1. Stent-assisted detachable coil embolization of wide-necked renal artery aneurysms
- Author
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Ilaria Ficarelli, Donatella Narese, Gaetano Vitale, Mario De Laurentis, Felice Pecoraro, Ettore Dinoto, Umberto Bracale, Domenico Solari, Flavia Spalla, Guido Bajardi, Bracale, UMBERTO MARCELLO, Narese, Donatella, Ficarelli, Ilaria, De Laurentis, Mario, Spalla, Flavia, Dinoto, Ettore, Vitale, Gaetano, Solari, Domenico, Bajardi, Guido, Pecoraro, Felice, Bracale, U, Narese, D, Ficarelli, I, De Laurentis, M, Spalla, F, Dinoto, E, Vitale, G, Solari, D, Bajardi, G, and Pecoraro, F
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Population ,Self Expandable Metallic Stents ,Aged ,Aneurysm ,Blood Vessel Prosthesis ,Embolization, Therapeutic ,Humans ,Middle Aged ,Renal Artery ,Treatment Outcome ,Radiology, Nuclear Medicine and Imaging ,Cardiology and Cardiovascular Medicine ,030204 cardiovascular system & hematology ,Settore MED/22 - Chirurgia Vascolare ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Self-expandable metallic stent ,Blood vessel prosthesis ,medicine.artery ,Interventional Radiology ,medicine ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Embolization ,Renal artery ,education ,Self Expandable Metallic Stent ,education.field_of_study ,business.industry ,Stent ,medicine.disease ,Nephrectomy ,Blood Vessel Prosthesi ,cardiovascular system ,Radiology ,business ,Human - 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.
- Published
- 2017