Hybrid intervention for treatment of the nutcracker syndrome

Nutcracker syndrome is a rare anomaly resulting from compression of the left renal vein between the aorta and the superior mesenteric artery. Open and endovascular interventions have both been performed to relieve the compression. Each of these interventions has strengths and weaknesses. We report two patients in whom a hybrid approach was adopted in the process combining the strengths of each intervention while reducing potential complications.