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- Title
Stent-Assisted Gugliemi Detachable Coil Repair of Wide-Necked Renal Artery Aneurysm Using 3-D Angiography.
- Authors
Clark, Timothy W. I.; Sankin, Alex; Becske, Tibor; Nelson, Peter Kim; Fox, Martin
- Abstract
Purpose To report a wide-necked renal artery aneurysm treated successfully with stent-assisted Gugliemi detachable coil occlusion, assisted by three-dimensional (3-D) angiography. Case Report A 56-year-old woman with history of hypertension presented with a 2.5-cm wide-necked saccular aneurysm involving her distal right renal artery A balloon-expandable stent was positioned across the neck of the aneurysm and multiple Gugliemi detachable coils were deployed through a microcatheter inserted through the interstices of the stent into the aneurysm sac, guided by 3-D angiography. Follow-up 3-D angiography at 6 months revealed a patent renal artery with continued exclusion of the aneurysm and preservation of renal blood flow. Conclusion Stent-assisted coil occlusion assisted by 3-D angiography is a potential renal-sparing endovascular approach to treating wide-necked renal artery aneurysms with complex vascular anatomy.
- Subjects
SURGICAL stents; RENAL artery aneurysms; ANGIOGRAPHY; ARTERIAL occlusions; ENDOVASCULAR surgery
- Publication
Vascular & Endovascular Surgery, 2007, Vol 41, Issue 6, p528
- ISSN
1538-5744
- Publication type
Article