Renal Vascular Lesions: Diagnosis and Endovascular Management

A. Rao Chimpiri; Balasubramani Natarajan

doi:10.1055/s-0029-1225665

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2009; 26(3): 253-261
DOI: 10.1055/s-0029-1225665

Renal Vascular Lesions: Diagnosis and Endovascular Management

A. Rao Chimpiri¹ , Balasubramani Natarajan¹

¹Department of Radiology, Oklahoma University of Health Sciences, Oklahoma City, Oklahoma

Abstract

ABSTRACT

Renal vascular abnormalities included in this review are renal artery aneurysms (RAA) and renal arteriovenous malformations (AVM). The clinical presentation, diagnosis, and principles of management with emphasis on endovascular techniques are discussed.

KEYWORDS

Renal artery aneurysm - renal arteriovenous malformation - embolization

Full Text

References

REFERENCES

1 Stanley J C, Rhodes E L, Gewertz B L, Chang C Y, Walter J F, Fry W J. Renal artery aneurysms. Significance of macroaneurysms exclusive of dissections and fibrodysplastic mural dilations. Arch Surg. 1975; 110(11) 1327-1333
2 Henke P K, Cardneau J D, Welling III T H et al.. Renal artery aneurysms: a 35-year clinical experience with 252 aneurysms in 168 patients. Ann Surg. 2001; 234(4) 454-462 discussion 462-463
3 Hageman J H, Smith R F, Szilagyi E, Elliott J P. Aneurysms of the renal artery: problems of prognosis and surgical management. Surgery. 1978; 84(4) 563-572
4 Barrett J M, Dean R H, Boehm F H. Rupture of a renal artery aneurysm during pregnancy. South Med J. 1981; 74(12) 1549-1550
5 De Bakey M E, Lefrak E A, Garcia-Rinaldi R, Noon G P. Aneurysm of the renal artery. A vascular reconstructive approach. Arch Surg. 1973; 106(4) 438-443
6 Hafez K S, Krishnamurthi V, Campbell S C, Novick A C. Contemporary management of renal cell carcinoma with coexistent renal artery disease: update of the Cleveland Clinic experience. Urology. 2000; 56(3) 382-386
7 Henriksson C, Björkerud S, Nilson A E, Pettersson S. Natural history of renal artery aneurysm elucidated by repeated angiography and pathoanatomical studies. Eur Urol. 1985; 11(4) 244-248
8 Henriksson C, Lukes P, Nilson A E, Pettersson S. Angiographically discovered, non-operated renal artery aneurysms. Scand J Urol Nephrol. 1984; 18(1) 59-62
9 Tham G, Ekelund L, Herrlin K, Lindstedt E L, Olin T, Bergentz S E. Renal artery aneurysms. Natural history and prognosis. Ann Surg. 1983; 197(3) 348-352
10 Hupp T, Allenberg J R, Post K et al.. Renal artery aneurysm: surgical indications and results. Eur J Vasc Surg. 1992; 6 477-486
11 Reiher L, Grabitz K, Sandmann W. Reconstruction for renal artery aneurysm and its effect on hypertension. Eur J Vasc Endovasc Surg. 2000; 20(5) 454-456
12 Shonai T, Koito K, Ichimura T, Hirokawa N, Sakata K, Hareyama M. Renal artery aneurysm: evaluation with color Doppler ultrasonography before and after percutaneous transarterial embolization. J Ultrasound Med. 2000; 19(4) 277-280
13 Hantman S S, Barie J J, Glendening T B, Eisenberg M N, Rapoport K D. Giant renal artery aneurysm mimicking a simple cyst on ultrasound. J Clin Ultrasound. 1982; 10(3) 136-139
14 Sabharwal R, Vladica P, Law W P, Lau H, Patel M. Multidetector spiral CT renal angiography in the diagnosis of giant renal artery aneurysms. Abdom Imaging. 2006; 31(3) 374-378
15 Browne R F, Riordan E O, Roberts J A et al.. Renal artery aneurysms: diagnosis and surveillance with 3D contrast-enhanced magnetic resonance angiography. Eur Radiol. 2004; 14(10) 1807-1812
16 Rundback J H, Rizvi A, Rozenblit G N et al.. Percutaneous stent-graft management of renal artery aneurysms. J Vasc Interv Radiol. 2000; 11(9) 1189-1193
