Use of Interventional Neuroradiology Devices (Solitaire AB and Cascade Net) in the Treatment of Complex Renal Aneurysms through Stent-Assisted Coil Embolisation
- 1 Deparment of Interventional Radiology of HUA, Spain
- 2 Deparment of Interventional Radiology of HUA, Spain
- 3 Deparment of Interventional Radiology of HUA, Spain
- 4 Deparment of Interventional Radiology of HUA, Spain
- 5 Deparment of Interventional Radiology of HUA, Spain
Abstract
Introduction: The risk of rupture of true renal artery aneurysms is low but when they are bigger than 2 - 2.5 cm it increases significantly, making treatment essential. The need to use alternatives to conventional techniques in order to avoid predictable complications as coil migration is mandatory. Discussion: Routinely-used techniques in interventional neuroradiology such as flow diverters or those assisted with an occlusion balloon or stent have are su itable alternatives for complex aneurysms. Conclusion: Interventional neuroradiology devices such as the Cascade Net stent (Perflow Medical and Grupo Logsa) and Solitaire AB stent retriever (Medtronic) are valid and safe options . We describe the technique of such devices.
- Elaassar, O., et al. (2011) Endovascular Techniques for the Treatment of Renal Artery Aneurysms. CardioVascular and Interventional Radiology, 34, 926-935. https://doi.org/10.1007/s00270-011-0127-9
- Rabuffi, P., Bruni, A., Antonuccio, E.G.M., Ambrogi, C. and Vagnarelli, S. (2020) Treatment of Visceral Artery Aneurysms and Pseudoaneurysms with the Use of Cerebral Flow Diverting Stents: Initial Experience. CVIR Endovascular, 3, Article No. 48. https://doi.org/10.1186/s42155-020-00137-y
- Chung, R., Touska, P., Morgan, R. and Anna-Maria, B. (2016) Endovascular Management of True Renal Arterial Aneurysms: Results from a Single Centre. CardioVascular and Interventional Radiology, 39, 36-43.
- Wojtaszek, M. (2013) Managing Visceral Artery Aneurism. Current Endovascular Techniques and Technologies for Treating This Increasingly Encountered Presentation. Endovascular Today, 77-81.
- Ccochenneca, F., Riga, C.V., Allaire, E., et al. (2011) Contemporary Management of Splanchnic and Renal Artery Aneurysms: Results of Endovascular Compared with Open Surgery from Two European Centers. European Journal of Vascular and Endovascular Surgery, 42, 340-346. https://doi.org/10.1016/j.ejvs.2011.04.033
- Elda, G., Erogan, E., Peynircioglu, B., et al. (2019) Endovascular Treatment of True Renal Artery Aneurysms: A Single Center Experience. Diagnostic and Interventional Radiology, 25, 62-70. https://doi.org/10.5152/dir.2018.17354
- Hardman, R.L., Taussky, P., Kim, R. and O’Hara, R.G. (2015) Post-Transplant Hepatic Artery Pseudoaneurysm Treated with the Pipeline Flow-Diverting Stent. CardioVascular and Interventional Radiology, 38, 1043-1046. https://doi.org/10.1007/s00270-015-1115-2
- Das, J.P., Asadi, H., Kok, H.K., Phelan, E., O’Hare, A. and Lee, M.J. (2018) Balloon-Assisted Coil Embolization (BACE) of Wide-Necked Renal Artery Aneurysm Using the Intracranial Scepter C Compliant Occlusion Balloon Catheter. CVIR Endovascular, 1, Article No. 12. https://doi.org/10.1186/s42155-018-0018-0
- Manninen, H.I., Berg, M. and Vanninen, R.L. (2008) Stent-Assisted Coil Embolization of Wide-Necked Renal Artery Bifurcation Aneurysms. Journal of Vascular and Interventional Radiology, 19, 487-492. https://doi.org/10.1016/j.jvir.2007.10.026