Dinh Lauren, Hamandi Mohanad, Shutze William
College of Medicine, Texas A&M Health Science Center, Dallas, Texas.
Baylor Scott & White, The Heart Hospital - Plano, Plano, Texas.
Proc (Bayl Univ Med Cent). 2021 Jan 11;34(3):391-393. doi: 10.1080/08998280.2020.1868244.
Renal artery aneurysms (RAAs) are rare and are frequently discovered incidentally during the workup for other renal issues. Open surgery has been a popular approach to managing RAAs; however, endovascular techniques have recently emerged as a less invasive option. Endovascular therapy involves stent angiography and coil embolization of the aneurysm. RAA classification (type 1, 2, and 3) is determined by its anatomical location and shape, which has been demonstrated to affect whether an open or an endovascular method is most suitable. We report two patients with type 1 RAAs and a history of hypertension who were successfully repaired endovascularly using VBX stents.
肾动脉动脉瘤(RAA)较为罕见,常在因其他肾脏问题进行检查时偶然发现。开放手术一直是治疗RAA的常用方法;然而,血管内技术近来已成为一种侵入性较小的选择。血管内治疗包括动脉瘤的支架血管造影和弹簧圈栓塞。RAA分类(1型、2型和3型)由其解剖位置和形状决定,这已被证明会影响开放手术或血管内方法哪种最为合适。我们报告了两名患有1型RAA且有高血压病史的患者,他们使用VBX支架通过血管内方式成功修复。