Abstract
Purpose: To report a wide-necked renal artery aneurysm treated successfully with stent-assisted Gugliemi detachable coil occlusion, assisted by three-dimensional (3-D) angiography. Case Report: A 56-year-old woman with history of hypertension presented with a 2.5-cm wide-necked saccular aneurysm involving her distal right renal artery. A balloon-expandable stent was positioned across the neck of the aneurysm and multiple Gugliemi detachable coils were deployed through a microcatheter inserted through the interstices of the stent into the aneurysm sac, guided by 3-D angiography. Follow-up 3-D angiography at 6 months revealed a patent renal artery with continued exclusion of the aneurysm and preservation of renal blood flow. Conclusion: Stent-assisted coil occlusion assisted by 3-D angiography is a potential renal-sparing endovascular approach to treating wide-necked renal artery aneurysms with complex vascular anatomy.
Original language | English (US) |
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Pages (from-to) | 528-532 |
Number of pages | 5 |
Journal | Vascular and Endovascular Surgery |
Volume | 41 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2008 |
Externally published | Yes |
Keywords
- Coil embolization
- Renal aneurysm
- Three-dimensional angiography
ASJC Scopus subject areas
- Surgery
- Cardiology and Cardiovascular Medicine