Top

CardioVascular and Interventional Radiology

Published in:

01-06-2011 | Case Report

Endovascular Management of Complex Renal Artery Aneurysms Using the Multilayer Stent

Authors: Carsten Meyer, Frauke Verrel, Gunther Weyer, Kai Wilhelm

Published in: CardioVascular and Interventional Radiology | Issue 3/2011

Abstract

Since its approval as an innovative stent system for peripheral aneurysm management in May 2009, the Cardiatis Multilayer Stent (Cardiatis, Isnes, Belgium) has been applied in several clinical cases. The unique design of this multilayer stent decreases mean velocity and vorticity within the aneurysm sac immediate and causes thrombus to form, resulting in physiological exclusion of the aneurysm from the circulation, whereas branches and collaterals sprouting from the aneurysm remain patent. Here we present a case of a complex renal artery aneurysm successfully treated with a 6 × 30-mm Cardiatis Multilayer Stent.

Porcaro AB, Migliorini F, Pianon R et al (2004) Intraparenchymal renal artery aneurysms. Case report with review and update of the literature. Int Urol Nephrol 36(3):409–416PubMedCrossRef

Gallagher KA, Phelan MW, Stern T et al (2008) Repair of complex renal artery aneurysms by laparoscopic nephrectomy with ex vivo repair and autotransplantation. J Vasc Surg 48(6):1408–1413PubMedCrossRef

Klein GE, Szolar DH, Breinl E et al (1997) Endovascular treatment of renal artery aneurysms with conventional non-detachable microcoils and Guglielmi detachable coils. Br J Urol 79(6):852–860PubMed

Martin RS 3rd, Meacham PW, Ditesheim JA et al (1989) Renal artery aneurysm: selective treatment for hypertension and prevention of rupture. J Vasc Surg 9(1):26–34PubMedCrossRef

Chen R, Novick AC (1994) Retroperitoneal hemorrhage from a ruptured renal artery aneurysm with spontaneous resolution. J Urol 151(1):139–141PubMed

Meabed AH, Onuora VC, Al Turki M et al (2002) Rupture of a renal artery aneurysm in pregnancy. Urol Int 69(1):72–74PubMedCrossRef

Hageman JH, Smith RF, Szilagyi E et al (1978) Aneurysms of the renal artery: problems of prognosis and surgical management. Surgery 84(4):563–572PubMed

Xiong J, Guo W, Liu X et al (2010) Renal artery aneurysm treatment with stent plus coil embolization. Ann Vasc Surg 24(5):695.e1

Ohta M, Wetzel SG, Dantan P et al (2005) Rheological changes after stenting of a cerebral aneurysm: a finite element modeling approach. Cardiovasc Intervent Radiol 28(6):768–772PubMedCrossRef

10.

Augsburger L, Farhat M, Reymond P et al (2009) Effect of flow diverter porosity on intraaneurysmal blood flow. Klin Neuroradiol 19(3):204–214PubMedCrossRef

11.

Henry M, Polydorou A, Frid N et al (2008) Treatment of renal artery aneurysm with the multilayer stent. J Endovasc Ther 15(2):231–236PubMedCrossRef

12.

Balderi A, Antonietti A, Pedrazzini F et al (2010) Treatment of a hepatic artery aneurysm by endovascular exclusion using the multilayer cardiatis stent. Cardiovasc Intervent Radiol 33(6):1282–1826PubMedCrossRef

13.

English WP, Pearce JD, Craven TE et al (2004) Surgical management of renal artery aneurysms. J Vasc Surg 40(1):53–60PubMedCrossRef

14.

Malacrida G, Dalainas I, Medda M et al (2007) Endovascular treatment of a renal artery branch aneurysm. Cardiovasc Intervent Radiol 30(1):118–120PubMedCrossRef

15.

Trocciola SM, Chaer RA, Lin SC et al (2005) Embolization of renal artery aneurysm and arteriovenous fistula—a case report. Vasc Endovascular Surg 39(6):525–529PubMedCrossRef

16.

Ufberg JW, McNeil B, Swisher L (2003) Ruptured renal artery aneurysm: an uncommon cause of acute abdominal pain. J Emerg Med 25(1):35–38PubMedCrossRef

17.

Thomas AA, Shields WP, Hamdi Kamel M et al (2006) Renal artery aneurysm treated with ex vivo repair and autotransplantation. Surgeon 4(4):245–247PubMedCrossRef

18.

Gill IS, Murphy DP, Hsu TH et al (2001) Laparoscopic repair of renal artery aneurysm. J Urol 166(1):202–205PubMedCrossRef

19.

Luke P, Knudsen BE, Nguan CY et al (2006) Robot-assisted laparoscopic renal artery aneurysm reconstruction. J Vasc Surg 44(3):651–653PubMedCrossRef

20.

Trunfio R, Demertzis S, van den Berg JC et al (2008) A new surgical approach for exclusion of renal artery aneurysms avoiding organ ischemia. Eur J Vasc Endovasc Surg 36(5):559–561PubMedCrossRef

21.

Liguori G, Trombetta C, Bucci S et al (2002) Percutaneous management of renal artery aneurysm with a stent-graft. J Urol 167(6):2518–2519PubMedCrossRef

22.

Bisschops RH, Popma JJ, Meyerovitz MF (2001) Treatment of fibromuscular dysplasia and renal artery aneurysm with use of a stent-graft. J Vasc Interv Radiol 12(6):757–760PubMedCrossRef

23.

Karkos CD, D’Souza SP, Thomson GJ et al (2000) Renal artery aneurysm: endovascular treatment by coil embolisation with preservation of renal blood flow. Eur J Vasc Endovasc Surg 19(2):214–216PubMedCrossRef

24.

Abath C, Andrade G, Cavalcanti D et al (2007) Complex renal artery aneurysms: liquids or coils? Tech Vasc Interv Radiol 10(4):299–307PubMedCrossRef

25.

Lylyk P, Miranda C, Ceratto R et al (2009) Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience. Neurosurgery 64(4):632–642 (discussion 642–633; quiz N636)PubMedCrossRef

26.

Lubicz B, Collignon L, Raphaeli G et al (2010) Flow-diverter stent for the endovascular treatment of intracranial aneurysms: a prospective study in 29 patients with 34 aneurysms. Stroke 41(10):2247–2253PubMedCrossRef

Title: Endovascular Management of Complex Renal Artery Aneurysms Using the Multilayer Stent
Authors: Carsten Meyer
Frauke Verrel
Gunther Weyer
Kai Wilhelm
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 3/2011
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-010-0047-0

At a glance: The STEP trials

Springer Medicine

Endovascular Management of Complex Renal Artery Aneurysms Using the Multilayer Stent

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2011

Editor’s Note

Initial Experience of Uterine Fibroid Embolization Using Porous Gelatin Sponge Particles

Reply to A Letter (Ms# 2010–0423) re: Aytekin, Yıldırım M, Ozyer U, Boyvat F (2010). Emergency Renal Ablation for Life-Threatening Hemorrhage from Multiple Capsular Branches During Renal Artery Stenting. Cardiovasc Intervent Radiol 33(3):663–666

Comparison of the Efficacy of the Embolic Agents Acrylamido Polyvinyl Alcohol Microspheres and Tris-Acryl Gelatin Microspheres for Uterine Artery Embolization for Leiomyomas: A Prospective Randomized Controlled Trial

Successful Treatment of Superior Vena Cava Rupture with Placement of a Covered Stent: A Report of Two Cases

Easy Retrieval of Escaping Onyx Fragment with Percutaneous Manual Aspiration