PMID- 23555504 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130411 LR - 20211021 IS - 1881-641X (Print) IS - 1881-6428 (Electronic) IS - 1881-641X (Linking) VI - 5 IP - 2 DP - 2012 TI - Surgical procedures for renal artery aneurysms. PG - 157-60 LID - 10.3400/avd.oa.11.00055 [doi] AB - OBJECTIVE: The aim of this study was to assess the strategy and surgical procedures for treating a renal artery aneurysm (RAA). PATIENTS AND METHODS: We retrospectively reviewed the surgical strategy for 21 cases with RAA between 2001 and 2010 at this institution. Treatment was indicated for patients with an RAA larger than 2 cm and/or symptoms. Surgical treatment was the initial strategy, and coil embolization was indicated in the case of narrow-necked, saccular, extraparenchymal aneurysms. RESULTS: Fifteen patients in 21 cases received an aneurysmectomy and renal artery reconstruction with an in-situ repair. One patient underwent an unplanned nephrectomy, and coil embolization was performed in 5 patients. CONCLUSION: In-situ repair was safe and minimally invasive. RAA, even in the second bifurcation, could be exposed by a subcostal incision, and the transperitoneal approach permitted the safe treatment of an RAA with acceptable results, in our simple preservation of renal function. FAU - Jibiki, Masatoshi AU - Jibiki M AD - Department of Vascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan. FAU - Inoue, Yoshinori AU - Inoue Y FAU - Kudo, Toshifumi AU - Kudo T FAU - Toyofuku, Takahiro AU - Toyofuku T LA - eng PT - Journal Article PL - Japan TA - Ann Vasc Dis JT - Annals of vascular diseases JID - 101471467 PMC - PMC3595876 OTO - NOTNLM OT - patch angioplasty OT - renal artery aneurysm EDAT- 2012/01/01 00:00 MHDA- 2012/01/01 00:01 PMCR- 2012/01/01 CRDT- 2013/04/05 06:00 PHST- 2011/08/09 00:00 [received] PHST- 2012/01/29 00:00 [accepted] PHST- 2013/04/05 06:00 [entrez] PHST- 2012/01/01 00:00 [pubmed] PHST- 2012/01/01 00:01 [medline] PHST- 2012/01/01 00:00 [pmc-release] AID - avd.oa.11.00055 [pii] AID - 10.3400/avd.oa.11.00055 [doi] PST - ppublish SO - Ann Vasc Dis. 2012;5(2):157-60. doi: 10.3400/avd.oa.11.00055.