Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492011000200016
Jornal Vascular Brasileiro
Case Report

Tratamento de aneurisma da artéria renal por embolização e técnica de remodelamento de colo: relato de caso

Endovascular treatment of renal artery utilizing embolization and aneurism neck remodeling technique: case report

Luis Carlos Mendes de Brito; João de Toledo Martins; Eliane Passos; Amanda Jardim dos Santos; Rodrigo Assad Diniz da Gama; Gabriela Ximenes Furlani

http://dx.doi.org/10.1590/S1677-54492011000200016 J Vasc Bras, vol.10, n2, p.181-184, 2011
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Resumo

O tratamento endovascular dos aneurismas de artéria renal tem sido descrito como alternativa à cirurgia convencional. Relatamos o caso de uma paciente com um aneurisma de artéria renal complexo à direita que apresentava hipertensão arterial de difícil controle. O tratamento endovascular foi realizado com a técnica de remodelagem de colo (técnica de Moret), ou técnica de embolização assistida por balão. A paciente obteve normalização da pressão arterial após o procedimento sem recidiva dos sintomas ou necessidade do uso de drogas anti-hipertensivas.

Palavras-chave

Aneurisma, artéria renal, procedimentos endovasculares

Abstract

Endovascular treatment of renal artery aneurysms has been described as an alternative to conventional surgery. We report the case of a patient with complex renal artery aneurysm on the right kidney who had hard-to-control arterial hypertension. Endovascular treatment was performed with the aneurysm neck remodeling technique (Moret technique), or balloon-assisted coil embolization. The patient achieved blood pressure normalization after the procedure without recurrence of symptoms or need for antihypertensive drugs.

Keywords

Aneurysm, renal artery, endovascular procedures

References

Deterling RA Jr. Aneurysm of the visceral arteries. J Cardiovasc Surg.. 1971;12:309-22.

Post K, Hupp T, Roeren T, Brambs HJ, Allenberg JR, Kauffmann GW. Renal artery aneurysms. Radiologe.. 1991;31:56-61.

Hageman JH, Smith RF, Szilagyi E, Elliott JP. Aneurysms of the renal artery: problems of prognosis and surgical management. Surgery.. 1978;84:563-72.

Karkos CD, D'Souza SP, Thomson GJ, Chomal A, Matanhelia SS. Renal artery aneurysm: endovascular treatment by coil embolisation with preservation of renal blood flow. Eur J Vasc Endovasc Surg.. 2000;19:214-6.

Cardozo MA, Lichtenfels E, Erling Jr N, Raupp E, Tarasconi DP. Tratamento endovascular de aneurisma da artéria renal por embolização com micromolas preservando o fluxo sangüíneo renal: relato de caso. J Vasc Bras.. 2007;6:167-70.

Abath C, Andrade G, Cavalcanti D, Brito N, Marques R. Complex renal artery aneurysms: liquids or coils?. Tech Vasc Interv Radiol.. 2007;10:299-307.

Wajnberg E, Aquino D, Spilberg G. Experiência preliminar com o uso da técnica de "remodelagem de colo" para tratamento endovascular de aneurismas complexos da artéria renal. Radiol Bras.. 2010;43:29-33.

Henke PK, Cardneau JD, Welling TH 3rd, Upchurch GR Jr, Wakefield TW, Jacobs LA. Renal artery aneurysmsm: a 35-year clinical experience with 252 aneurysms in 168 patients. Ann Surg.. 2001;234:454-62.

Tham G, Ekelund L, Herrlin K, Lindstedt EL, Olin T, Bergentz SE. Renal artery aneurysms. Natural history and prognosis. Ann Surg.. 1983;197:348-52.

Soussou ID, Starr DS, Lawrie GM, Morris GC Jr. Renal artery aneurysm. Long-term relief of renovascular hypertension by in situ operative correction. Arch Surg.. 1979;114:1410-5.

Moret J, Pierot L, Boulin A, Castaings L, Rey A. Endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coils. Neuroradiology.. 1996;38:800-5.

English WP, Pearce JD, Craven TE, Wilson DB, Edwards MS, Ayerdi J. Surgical management of renal artery aneurysms. J Vasc Surg.. 2004;40:53-60.

Martin RS 3rd, Meacham PW, Ditesheim JA, Mulherin JL Jr, Edwards WH. Renal artery aneurysm: selective treatment for hypertension and prevention of rupture. J Vasc Surg.. 1989;9:26-34.

Hidai H, Kinoshita Y, Murayama T, Miyai K, Matsumoto A, Ide K. Rupture of renal artery aneurysm. Eur Urol.. 1985;11:249-53.

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