Stent-assisted Gugliemi detachable coil repair of wide-necked renal artery aneurysm using 3-D angiography

Timothy W.I. Clark, Alex Sankin, Tibor Becske, Peter Kim Nelson, Martin Fox

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

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 languageEnglish (US)
Pages (from-to)528-532
Number of pages5
JournalVascular and Endovascular Surgery
Volume41
Issue number6
DOIs
StatePublished - Dec 2008
Externally publishedYes

Keywords

  • Coil embolization
  • Renal aneurysm
  • Three-dimensional angiography

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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