Renal Vascular Lesions: Diagnosis and Endovascular Management

ABSTRACT

Renal vascular abnormalities included in this review are renal artery aneurysms (RAA) and renal arteriovenous malformations (AVM). The clinical presentation, diagnosis, and principles of management with emphasis on endovascular techniques are discussed.

KEYWORDS

Renal artery aneurysm - renal arteriovenous malformation - embolization

REFERENCES

• 1 Stanley J C, Rhodes E L, Gewertz B L, Chang C Y, Walter J F, Fry W J. Renal artery aneurysms. Significance of macroaneurysms exclusive of dissections and fibrodysplastic mural dilations.  Arch Surg. 1975;  110(11) 1327-1333
• 2 Henke P K, Cardneau J D, Welling III T H et al.. Renal artery aneurysms: a 35-year clinical experience with 252 aneurysms in 168 patients.  Ann Surg. 2001;  234(4) 454-462 discussion 462-463
• 3 Hageman J H, Smith R F, Szilagyi E, Elliott J P. Aneurysms of the renal artery: problems of prognosis and surgical management.  Surgery. 1978;  84(4) 563-572
• 4 Barrett J M, Dean R H, Boehm F H. Rupture of a renal artery aneurysm during pregnancy.  South Med J. 1981;  74(12) 1549-1550
• 5 De Bakey M E, Lefrak E A, Garcia-Rinaldi R, Noon G P. Aneurysm of the renal artery. A vascular reconstructive approach.  Arch Surg. 1973;  106(4) 438-443
• 6 Hafez K S, Krishnamurthi V, Campbell S C, Novick A C. Contemporary management of renal cell carcinoma with coexistent renal artery disease: update of the Cleveland Clinic experience.  Urology. 2000;  56(3) 382-386
• 7 Henriksson C, Björkerud S, Nilson A E, Pettersson S. Natural history of renal artery aneurysm elucidated by repeated angiography and pathoanatomical studies.  Eur Urol. 1985;  11(4) 244-248
• 8 Henriksson C, Lukes P, Nilson A E, Pettersson S. Angiographically discovered, non-operated renal artery aneurysms.  Scand J Urol Nephrol. 1984;  18(1) 59-62
• 9 Tham G, Ekelund L, Herrlin K, Lindstedt E L, Olin T, Bergentz S E. Renal artery aneurysms. Natural history and prognosis.  Ann Surg. 1983;  197(3) 348-352
• 10 Hupp T, Allenberg J R, Post K et al.. Renal artery aneurysm: surgical indications and results.  Eur J Vasc Surg. 1992;  6 477-486
• 11 Reiher L, Grabitz K, Sandmann W. Reconstruction for renal artery aneurysm and its effect on hypertension.  Eur J Vasc Endovasc Surg. 2000;  20(5) 454-456
• 12 Shonai T, Koito K, Ichimura T, Hirokawa N, Sakata K, Hareyama M. Renal artery aneurysm: evaluation with color Doppler ultrasonography before and after percutaneous transarterial embolization.  J Ultrasound Med. 2000;  19(4) 277-280
• 13 Hantman S S, Barie J J, Glendening T B, Eisenberg M N, Rapoport K D. Giant renal artery aneurysm mimicking a simple cyst on ultrasound.  J Clin Ultrasound. 1982;  10(3) 136-139
• 14 Sabharwal R, Vladica P, Law W P, Lau H, Patel M. Multidetector spiral CT renal angiography in the diagnosis of giant renal artery aneurysms.  Abdom Imaging. 2006;  31(3) 374-378
• 15 Browne R F, Riordan E O, Roberts J A et al.. Renal artery aneurysms: diagnosis and surveillance with 3D contrast-enhanced magnetic resonance angiography.  Eur Radiol. 2004;  14(10) 1807-1812
• 16 Rundback J H, Rizvi A, Rozenblit G N et al.. Percutaneous stent-graft management of renal artery aneurysms.  J Vasc Interv Radiol. 2000;  11(9) 1189-1193
• 17 Karkos C D, D'Souza S P, Thomson G J, Chomal A, Matanhelia S S. Renal artery aneurysm: endovascular treatment by coil embolisation with preservation of renal blood flow.  Eur J Vasc Endovasc Surg. 2000;  19(2) 214-216
