scholarly journals Ultrasound-Guided Percutaneous Antegrade Varicocele Embolization with Cyanoacrylate Glue as an Alternative to the Standard Retrograde Approach

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 432
Author(s):  
Olivier Chevallier ◽  
Julie Pellegrinelli ◽  
Kevin Guillen ◽  
Romaric Loffroy
Keyword(s):  
Minimally Invasive ◽  
Endovascular Treatment ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Retrograde Approach ◽  
Ultrasound Guided ◽  
Cyanoacrylate Glue ◽  
New Approach ◽  
Testicular Vein ◽  
Glue Embolization

We report a case of a 29-year-old male referred to our hospital for endovascular treatment of a left-sided painful varicocele. Standard retrograde embolization via the left renal vein was not possible because of the presence of a left circum-aortic renal vein making the catheterization of the testicular vein not feasible. The patient was successfully treated via ultrasound-guided percutaneous antegrade access of the testicular vein at the inguinal level with subsequent cyanoacrylate glue embolization as a minimally invasive alternative to surgical therapy. This is a new approach to varicocele embolization when the left renal vein does not feed the varicocele.

scholarly journals Terminal bifurcation and unusual communication of left testicular vein with the left suprarenal vein

2017 ◽  
Vol 16 (2) ◽  
pp. 174-177 ◽  
Author(s):  
Satheesha Badagabettu Nayak ◽  
Ashwini Aithal Padur ◽  
Naveen Kumar ◽  
Deepthinath Reghunathan
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Diagnostic Procedures ◽  
Testicular Vein ◽  
Iatrogenic Injuries ◽  
Male Cadaver ◽  
Left And Right ◽  
The Right ◽  
Unique Variation ◽  
Communicating Vein

Abstract Variations of the testicular veins are relevant in clinical cases of varicocele and in other therapeutic and diagnostic procedures. We report herein on a unique variation of the left testicular vein observed in an adult male cadaver. The left testicular vein bifurcated to give rise to left and right branches which terminated by joining the left renal vein. There was also an oblique communication between the two branches of the left testicular vein. A slender communicating vein arose from the left branch of the left testicular vein and ascended upwards in front of the left renal vein and terminated into the left suprarenal vein. The right branch of the testicular vein received an unnamed adipose tributary from the side of the abdominal aorta. Awareness of these venous anomalies can help surgeons accurately ligate abnormal venous communications and avoid iatrogenic injuries and it is important for proper surgical management.

scholarly journals Oblique Retro-Aortic Left Renal Vein and its Clinical Importance

2017 ◽  
Vol 13 (4) ◽  
pp. 369-371
Author(s):  
P. Bhagavath ◽  
B.S. Nayak ◽  
N.P.F. Monteiro ◽  
G.P. Kumar
Keyword(s):  
Inferior Vena Cava ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Clinical Importance ◽  
Acute Angle ◽  
Renal Vasculature ◽  
Waste Products ◽  
Testicular Vein

Kidneys are the organs that remove the waste products of the metabolic activities. A smooth blood flow to the kidneys is essential to maintain their function. Abnormalities of the renal vasculature may result not only in impairing the renal function but can lead to conditions like varicocele. During an autopsy of an adult male, we observed renal vascular variations. The left renal vein had a retro-aortic course before its termination into the inferior vena cava. It was joined with the inferior vena cava at the level of inferior mesenteric artery with an acute angle. The left testicular vein joined the left renal vein with an acute angle. The right kidney was supplied by two renal arteries. The knowledge about retro-aortic course of the left renal vein may be important during renal transplantation. The oblique course of left renal vein and the termination of left testicular vein into it with an acute angle may increase the chances of left sided varicocele.

Percutaneous Translymphocele Embolization of Retroperitoneal Lymphatic Leak

2021 ◽  
pp. 153857442110623
Author(s):  
Chris Bent
Keyword(s):  
Treatment Options ◽  
Fluid Collection ◽  
Dietary Modification ◽  
Retroperitoneal Abscess ◽  
Ultrasound Guided ◽  
Iodized Oil ◽  
Cyanoacrylate Glue ◽  
Percutaneous Access ◽  
Glue Embolization ◽  
Lymphatic Fluid

Iodized oil-based lymphangiography (LAG) is a well-established diagnostic exam during the workup of postoperative lymphatic leaks. Computed tomography (CT) has been shown to be a useful complement to optimize treatment planning and can easily be performed after conventional LAG. The treatment options for lymphatic leaks include conservative dietary modification, sclerotherapy, embolization, and surgery. We present a case of a 48-year-old man who developed a symptomatic left retroperitoneal lymphatic fluid collection after left nephrectomy, complicated by postoperative retroperitoneal abscess. Retroperitoneal duct leak was confirmed via ultrasound-guided intranodal LAG and post-LAG CT. This leak was successfully managed with N-butyl cyanoacrylate glue embolization of the leaking lymphatics via fluoroscopic-guided catheterization of the leak via percutaneous access through the lymphatic fluid collection.

V484: Laparoscopic Spleno-Renal Venous Bypass for Left Renal Vein Nutcracker Syndrome

2007 ◽  
Vol 177 (4S) ◽  
pp. 161-162
Author(s):  
Benjamin I. Chung ◽  
Monish Aron ◽  
Nicholas J. Hegarty ◽  
Inderbir S. Gill
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Nutcracker Syndrome ◽  
Venous Bypass

The desperate plea of women with the nutcracker syndrome

Phlebologie ◽  
2010 ◽  
Vol 39 (02) ◽  
pp. 104-111
Author(s):  
J. L. Villavicencio
Keyword(s):  
Renal Vein ◽  
Imaging Techniques ◽  
Left Renal Vein ◽  
Diagnostic Tools ◽  
Nutcracker Syndrome ◽  
Treatment Techniques ◽  
Children And Young Adults ◽  
Good Number ◽  
Pelvic Congestion

Summary Objective: To increase awareness on the severe impact of the nutcracker syndrome in women with undiagnosed disease. Patients and methods: We reviewed the medical literature and analyzed six representative series with 73 patients with nutcracker syndrome. Women with left flank pain, dyspareunia, dysuria, dysmenorrhea, micro- or macrohaematuria and pelvic congestion symptoms, should be carefully investigated for evidence of meso aortic left renal vein compression. A good number of our colleagues do not believe in the existence of the nutcracker syndrome and send these patients in a long pilgrimage in search of someone who can help them to get relief to their pain. New and improved imaging techniques can assist in the diagnosis but retrograde reno-gonadal phlebography and renocaval gradient are the most reliable diagnostic tools. Results: Among an assortment of treatment techniques, renal vein transposition and endovenous stenting were the two most commonly used procedures. There are no long term studies on renal vein stenting in children and young adults. Its use in these cases should be carefully considered. The nutcracker syndrome may present with pelvic congestion symptoms and its diagnosis missed. The patient's age, severity of symptoms and haemo dynamic renal studies should guide the treatment. Conclusion: An increased awareness of the existence of the nutcracker syndrome may prevent many unfortunate undiagnosed women from spending many months and often years of suffering.

Aorto-Left Renal Vein Fistula: Is There a Place for Endovascular Management?

1999 ◽  
Vol 6 (4) ◽  
pp. 375-377 ◽  
Author(s):  
Sherif Sultan ◽  
Prakash Madhavan ◽  
Mary Paula Colgan ◽  
Neil Hughes ◽  
Meave Doyle ◽  
...  
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Endovascular Management
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