CC BY 4.0 · The Arab Journal of Interventional Radiology 2024; 08(02): 112-114
DOI: 10.1055/s-0044-1782665
Case Report

Wide-Neck Renal Artery Aneurysm Managed with Neuro-Retrievable Stent-Assisted Coil Embolization

1   Rowan-Virtua School of Osteopathic Medicine, Stratford, New Jersey, United States
,
Shivam Kaushik
1   Rowan-Virtua School of Osteopathic Medicine, Stratford, New Jersey, United States
,
Venkat Tummala
2   Lakeland Regional Health, Lakeland, Florida, United States
› Author Affiliations

Abstract

Endovascular management of narrow-necked aneurysms has traditionally been with coil embolization; however, wide-necked aneurysms have been more difficult to treat due to risk of distal coil migration or intrusion into a parent vessel. We describe the case of a 76-year-old female who presented with a left-sided renal artery aneurysm and 11 mm aneurysm neck. Renal arteriography of the superior pole branch was performed, lower pole was stented, and a retrievable stent was placed in the inferior branch for the purpose of stent-assisted coiling. Penumbra detachable coils were deposited through the stent struts to jail them in with successful embolization of the aneurysm. Endovascular treatment of wide-neck renal artery aneurysms has the potential to be a successful treatment alternative in patients where surgical intervention is contraindicated. Additional studies should be performed to determine the versatility and extent of success in coil embolization for wide-neck aneurysms.

Ethical Approval Statement

Institutional Review Board approval was obtained for this manuscript.




Publication History

Article published online:
19 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Zhang LJ, Yang GF, Qi J, Shen W. Renal artery aneurysm: diagnosis and surveillance with multidetector-row computed tomography. Acta Radiol 2007; 48 (03) 274-279
  • 2 Gawlitza M, Soize S, Barbe C. et al; ARETA Study Group. Aneurysm characteristics, study population, and endovascular techniques for the treatment of intracranial aneurysms in a large, prospective, multicenter cohort: results of the analysis of recanalization after endovascular treatment of intracranial aneurysm study. AJNR Am J Neuroradiol 2019; 40 (03) 517-523
  • 3 Kim JW, Park YS. Endovascular treatment of wide-necked intracranial aneurysms: techniques and outcomes in 15 patients. J Korean Neurosurg Soc 2011; 49 (02) 97-101