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Surgical procedures for renal artery aneurysms

Masatoshi Jibiki1, Yoshinori Inoue, Toshifumi Kudo

  • 1Department of Vascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Annals of Vascular Diseases
|April 5, 2013
PubMed
Abstract

Insights

This study assessed renal artery aneurysm (RAA) treatments. In-situ repair proved safe and effective, preserving renal function, while coil embolization was used for specific aneurysm types.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Nephrology

Background:

  • Renal artery aneurysms (RAAs) are rare vascular conditions.
  • Treatment strategies aim to prevent rupture and preserve renal function.

Purpose of the Study:

  • To evaluate the surgical strategies and procedures for treating renal artery aneurysms (RAAs).
  • To assess the safety and efficacy of in-situ repair and coil embolization for RAA management.

Main Methods:

  • Retrospective review of 21 RAA cases (2001-2010).
  • Treatment criteria: RAA > 2 cm and/or symptomatic.
  • Surgical repair (aneurysmectomy with in-situ repair) was the primary strategy.
  • Coil embolization reserved for narrow-necked, saccular, extraparenchymal aneurysms.

Main Results:

  • 15 patients underwent aneurysmectomy with in-situ renal artery reconstruction.
  • 5 patients were treated with coil embolization.
  • 1 patient required an unplanned nephrectomy.

Conclusions:

  • In-situ repair is a safe and minimally invasive option for RAA treatment.
  • The transperitoneal approach with subcostal incision allows safe access for RAA repair.
  • Treatment resulted in acceptable outcomes and preserved renal function.
Keywords:
patch angioplastyrenal artery aneurysm

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