J Sédat1, Y Chau, J Baque. 1. Unité de chirurgie endovasculaire CHU Nice, Hôpital St Roch, Rue Pierre Devoluy, Nice 06000, France. jsedat@yahoo.fr
Abstract
PURPOSE: To retrospectively analyze the results and complications of the endovascular treatment of 18 renal aneurysms. METHODS: From 2002 to 2011, 15 patients (aged 31-76), with 18 renal aneurysms, were admitted in our institution for treatment by embolization. Except one, all were wide-necked aneurysms. One aneurysm was treated by occluding the parent artery considering its distal location; a small-necked aneurysm was treated by simple coiling, and the remaining 16 were embolized utilizing adjunctive techniques to protect the parent artery. We analyzed the rates of technical success, complication and clinical consequence, post-operative occlusion and recurrence. RESULTS: There was a 100% technical success rate. 15 aneurysms showed a total occlusion on the post-treatment angiogram. 2 aneurysms demonstrated neck remnants, and one had an intrasaccular residual in-flow. Two minor post-operative complications were encountered but resolved over time. No delayed clinical complications were observed and the long-term angiographic follow-up demonstrated stability of the occlusion of the target renal aneurysm with no major recurrence. CONCLUSION: Complications of the embolization of renal aneurysms are rare. Endovascular treatment should therefore be considered at first for the treatment of renal aneurysms.
PURPOSE: To retrospectively analyze the results and complications of the endovascular treatment of 18 renal aneurysms. METHODS: From 2002 to 2011, 15 patients (aged 31-76), with 18 renal aneurysms, were admitted in our institution for treatment by embolization. Except one, all were wide-necked aneurysms. One aneurysm was treated by occluding the parent artery considering its distal location; a small-necked aneurysm was treated by simple coiling, and the remaining 16 were embolized utilizing adjunctive techniques to protect the parent artery. We analyzed the rates of technical success, complication and clinical consequence, post-operative occlusion and recurrence. RESULTS: There was a 100% technical success rate. 15 aneurysms showed a total occlusion on the post-treatment angiogram. 2 aneurysms demonstrated neck remnants, and one had an intrasaccular residual in-flow. Two minor post-operative complications were encountered but resolved over time. No delayed clinical complications were observed and the long-term angiographic follow-up demonstrated stability of the occlusion of the target renal aneurysm with no major recurrence. CONCLUSION: Complications of the embolization of renal aneurysms are rare. Endovascular treatment should therefore be considered at first for the treatment of renal aneurysms.
Authors: Mohammad Saeed Kilani; Marc Haberlay; Antonin Bergère; Colm Murphy; Jonathan Sobocinski; Tommaso Donati; Jean Pierre Pruvo; Stephan Haulon; Jos C van den Berg; Marco Midulla Journal: Eur Radiol Date: 2015-05-25 Impact factor: 5.315