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Published in: BMC Urology 1/2015

Open Access 01-12-2015 | Case report

Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome

Authors: Lu Tian, Shanwen Chen, Gaoyue Zhang, Hongkun Zhang, Wei Jin, Ming Li

Published in: BMC Urology | Issue 1/2015

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Abstract

Background

Nutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal invasive procedures. Stents in the renal vein can cause fibromuscular hyperplasia, proximal migration or embolization.

Case presentation

A 30-year-old female was diagnosed with nutcracker syndrome for severe left flank pain. After failed conservative approach, she underwent endovascular stenting and subsequently developed recurrent symptom for stent migration one month postoperatively. She underwent successful extravascular stenting with complete symptom resolution.

Conclusion

The extravascular stenting is an alternative option after migration of left renal vein endovascular stenting. The computed tomographic imaging was closely correlated to therapeutic interventions and stent migration.
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Metadata
Title
Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome
Authors
Lu Tian
Shanwen Chen
Gaoyue Zhang
Hongkun Zhang
Wei Jin
Ming Li
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Urology / Issue 1/2015
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-015-0063-0

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