6533b7defe1ef96bd127671d

RESEARCH PRODUCT

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

Ilaria FicarelliDonatella NareseGaetano VitaleMario De LaurentisFelice PecoraroEttore DinotoUmberto BracaleDomenico SolariFlavia SpallaGuido Bajardi

subject

AdultMalemedicine.medical_specialtymedicine.medical_treatmentPopulationSelf Expandable Metallic StentsAdult; Aged; Aneurysm; Blood Vessel Prosthesis; Embolization Therapeutic; Humans; Male; Middle Aged; Renal Artery; Self Expandable Metallic Stents; Treatment Outcome; Radiology Nuclear Medicine and Imaging; Cardiology and Cardiovascular Medicine030204 cardiovascular system & hematologySettore MED/22 - Chirurgia Vascolare030218 nuclear medicine & medical imaging03 medical and health sciencesRenal Artery0302 clinical medicineAneurysmSelf-expandable metallic stentBlood vessel prosthesismedicine.arteryInterventional RadiologymedicineHumansRadiology Nuclear Medicine and imagingcardiovascular diseasesEmbolizationRenal arteryeducationSelf Expandable Metallic StentAgededucation.field_of_studybusiness.industryStentMiddle Agedmedicine.diseaseAneurysmEmbolization TherapeuticNephrectomyBlood Vessel ProsthesisBlood Vessel ProsthesiTreatment Outcomecardiovascular systemRadiologyCardiology and Cardiovascular MedicinebusinessHuman

description

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.

https://doi.org/10.5152/dir.2016.15551