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Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report

BACKGROUND: Prior reports indicate that intentional coverage of the accessory renal arteries (ARAs) with a diameter larger than 3 mm during endovascular aneurysm repair (EVAR) increases risk of additional treatment for type II endoleak. Here, we report a case of prophylactic coil embolization for a...

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Autores principales: Nishie, Ryosuke, Toya, Naoki, Fukushima, Soichiro, Ito, Eisaku, Murakami, Yuri, Akiba, Tadashi, Ohki, Takao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407396/
https://www.ncbi.nlm.nih.gov/pubmed/28451985
http://dx.doi.org/10.1186/s40792-017-0334-y
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author Nishie, Ryosuke
Toya, Naoki
Fukushima, Soichiro
Ito, Eisaku
Murakami, Yuri
Akiba, Tadashi
Ohki, Takao
author_facet Nishie, Ryosuke
Toya, Naoki
Fukushima, Soichiro
Ito, Eisaku
Murakami, Yuri
Akiba, Tadashi
Ohki, Takao
author_sort Nishie, Ryosuke
collection PubMed
description BACKGROUND: Prior reports indicate that intentional coverage of the accessory renal arteries (ARAs) with a diameter larger than 3 mm during endovascular aneurysm repair (EVAR) increases risk of additional treatment for type II endoleak. Here, we report a case of prophylactic coil embolization for a 4 mm ARA originating from an abdominal aortic aneurysm. CASE PRESENTATION: A 76-year-old woman was admitted to our hospital after noticing an abdominal pulsatile mass. Computed tomography (CT) imaging revealed an abdominal aortic aneurysm (AAA) with a maximum diameter of 53 mm. Preoperative CT scan showed a right ARA, 4 mm in diameter, which was considered likely to lead to type II endoleak following EVAR. ARA coil embolization was performed at the time of EVAR. We observed no endoleaks and no infarct of the inferior pole of the right kidney on completion angiography. The postoperative course was uneventful, and the patient was discharged 7 days later. Postoperative eGFR (58.4 ml/min) was not significantly different from preoperative level (56.7 ml/min). After EVAR, blood pressure was under control, and no additional anti-hypertensive medicines were required. Postoperative enhanced CT image showed that the distal portion of the ARA was well perfused without type II endoleak from ARA. CONCLUSIONS: Prophylactic coil embolization for a large ARA originating from an abdominal aortic aneurysm appears to be safe and effective in preventing type II endoleak following EVAR.
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spelling pubmed-54073962017-05-15 Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report Nishie, Ryosuke Toya, Naoki Fukushima, Soichiro Ito, Eisaku Murakami, Yuri Akiba, Tadashi Ohki, Takao Surg Case Rep Case Report BACKGROUND: Prior reports indicate that intentional coverage of the accessory renal arteries (ARAs) with a diameter larger than 3 mm during endovascular aneurysm repair (EVAR) increases risk of additional treatment for type II endoleak. Here, we report a case of prophylactic coil embolization for a 4 mm ARA originating from an abdominal aortic aneurysm. CASE PRESENTATION: A 76-year-old woman was admitted to our hospital after noticing an abdominal pulsatile mass. Computed tomography (CT) imaging revealed an abdominal aortic aneurysm (AAA) with a maximum diameter of 53 mm. Preoperative CT scan showed a right ARA, 4 mm in diameter, which was considered likely to lead to type II endoleak following EVAR. ARA coil embolization was performed at the time of EVAR. We observed no endoleaks and no infarct of the inferior pole of the right kidney on completion angiography. The postoperative course was uneventful, and the patient was discharged 7 days later. Postoperative eGFR (58.4 ml/min) was not significantly different from preoperative level (56.7 ml/min). After EVAR, blood pressure was under control, and no additional anti-hypertensive medicines were required. Postoperative enhanced CT image showed that the distal portion of the ARA was well perfused without type II endoleak from ARA. CONCLUSIONS: Prophylactic coil embolization for a large ARA originating from an abdominal aortic aneurysm appears to be safe and effective in preventing type II endoleak following EVAR. Springer Berlin Heidelberg 2017-04-27 /pmc/articles/PMC5407396/ /pubmed/28451985 http://dx.doi.org/10.1186/s40792-017-0334-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Nishie, Ryosuke
Toya, Naoki
Fukushima, Soichiro
Ito, Eisaku
Murakami, Yuri
Akiba, Tadashi
Ohki, Takao
Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report
title Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report
title_full Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report
title_fullStr Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report
title_full_unstemmed Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report
title_short Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report
title_sort prophylactic accessory renal artery coil embolization for prevention of type ii endoleak following endovascular aneurysm repair: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407396/
https://www.ncbi.nlm.nih.gov/pubmed/28451985
http://dx.doi.org/10.1186/s40792-017-0334-y
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