Top

CardioVascular and Interventional Radiology

Published in:

01-04-2007 | CASE REPORT

Transcatheter Embolization of a Renal Artery Aneurysm Using Ethylene Vinyl Alcohol Copolymer

Authors: Riitta Rautio, Arto Haapanen

Published in: CardioVascular and Interventional Radiology | Issue 2/2007

Abstract

Our aim was to treat a clinically silent renal artery aneurysm. The patient was a 76-year-old man with elevated prostate-specific antigen and prostata biopsies with a gradus II–III adenocarcinoma who was incidentally found to have an aneurysm in his right renal artery. We performed a successful transcatheter embolization of the aneurysm using ethylene vinyl alcohol copolymer (Onyx). To avoid migration of the liquid material into the parent artery, a balloon was inflated in the orifice of the neck of the aneurysm while the liquid was injected. Five-month follow-up computed tomography (CT) imaging confirmed total occlusion of the aneurysm.

Uflacker R (1994) Interventional management of visceral arterial aneurysms. In:Strandness DE, van Breda A (eds) Vascular Diseases: Surgical and Interventional Therapy. New York: Churchill Livingstone, pp 823–844

Nosher JL, Siegel RL, Bodner L (2001) Embolization therapy. In: Interventional Radiology: A Multimedia Approach. Blackwell Science., Maldn, MA, pp 69–90

Molyneux AJ, Cekirge S, Saatci I, et al. (2004) Cerebral Aneurysm Multicenter European Onyx (CAMEO) trial: Results of a prospective observational study in 20 European centers. Am J Neuroradiol 25(1):39–51PubMed

Mawad ME, Cekirge S, Ciceri E, et al. (2002) Endovascular treatment of giant and large intracranial aneurysms by using a combination of stent placement and liquid polymer injection. J Neurosurg 96(3):474–482PubMedCrossRef

Jahan R, Murayama Y, Gobin YP, et al. (2001) Embolization of arteriovenous malformations with Onyx: Clinicopathological experience in 23 patients. Neurosurgery 48:984–995PubMedCrossRef

Florio F, Lauriola W, Nardella M, et al. (2003) Endovascular treatment of intracranial arterio-venous malformations with Onyx embolization:preliminary experience. Radiol Med 106:512–520PubMed

Lupattelli T, Abubacker Z, Morgan R, et al. (2003) Embolization of a renal artery aneurysm using ethylene vinyl alcohol copolymer (Onyx). J Endovascular Ther 10(2):366–370CrossRef

D’Souza VJ, Glass TA, Velasquez G, et al. (1984) Nonsurgical treatment of childhood hypertension: embolization of an intrarenal aneurysm. Cardiovasc Intervent Radiol 7:229–231PubMed

Routh WD, Keller FS, Gross GM (1990) Transcatheter thrombosis of a linking saccular aneurysm of the main renal artery with preservation of renal blood flow. Am J Roentgenol 154:1097–1099

10.

Baker KS, Tisnado J, Cho SR, et al. (1987) Splanchnic artery aneurysms and pseudoaneurysms: Transcatheter embolization. Radiology 163:135–139PubMed

11.

Stanley JC, Wakefield TW, Graham LM (1986) Clinical importance and management of splanchnic artery aneurysms. J Vasc Surg 3:836–840PubMedCrossRef

12.

Pfeiffer T, Reiher L, Grabitz K, et al. (2003) Reconstruction for renal artery aneurysm: Operative techniques and long-term results. J Vasc Surg 37(2):293–300PubMedCrossRef

13.

Henke PK, Stanley JC (2003) Renal artery aneurysms: Diagnosis, management and outcomes. Minerva Chirurgica 58(3):305–311PubMed

14.

Parildar M, Oran I, Memis A (2003) Embolization of visceral pseudoaneurysms with platinum coils and N-butyl cyanoacrylate. Abdom Imag 28(1):36–40CrossRef

15.

Mandel SR, Jaques PF, Sanofsky S, et al. (1987) Nonoperative management of peripancreatic arterial aneurysms. A 10-year experience. Ann Surg 205:126–128PubMedCrossRef

16.

Pershad A, Heuser R (2004) Renal artery aneurysm: Successful exclusion with a stent graft. Cather cardiovasc intervent 61(3):314–316CrossRef

17.

Dib M, Sedat J, Raffaelli C, et al. (2003) Endovascular treatment of a wide-neck renal artery bifurcation aneurysm. J Vasc Intervent Radiol 14:1461–1464

18.

Hama Y, Kaji T, Iwasaki Y, et al. (1999) Transcatheter embolization of a superior mesenteric artery pseudoaneurysm. Acta Radiol 40:649–651PubMedCrossRef

19.

Murayama Y, Vinuela F, Ulhoa A, et al. (1998) Nonadhesive liquid embolic agent for cerebral arteriovenous malformations:preliminary histopathological studies in swine rete mirabile. Neurosurgery 43:1164–1175PubMedCrossRef

20.

Numan F, Ömeroglu A, Kara B, et al. (2004) Embolization of peripheral vascular malformations with ethylene vinyl alcohol copolymer (Onyx). J Vasc Intervent Radiol 15:939–946

21.

Murayama Y, Vinuela F, Tateshima S, et al. (2000) Endovascular treatment of experimental aneurysms by use of a combination of liquid embolic agents and protective devices. Am J Neuroradiol 21:1726–1735PubMed

22.

Cantasdemir M, Kantarci F, Mihmanli I, et al. (2002) Embolization of profunda femoris artery branch pseudoaneurysms with ethylene vinyl alcohol copolymer (Onyx). J Vasc Intervent Radiol 13:725–728

23.

Castaneda F, Goodwin SC, Swischuk JL, et al.(2002) Treatment of pelvic arteriovenous malformations with ethylene vinyl alcohol copolymer (Onyx). J Vasc Intervent Radiol 13:513–516

Title: Transcatheter Embolization of a Renal Artery Aneurysm Using Ethylene Vinyl Alcohol Copolymer
Authors: Riitta Rautio
Arto Haapanen
Publication date: 01-04-2007
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 2/2007
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-005-0238-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transcatheter Embolization of a Renal Artery Aneurysm Using Ethylene Vinyl Alcohol Copolymer

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2007

Intractable Postpartum Hemorrhage Resulting from Uterine Artery Pseudoaneurysm: Superselective Arteriographic Embolization via the Collateral Route

Onyx, a New Liquid Embolic Material for Peripheral Interventions: Preliminary Experience in Aneurysm, Pseudoaneurysm, and Pulmonary Arteriovenous Malformation Embolization

Conversion of Non-Tunneled to Tunneled Hemodialysis Catheters

Endovascular Treatment of Descending Thoracic Aortic Aneurysms with the EndoFit Stent-Graft

Long-Term Outcome of a Hepatocellular Carcinoma 7½ Years After Surgery and Repeated Radiofrequency Ablation: Case Report and Review of the Literature

Percutaneous Transhepatic Use of a Cutting Balloon in the Treatment of a Benign Common Bile Duct Stricture