17 Karkos C D, D'Souza S P, Thomson G J, Chomal A, Matanhelia S S. Renal artery aneurysm: endovascular treatment by coil embolisation with preservation of renal blood flow. Eur J Vasc Endovasc Surg. 2000; 19(2) 214-216
18 Kohei N, Kawanishi H, Sasaki M, Okada T, Ono H, Miyamoto S. [Superselective endovascular treatment of renal artery aneurysms with detachable microcoils]. Hinyokika Kiyo. 2003; 49(1) 43-46
19 Gandini R, Spinelli A, Pampana E, Fabiano S, Pendenza G, Simonetti G. Bilateral renal artery aneurysm: percutaneous treatment with stent-graft placement. Cardiovasc Intervent Radiol. 2006; 29(5) 875-878
20 Klein G E, Szolar D H, Breinl E, Raith J, Schreyer H H. Endovascular treatment of renal artery aneurysms with conventional non-detachable microcoils and Guglielmi detachable coils. Br J Urol. 1997; 79(6) 852-860
21 Dib M, Sedat J, Raffaelli C, Petit I, Robertson W G, Jaeger P. Endovascular treatment of a wide-neck renal artery bifurcation aneurysm. J Vasc Interv Radiol. 2003; 14(11) 1461-1464
22 Saltiel A A, Matalon T AS, Patel S K. Embolization of a giant renal arterial aneurysm. J Urol. 1990; 144(5) 1227-1228
23 Savastano S, Feltrin G P, Miotto D, Chiesura-Corona M. Renal aneurysm and arteriovenous fistula. Management with transcatheter embolization. Acta Radiol. 1990; 31(1) 73-76
24 Nosher J L, Needell G S, Bialy G, Zatina M. Catheter occlusion of a mycotic renal artery aneurysm with cure of associated renovascular hypertension. Cardiovasc Intervent Radiol. 1989; 12(6) 310-312
25 Routh W D, Keller F S, Gross G M. Transcatheter thrombosis of a leaking saccular aneurysm of the main renal artery with preservation of renal blood flow. AJR Am J Roentgenol. 1990; 154(5) 1097-1099
26 Bui B T, Oliva V L, Leclerc G et al.. Renal artery aneurysm: treatment with percutaneous placement of a stent-graft. Radiology. 1995; 195(1) 181-182
27 Liguori G, Trombetta C, Bucci S, Pozzi-Mucelli F, Bernobich E, Belgrano E. Percutaneous management of renal artery aneurysm with a stent-graft. J Urol. 2002; 167(6) 2518-2519
28 Kaufman S L, Martin L G, Zuckerman A M, Koch S R, Silverstein M I, Barton J W. Peripheral transcatheter embolization with platinum microcoils. Radiology. 1992; 184(2) 369-372
29 Huppert P E, Duda S H, Erley C M et al.. Embolization of renal vascular lesions: clinical experience with microcoils and tracker catheters. Cardiovasc Intervent Radiol. 1993; 16(6) 361-367
30 Beaujeux R, Saussine C h, al-Fakir A et al.. Superselective endo-vascular treatment of renal vascular lesions. J Urol. 1995; 153(1) 14-17
31 Tshomba Y, Deleo G, Ferrari S, Marina R, Biasi G M. Renal artery aneurysm: improved renal function after coil embolization. J Endovasc Ther. 2002; 9(1) 54-58
32 Miller D C, Forauer A, Faerber G J. Successful angioembolization of renal artery pseudoaneurysms after blunt abdominal trauma. Urology. 2002; 59(3) 444
33 Cisternino S J, Malave S R, Neiman H L. Congenital renal arteriovenous malformation: ultrasonic appearance. J Urol. 1981; 126(2) 238-239
34 Yakes W F, Haas D K, Parker S H et al.. Symptomatic vascular malformations: ethanol embolotherapy. Radiology. 1989; 170(3 Pt 2) 1059-1066
35 Iaccarino V, Russo D, Niola R et al.. Total or partial percutaneous renal ablation in the treatment of renovascular hypertension: radiological and clinical aspects. Br J Radiol. 1989; 62(739) 593-598
36 Zak M B, Szof C A, Munzenberger P J. Metrizamide-ethanol for treatment of symptomatic vascular malformations. Am J Hosp Pharm. 1994; 51(23) 2964-2969

A. Rao ChimpiriF.R.C.R.

Assistant Professor of Radiology, Oklahoma University of Health Sciences

Oklahoma City, OK 73126-0901

Email: rao-chimpiri@ouhsc.edu