Stent-assisted detachable coil embolization of wide-necked renal artery aneurysms

Diagn Interv Radiol. 2017 Jan-Feb;23(1):77-80. doi: 10.5152/dir.2016.15551.

Abstract

Renal artery aneurysms (RAAs) are rare with an estimated incidence of 0.1% in the general population, and they represent approximately 25% of all visceral aneurysms. The gold standard of treatment is open surgery, but it is associated with a high risk of nephrectomy, mortality, and morbidity. Less invasive endovascular therapies are becoming increasingly common for the treatment of RAAs. Here, we aimed to report three cases of wide-necked complex renal artery aneurysms treated endovascularly using stent-assisted coil embolization with self-expandable stent nitinol Solitaire AB and Concerto Axium coils. In addition, we describe the use of the waffle-cone technique in a case of wide-necked saccular RAA involving the renal artery bifurcation. Technical success was achieved in all three cases with no early or late complications and no recurrences.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Aneurysm / therapy*
  • Blood Vessel Prosthesis
  • Embolization, Therapeutic / instrumentation*
  • Humans
  • Male
  • Middle Aged
  • Renal Artery / abnormalities*
  • Self Expandable Metallic Stents
  • Treatment Outcome