经血管内修复治疗的肾静脉瘤生长：病例报告及文献综述
Growing Renal Vein Aneurysm Treated by Endovascular Repair: A Case Report and Literature Review.
作者信息
Nagato Hisao, Wakamiya Makoto, Maeda Kiyosumi, Doi Kazuhiko, Kira Hiromasa, Ueyama Koji
机构信息
Department of Cardiovascular Surgery, Nagahama City Hospital, Nagahama, Shiga, Japan.
Department of Radiology, Nagahama City Hospital, Nagahama, Shiga, Japan.
出版信息
Ann Vasc Dis. 2023;16(4):277-280. doi: 10.3400/avd.avd.cr.23-00041. Epub 2023 Nov 14.
Renal vein aneurysm (RVA) is extremely rare and often asymptomatic, disclosed only incidentally on diagnostic imaging modalities such as computed tomography and ultrasonography. Management is often just watchful follow-up, but some patients require intervention. We present the case of a 74-year-old man complaining of lower back pain in whom a 53-mm RVA was identified. He underwent successful endovascular repair using Amplatzer vascular plugs. The aneurysm had completely resolved by 12 months. Endovascular treatment of a primary RVA does not seem to have been reported previously. This is a milestone case in the management of RVA.
肾静脉瘤（RVA）极为罕见，通常无症状，仅在诸如计算机断层扫描和超声检查等诊断成像方式中偶然发现。治疗通常只需密切随访，但有些患者需要干预。我们报告一例74岁男性患者，主诉下背部疼痛，经检查发现一个53毫米的肾静脉瘤。他接受了使用Amplatzer血管封堵器的成功血管内修复治疗。到12个月时，动脉瘤已完全消失。原发性肾静脉瘤的血管内治疗此前似乎未见报道。这是肾静脉瘤治疗中的一个里程碑病例。
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