• 18 Kohei N, Kawanishi H, Sasaki M, Okada T, Ono H, Miyamoto S. [Superselective endovascular treatment of renal artery aneurysms with detachable microcoils].  Hinyokika Kiyo. 2003;  49(1) 43-46
• 19 Gandini R, Spinelli A, Pampana E, Fabiano S, Pendenza G, Simonetti G. Bilateral renal artery aneurysm: percutaneous treatment with stent-graft placement.  Cardiovasc Intervent Radiol. 2006;  29(5) 875-878
• 20 Klein G E, Szolar D H, Breinl E, Raith J, Schreyer H H. Endovascular treatment of renal artery aneurysms with conventional non-detachable microcoils and Guglielmi detachable coils.  Br J Urol. 1997;  79(6) 852-860
• 21 Dib M, Sedat J, Raffaelli C, Petit I, Robertson W G, Jaeger P. Endovascular treatment of a wide-neck renal artery bifurcation aneurysm.  J Vasc Interv Radiol. 2003;  14(11) 1461-1464
• 22 Saltiel A A, Matalon T AS, Patel S K. Embolization of a giant renal arterial aneurysm.  J Urol. 1990;  144(5) 1227-1228
• 23 Savastano S, Feltrin G P, Miotto D, Chiesura-Corona M. Renal aneurysm and arteriovenous fistula. Management with transcatheter embolization.  Acta Radiol. 1990;  31(1) 73-76
• 24 Nosher J L, Needell G S, Bialy G, Zatina M. Catheter occlusion of a mycotic renal artery aneurysm with cure of associated renovascular hypertension.  Cardiovasc Intervent Radiol. 1989;  12(6) 310-312
• 25 Routh W D, Keller F S, Gross G M. Transcatheter thrombosis of a leaking saccular aneurysm of the main renal artery with preservation of renal blood flow.  AJR Am J Roentgenol. 1990;  154(5) 1097-1099
• 26 Bui B T, Oliva V L, Leclerc G et al.. Renal artery aneurysm: treatment with percutaneous placement of a stent-graft.  Radiology. 1995;  195(1) 181-182
• 27 Liguori G, Trombetta C, Bucci S, Pozzi-Mucelli F, Bernobich E, Belgrano E. Percutaneous management of renal artery aneurysm with a stent-graft.  J Urol. 2002;  167(6) 2518-2519
• 28 Kaufman S L, Martin L G, Zuckerman A M, Koch S R, Silverstein M I, Barton J W. Peripheral transcatheter embolization with platinum microcoils.  Radiology. 1992;  184(2) 369-372
• 29 Huppert P E, Duda S H, Erley C M et al.. Embolization of renal vascular lesions: clinical experience with microcoils and tracker catheters.  Cardiovasc Intervent Radiol. 1993;  16(6) 361-367
• 30 Beaujeux R, Saussine C h, al-Fakir A et al.. Superselective endo-vascular treatment of renal vascular lesions.  J Urol. 1995;  153(1) 14-17
• 31 Tshomba Y, Deleo G, Ferrari S, Marina R, Biasi G M. Renal artery aneurysm: improved renal function after coil embolization.  J Endovasc Ther. 2002;  9(1) 54-58
• 32 Miller D C, Forauer A, Faerber G J. Successful angioembolization of renal artery pseudoaneurysms after blunt abdominal trauma.  Urology. 2002;  59(3) 444
• 33 Cisternino S J, Malave S R, Neiman H L. Congenital renal arteriovenous malformation: ultrasonic appearance.  J Urol. 1981;  126(2) 238-239
• 34 Yakes W F, Haas D K, Parker S H et al.. Symptomatic vascular malformations: ethanol embolotherapy.  Radiology. 1989;  170(3 Pt 2) 1059-1066
• 35 Iaccarino V, Russo D, Niola R et al.. Total or partial percutaneous renal ablation in the treatment of renovascular hypertension: radiological and clinical aspects.  Br J Radiol. 1989;  62(739) 593-598
• 36 Zak M B, Szof C A, Munzenberger P J. Metrizamide-ethanol for treatment of symptomatic vascular malformations.  Am J Hosp Pharm. 1994;  51(23) 2964-2969