Mete HIDIROĞLU, Murat CANYİĞİT, Ali ÇAM, Alpaslan ALTUNOĞLU, Hüseyin ÇETİN

The use of the Cardiatis multilayer flow modulator stent to treat sequential saccular aneurysms of the renal artery in a solitary kidney

Renal arter anevrizmasının genel nüfusta yaygınlığı oldukçadüşük olup ateroskleroz ya da fibromusküler displaziyebağlı geliştiği düşünülmektedir. Yüksek mortalite oranlarınedeniyle rüptür en korkulan komplikasyonlar arasındadır.Renal arter anevrizmasında cerrahi yöntemler karmaşıktırve morbidite oranları yüksektir. Uygun hastalarda kaplıstent ve koil embolizasyon ile endovasküler yaklaşımbaşarılı bir alternatif tedavidir. Bu yazıda, diğerendovasküler yöntemlerin yetersiz kaldığı, soliter böbreğeait renal arterdeki hiler bölgeye uzanan ardışık sakküleranevrizmaların akım-çevirici multilayer stent ile başarılıbir endovasküler tedavisi sunuldu.

Soliter böbrekteki ardışık sakküler renal arter anev rizmalarının tedavisinde Cardiatis çok katmanlı akım çevirici stentin kullanımı 1 1 1 2 3

Prevalence of renal artery aneurysm is very low in thegeneral population and it is thought to develop due toatherosclerosis or fibromuscular dysplasia. Rupture is amongthe most feared complications due to its high mortality rates.Surgical methods in renal artery aneurysm are complex withhigh morbidity rates. Endovascular approach with coveredstent and coil embolization is a successful alternativetreatment in adequate patients. In this article, we report asuccessful endovascular treatment of sequential saccularaneurysms extending to the hilar area in renal artery ofsolitary kidney with a flow-diverting multilayer stent whereother endovascular methods were insufficient.

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