scholarly journals Repair of Complex Renal Artery Aneurysms by Bench Surgery with Angioplasty and Autotransplantation: Three Case Reports

2018 ◽  
Vol 58 (8) ◽  
pp. 131-136
Author(s):  
Tomohiro Hayashida ◽  
Yutaka Yokota ◽  
Atsushi Tateishi ◽  
Noriyuki Tokunaga ◽  
Mikizo Nakai ◽  
...  
Urology ◽  
2017 ◽  
Vol 101 ◽  
pp. 154-157 ◽  
Author(s):  
Guofeng Xu ◽  
Lei He ◽  
Xiaoliang Fang ◽  
Dapeng Jiang ◽  
Longhu Jin ◽  
...  

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Noman Saghir ◽  
Reyan Saghir ◽  
Bruno Machado ◽  
Rene Murilo ◽  
Manoj Poojary ◽  
...  

Abstract Renal Auto transplantation (RAT) is the surgical procedure in which the kidney is initially removed and subsequently re-implanted in a different position, allowing for improved outcomes in conditions involving ureteral pathology, renovascular and neoplastic disease primarily. In this paper, we aim to build upon the understanding of RAT and especially its effectiveness in treating patients with hypertension secondary to renal artery disease, intolerant to previous treatment approaches. In particular, the ex-vivo technique will be focused upon as introduced by Ota et al. in 1967 whereby the use of the workbench is frequently applied for patients requiring in excess of 45 minutes of ischaemic time. We, therefore, put forth two cases managed in co-operation by the University of Arkansas vascular and urology departments. The first of which was a 52-year-old woman with an aneurysmal Lesion reaching the renal artery at the hilum. The second was an 18-year-old woman with Takayasu arteritis. The use of vasopressin had preserved some renal function however at the time of the diagnosis, they were experiencing difficulty in controlling their hypertension, and thus RAT was performed, and the subsequent patient postoperative outcomes and effectiveness have been recorded and analysed as part of this study.


2009 ◽  
Vol 23 (2) ◽  
pp. 258.e1-258.e7 ◽  
Author(s):  
Ambroise Duprey ◽  
Jean-Pierre Favre ◽  
Xavier Barral

2016 ◽  
Vol 49 (6) ◽  
pp. 233-237
Author(s):  
Hung-Yi Chen ◽  
Cheng-Chia Lin ◽  
Pin-Fu Huang ◽  
Shian-Shiang Huang ◽  
Cheng-Feng Lin ◽  
...  

2013 ◽  
Vol 131 (5) ◽  
pp. 356-362 ◽  
Author(s):  
Kleiton Gabriel Ribeiro Yamacake ◽  
Marcos Lucon ◽  
Antonio Marmo Lucon ◽  
Jose Luiz Borges Mesquita ◽  
Miguel Srougi

CONTEXT: Renal artery pseudoaneurysm is a rare complication after renal injury but should be suspected whenever there is recurrent hematuria after renal trauma. CASE REPORTS: We present three cases of pseudoaneurysm after blunt renal trauma and a review of the literature. All patients underwent renal angiography. Two cases were diagnosed during the initial hospital stay due to hematuria, or in the follow-up period during recovery. One patient was hemodynamically unstable. Two patients successfully underwent coil embolization in a single session. In the other case, selective embolization was attempted, but was unsuccessful because artery catheterization was impossible. Procedural and medical success and complications were retrospectively assessed from the patients' records. The clinical presentation, treatment options and clinical decisions are discussed. CONCLUSIONS: Renal artery pseudoaneurysm may develop acutely or even years after the initial injury. Signs and symptoms may have a wide spectrum of presentation. Selective angiographic embolization is an effective treatment that reduces the extent of parenchymal infarction.


2004 ◽  
Vol 132 (9-10) ◽  
pp. 323-326
Author(s):  
Lazar Davidovic ◽  
Radomir Sindjelic ◽  
Mirjana Stanojevic ◽  
Ilija Kuzmanovic ◽  
Momcilo Colic ◽  
...  

Three cases of successful kidney revascularization and recovery of renal function are presented in this study. In all three cases, renal failure and renovascular hypertension were caused by renal artery occlusion associated with aortic aneurysm (two abdominal and one thoracoabdominal). Prior to operation, one patient required dialysis 4 months, one 25 days and one 2 days. After kidney revascularization, renal function recovered immediately in the first case, in the second case after three months, and in the third case after 10 days. In one case, blood pressure restored to normal without medical therapy, while in two other cases blood pressure decreased nearly to normal with minimal medical therapy. In appropriately selected cases, revascularization of the occluded renal artery is recommended for treatment of both renal failure and renovascular hypertension. In such cases, collateral circulation is crucial to enable the preservation of dysfunctional kidney.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Jitendra Parmar ◽  
Tapan Patel ◽  
Sandip Shah ◽  
Jay Kothari ◽  
Sameer Dani ◽  
...  

The coronavirus disease (COVID-19) pandemic has rapidly spread across the globe since its first detection in March 2020. Its widespread manifestations and vascular complications are increasingly being reported even in young and middle-aged patients. Hyperinflammation is a continuum of host’s exaggerated inflammatory response representing cytokine dysregulation/storm which produces coagulopathy and vascular endothelial dysfunction, apart from a prothrombotic state. Cytokine storm or direct viral invasion of the vascular endothelial cells through surface angiotensin-converting enzyme 2 receptors may result in endothelial dysfunction which can potentially result in dissection. Only a few case reports have been published in the literature describing vascular dissection without any inciting factors in COVID-19 patients. Herein, we present the first case report of bilateral renal artery dissection in a 41-year-old male patient who recently recovered from COVID-19 and was managed successfully in stages after many medical hurdles.


Cureus ◽  
2020 ◽  
Author(s):  
Anil Jha ◽  
Maxwell Afari ◽  
Ioannis Koulouridis ◽  
Tariq Bhat ◽  
Lawrence Garcia

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Rajesh Vijayvergiya ◽  
Kewal Kanabar ◽  
Darshan Krishnappa ◽  
Ganesh Kasinadhuni ◽  
Ashish Sharma ◽  
...  

Abstract Background Renal artery stenosis (RAS) is a common cause of secondary hypertension. The most common aetiology is atherosclerosis; however, other causes like fibromuscular dysplasia (FMD) and Takayasu arteritis (TA) are also frequently encountered. The lesion characteristics and its response to percutaneous intervention depend upon the aetiology of RAS. Optical coherence tomography (OCT) is an excellent imaging modality to analyse coronary lesions during percutaneous coronary interventions. The data regarding the utility of OCT in renal artery imaging is limited, consisting of a few case reports. Case summary We hereby report four cases of RAS, each of different aetiology (atherosclerotic, FMD, post-transplant, and TA), who underwent OCT imaging of the renal artery along with percutaneous renal angioplasty. Discussion The advantages of OCT imaging include demonstration of the arterial wall, pathological features of the disease, and to guide percutaneous interventions. The major limitation of OCT is its lower imaging depth, which may render imaging of large vessels difficult.


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