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Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome
BACKGROUND: Nutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512087/ https://www.ncbi.nlm.nih.gov/pubmed/26205510 http://dx.doi.org/10.1186/s12894-015-0063-0 |
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author | Tian, Lu Chen, Shanwen Zhang, Gaoyue Zhang, Hongkun Jin, Wei Li, Ming |
author_facet | Tian, Lu Chen, Shanwen Zhang, Gaoyue Zhang, Hongkun Jin, Wei Li, Ming |
author_sort | Tian, Lu |
collection | PubMed |
description | BACKGROUND: Nutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal invasive procedures. Stents in the renal vein can cause fibromuscular hyperplasia, proximal migration or embolization. CASE PRESENTATION: A 30-year-old female was diagnosed with nutcracker syndrome for severe left flank pain. After failed conservative approach, she underwent endovascular stenting and subsequently developed recurrent symptom for stent migration one month postoperatively. She underwent successful extravascular stenting with complete symptom resolution. CONCLUSION: The extravascular stenting is an alternative option after migration of left renal vein endovascular stenting. The computed tomographic imaging was closely correlated to therapeutic interventions and stent migration. |
format | Online Article Text |
id | pubmed-4512087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45120872015-07-24 Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome Tian, Lu Chen, Shanwen Zhang, Gaoyue Zhang, Hongkun Jin, Wei Li, Ming BMC Urol Case Report BACKGROUND: Nutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal invasive procedures. Stents in the renal vein can cause fibromuscular hyperplasia, proximal migration or embolization. CASE PRESENTATION: A 30-year-old female was diagnosed with nutcracker syndrome for severe left flank pain. After failed conservative approach, she underwent endovascular stenting and subsequently developed recurrent symptom for stent migration one month postoperatively. She underwent successful extravascular stenting with complete symptom resolution. CONCLUSION: The extravascular stenting is an alternative option after migration of left renal vein endovascular stenting. The computed tomographic imaging was closely correlated to therapeutic interventions and stent migration. BioMed Central 2015-07-24 /pmc/articles/PMC4512087/ /pubmed/26205510 http://dx.doi.org/10.1186/s12894-015-0063-0 Text en © Tian et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Tian, Lu Chen, Shanwen Zhang, Gaoyue Zhang, Hongkun Jin, Wei Li, Ming Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
title | Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
title_full | Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
title_fullStr | Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
title_full_unstemmed | Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
title_short | Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
title_sort | extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512087/ https://www.ncbi.nlm.nih.gov/pubmed/26205510 http://dx.doi.org/10.1186/s12894-015-0063-0 |
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