TY - JOUR
T1 - Endovascular repair of a ruptured type II renal artery aneurysm using an endograft
AU - Bloemsma, Gijsbert C.
AU - Van Oostayen, Jacques A.
AU - Reijnen, Michel M.P.J.
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Background: The purpose of this study was to describe a case of an endovascular exclusion of a ruptured type II renal artery aneurysm in a hemodynamically unstable patient using an endograft. Methods and Results: A 73-year-old woman, with an extensive medical history, presented with a sudden onset of abdominal pain and hypovolemic shock. A computed tomography scan showed a massive right-sided retroperitoneal hematoma and a type II aneurysm of the right renal artery just proximal to the bifurcation. Angiography demonstrated active contrast extravasation from the aneurysm. The aneurysm was excluded using a 5-cm long, 6-mm wide endograft. After a 6-month interval, duplex ultrasonography showed a patent endograft and normal perfusion of the renal parenchyma in the lower and middle pole, with a glomerular filtration rate of 75 mL/min. Conclusion: Endovascular exclusion using an endograft may provide a safe and rapid alternative to surgery to treat ruptured renal artery aneurysms in a selected group of patients.
AB - Background: The purpose of this study was to describe a case of an endovascular exclusion of a ruptured type II renal artery aneurysm in a hemodynamically unstable patient using an endograft. Methods and Results: A 73-year-old woman, with an extensive medical history, presented with a sudden onset of abdominal pain and hypovolemic shock. A computed tomography scan showed a massive right-sided retroperitoneal hematoma and a type II aneurysm of the right renal artery just proximal to the bifurcation. Angiography demonstrated active contrast extravasation from the aneurysm. The aneurysm was excluded using a 5-cm long, 6-mm wide endograft. After a 6-month interval, duplex ultrasonography showed a patent endograft and normal perfusion of the renal parenchyma in the lower and middle pole, with a glomerular filtration rate of 75 mL/min. Conclusion: Endovascular exclusion using an endograft may provide a safe and rapid alternative to surgery to treat ruptured renal artery aneurysms in a selected group of patients.
UR - http://www.scopus.com/inward/record.url?scp=84865778022&partnerID=8YFLogxK
U2 - 10.1016/j.avsg.2012.01.015
DO - 10.1016/j.avsg.2012.01.015
M3 - Article
C2 - 22749321
AN - SCOPUS:84865778022
VL - 26
SP - 1011.e11-1011.e13
JO - Annals of vascular surgery
JF - Annals of vascular surgery
SN - 0890-5096
IS - 7
ER -