Kuan, Phelan Emma, O'Hare Alan, Lee Michael J
Department of Interventional Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin 9, Ireland.
CVIR Endovasc. 2018;1(1):12. doi: 10.1186/s42155-018-0018-0. Epub 2018 Oct 3.
True renal artery aneurysms (TRAA) are an uncommon pathology, with a prevalence of less than 1%. Treatment of TRAAs is generally recommended when the aneurysm sac equals or exceeds 2cms. Both wide-necked and main renal artery branch aneurysms represent a challenge for conventional endovascular coil embolization due to the risk of coil migration.
Intra-procedural remodeling of the aneurysm neck using Balloon Assisted Coil Embolization (BACE) is considered a suitable alternative in challenging cases of visceral artery aneurysms.
We describe the novel use of the Scepter C (MicroVention Terumo, Tustin, CA) compliant double lumen neurovascular occlusion balloon in the treatment of a wide-necked branch TRAA in a patient with a solitary kidney.
真性肾动脉动脉瘤(TRAA)是一种罕见的病理情况,患病率低于1%。当动脉瘤囊等于或超过2厘米时,通常建议对TRAA进行治疗。宽颈和肾动脉主要分支动脉瘤由于存在线圈移位的风险,对传统的血管内线圈栓塞术构成挑战。
在具有挑战性的内脏动脉瘤病例中,使用球囊辅助线圈栓塞术(BACE)对动脉瘤颈部进行术中重塑被认为是一种合适的替代方法。
我们描述了Scepter C(MicroVention Terumo,加利福尼亚州图斯廷)顺应性双腔神经血管闭塞球囊在治疗一名孤立肾患者的宽颈分支TRAA中的新用途。