Surgical Treatment of Renal Artery Compression by Diaphragmatic Crus

2012 ◽  
Vol 26 (2) ◽  
pp. 276.e11-276.e16 ◽  
Author(s):  
Xiaojun Song ◽  
Qi Liu ◽  
Yuehong Zheng ◽  
Changwei Liu ◽  
Dawei Liu ◽  
...  
2014 ◽  
Vol 28 (1) ◽  
pp. 260.e9-260.e12 ◽  
Author(s):  
Solafah Abdalla ◽  
Charles Pierret ◽  
Bakar Ba ◽  
Amélie Mlynski ◽  
Xavier de Kerangal ◽  
...  

2011 ◽  
Vol 53 (6) ◽  
pp. 48S ◽  
Author(s):  
Paul J. Foley ◽  
Grace J. Wang ◽  
Benjamin M. Jackson ◽  
Ali Naji ◽  
Jeffrey Carpenter ◽  
...  

1988 ◽  
Vol 2 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Samuel Bouttier ◽  
Jean-Pierre Valverde ◽  
Michel Lacombe ◽  
Oscar Nussaume ◽  
Bernard Andreassian

2021 ◽  
pp. 164-174
Author(s):  
A. E. Zotikov ◽  
Z. A. Adyrkhaev ◽  
A. M. Solovyova

Renal artery aneurysms are a rare condition and are usually found when other abdominal organ diseases are being searched. Among the causes of renal artery aneurysms, atherosclerosis and fibromuscular dysplasia predominate. However, they can also be observed in congenital Ehlers-Danlos syndrome, neurofibromatosis, arteritis, and due to traumatic effects. Most patients have an asymptomatic course of the disease. Literature data suggest slow growth of aneurysms, and their progression is associated with arterial hypertension, absence of wall calcification and pregnancy in young women. The aim of surgical treatment is to prevent aneurysm rupture, eliminate the risk of renal parenchyma embolism and correct arterial hypertension. Most authors believe that surgical treatment is indicated for asymptomatic course of the disease when the aneurysm is over 20 mm in diameter, aneurysm growth is over 5 mm within a year, arterial hypertension resistant to drug therapy, renal artery dissection and aneurysm presence in women of childbearing age. There are a number of surgical and endovascular techniques to restore renal blood flow. Both open and endovascular interventions are used for renal artery trunk surgery. For aneurysms of the renal artery branches, aortorenal shunting by autovenous or internal iliac artery as well as extracorporeal surgeries are more often used. The use of endografts is most appropriate for localization of aneurysms in the renal artery trunk, while embolization with microspirals and glue is most effective for saccular aneurysms. The embolization technique can cause embolization of the renal parenchyma itself as a potential complication, which aggravates arterial hypertension. The authors present the literature and their own data on various techniques to restore the renal blood flow. Up to 80-90% of the operated kidneys can be saved in the long term. Reconstructive surgery reduces the level of arterial pressure and reduces the number of antihypertensive drugs used and the need for renal replacement therapy.


2021 ◽  
pp. 61-67
Author(s):  
V. K. Karpov ◽  
D. M. Kamalov ◽  
B. M. Shaparov ◽  
O. A. Osmanov ◽  
A. А. Kamalov

Introduction: Renal artery embolization is a minimally invasive X-ray endovascular operation that is used in the treatment of various urological diseases. This operation is of increasing interest due to its ability to occlude not only proximal, but also distal renal vessels with a low risk of complications. Recent developments in endovascular technology make embolization one of the effective and safe methods applicable to stop renal bleeding, preoperative preparation for surgical treatment of renal malignant tumors, and first-line treatment for angiomyolipomas. For a certain category of patients, renal artery embolization is practically no alternative method of treatment. This applies to comorbid patients with kidney tumors and aggravated somatic status, in whom the anesthetic risk makes open or laparoscopic surgical treatment impossible, and embolization can reduce symptoms, improve the quality of life of such patients and prolong the patient's life.Clinical case: we demonstrate the experience of X-ray surgical treatment of cT1aN0M0 left kidney cancer in an 80-year-old patient.Conclusion: Embolization of renal arteries in some cases can be an effective and safe alternative treatment for renal cell carcinoma in somatically burdened patients who cannot perform surgical treatment.


Author(s):  
Іhor Kobza ◽  
◽  
Rostyslav Zhuk ◽  
Yuliya Mota ◽  
Danylo Fedoriv ◽  
...  

1969 ◽  
Vol 3 (3) ◽  
pp. 229-234 ◽  
Author(s):  
S.-E. Bergentz ◽  
H. Kjellbo ◽  
L. O. Hansson ◽  
B. Hood

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