Elbaroni Wesam, Lepiarczyk Oskar, McAdam Andrew, Connolly David, Kennedy Peter
Urology Department, Belfast City Hospital, Belfast, UK.
Intervention Radiology, Belfast City Hospital, Belfast, UK.
Urol Case Rep. 2021 May 14;38:101719. doi: 10.1016/j.eucr.2021.101719. eCollection 2021 Sep.
To describe the endovascular treatment of a traumatic rupture of a renal artery aneurysm (RAA) in an unstable patient using a stent-graft. A 49-year-old patient presented following trauma to her right chest and flank. The patient was unstable on arrival and following resuscitation, contrast CT angiogram identified a rupture of a left RAA. To occlude the aneurysm, a graft-stent was placed successfully to arrest the haemorrhage. In this case of ruptured RAA, an endovascular approach allowed rapid control of bleeding and preservation of the kidney function, whilst avoiding open surgery and possible nephrectomy.
描述使用覆膜支架对一名不稳定患者的创伤性肾动脉动脉瘤（RAA）破裂进行血管内治疗的情况。一名49岁患者因右胸和侧腹外伤前来就诊。患者入院时情况不稳定，复苏后，CT血管造影显示左肾动脉动脉瘤破裂。为封堵动脉瘤，成功置入了覆膜支架以止血。在这种肾动脉动脉瘤破裂的病例中，血管内治疗方法能够快速控制出血并保留肾功能，同时避免了开放手术和可能的肾切除术。
