PMID- 34111371
OWN - NLM
STAT- MEDLINE
DCOM- 20210805
LR  - 20220802
IS  - 1748-880X (Electronic)
IS  - 0007-1285 (Print)
IS  - 0007-1285 (Linking)
VI  - 94
IP  - 1124
DP  - 2021 Aug 1
TI  - Endovascular interventions in management of renal artery aneurysm.
PG  - 20201151
LID - 10.1259/bjr.20201151 [doi]
LID - 20201151
AB  - Renal artery aneurysm (RAA) is a rare disease. With modern non-invasive imaging 
      modalities, the disease is being increasingly diagnosed. It is a slow-growing 
      aneurysm with high mortality in the event of rupture; especially in pregnant 
      females for in which case patients were treated surgically. With advances in 
      endovascular therapy, numerous techniques have been employed to manage complex 
      RAA in artery bifurcation, branch and segmental arteries with excellent technical 
      and clinical success. The various recent techniques include the use of flow 
      diverter stents, remodelling with stent-assisted coil embolization (SACE), 
      balloon-assisted coil embolization (BACE), selective embolization with coils-sac 
      packing, inflow occlusion and coil trapping and selective embolization with 
      liquid embolic agents-hystroacril and onyx. A combination of stent-graft with 
      liquid embolization and liquid with microcoil embolization has been advocated 
      with success. The most common complication encountered is renal infarction. This 
      is mostly without impairment of renal function and secondary to embolization. 
      Endovascular therapy has shorter operative time, less blood loss, shorter 
      intensive care stay, done under conscious sedation and is associated with lesser 
      postoperative morbidity compared to surgery. Reduction in hypertension, 
      improvement of renal function and symptoms has been seen in most studies. 
      Endovascular management of RAA has become the management of choice even with 
      complex anatomy and technically challenging lesions.
FAU - Ghosh, Sandipan
AU  - Ghosh S
AUID- ORCID: 0000-0001-5642-867X
AD  - Department of Intensive Coronary Care Unit, B.P.Poddar Hospital and Medical 
      Research Ltd. 71/1, Humayun Kabir Sarani, Block - G, New Alipore, Kolkata, India.
FAU - Dutta, Soumya Kanti
AU  - Dutta SK
AD  - Department of Interventional Cardiology, B.P.Poddar Hospital and Medical Research 
      Ltd. 71/1, Humayun Kabir Sarani, Block - G, New Alipore, Kolkata, India.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20210616
PL  - England
TA  - Br J Radiol
JT  - The British journal of radiology
JID - 0373125
SB  - IM
MH  - Aneurysm/*diagnostic imaging/*therapy
MH  - *Embolization, Therapeutic
MH  - *Endovascular Procedures
MH  - Humans
MH  - *Renal Artery
PMC - PMC8764927
EDAT- 2021/06/11 06:00
MHDA- 2021/08/06 06:00
PMCR- 2022/08/01
CRDT- 2021/06/10 20:09
PHST- 2021/06/11 06:00 [pubmed]
PHST- 2021/08/06 06:00 [medline]
PHST- 2021/06/10 20:09 [entrez]
PHST- 2022/08/01 00:00 [pmc-release]
AID - 10.1259/bjr.20201151 [doi]
PST - ppublish
SO  - Br J Radiol. 2021 Aug 1;94(1124):20201151. doi: 10.1259/bjr.20201151. Epub 2021 
      Jun 16.