PMID- 12751934 OWN - NLM STAT- MEDLINE DCOM- 20031002 LR - 20170214 IS - 1526-6028 (Print) IS - 1526-6028 (Linking) VI - 10 IP - 1 DP - 2003 Feb TI - Endovascular repair of a ruptured renal artery aneurysm. PG - 71-4 AB - PURPOSE: To describe the percutaneous treatment of a ruptured renal artery aneurysm (RAA) using a stent-graft. CASE REPORT: An 86-year-old woman had sudden onset of right-sided back pain and a swollen left leg. Computed tomography disclosed a right retroperitoneal mass involving the kidney; the inferior vena cava was compressed, with thrombus in the left common iliac artery. There was a suggestion of RAA associated with contrast extravasation. Angiography confirmed a saccular aneurysm of the distal right main renal artery immediately proximal to the first segmental branch. A Jostent peripheral stent-graft was implanted with complete exclusion of the lesion. At 6-month follow-up, the patient remained asymptomatic, but there was a suggestion of in-stent restenosis, which is being followed closely. CONCLUSIONS: In elderly patients who are hemodynamically stable and have aneurysm anatomy that is suitable for stent-graft placement, the endovascular approach may allow rapid and definitive treatment of the hemorrhage. FAU - Schneidereit, Nathan P AU - Schneidereit NP AD - Division of General Surgery, Vancouver General Hospital, University of British Columbia, Canada. FAU - Lee, Shung AU - Lee S FAU - Morris, D Christopher AU - Morris DC FAU - Chen, Jerry C AU - Chen JC LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Endovasc Ther JT - Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists JID - 100896915 SB - IM MH - Aged MH - Aged, 80 and over MH - Aneurysm, Ruptured/diagnostic imaging/*surgery MH - Angiography MH - *Blood Vessel Prosthesis Implantation MH - Female MH - Humans MH - Renal Artery/diagnostic imaging/*surgery MH - *Stents MH - Tomography, X-Ray Computed EDAT- 2003/05/20 05:00 MHDA- 2003/10/03 05:00 CRDT- 2003/05/20 05:00 PHST- 2003/05/20 05:00 [pubmed] PHST- 2003/10/03 05:00 [medline] PHST- 2003/05/20 05:00 [entrez] AID - 10.1177/152660280301000115 [doi] PST - ppublish SO - J Endovasc Ther. 2003 Feb;10(1):71-4. doi: 10.1177/152660280301000115.