TY - JOUR T1 - Spontaneous Renal Artery Aneurysm Rupture And Its Endovascular Treatment TT - Spontan Renal Arter Anevrizma Rüptürü ve Endovasküler Tedavisi AU - Aydın, Arif AU - Kılınç, Muzaffer Tansel AU - Ecer, Gökhan AU - Koç, Osman AU - Sönmez, Mehmet Giray AU - Balasar, Mehmet PY - 2019 DA - October DO - 10.33719/yud.592825 JF - Yeni Üroloji Dergisi JO - New J Urol. PB - Ali İhsan TAŞÇI WT - DergiPark SN - 1305-2489 SP - 201 EP - 205 VL - 14 IS - 3 LA - en AB - Renal artery aneurysm is the local expansionof renal artery, its branches or both dueto the weakening of the elastic tissue and mediaof arterial wall structure. It has four basictypes as saccular, fusiform, dissected andintrarenal based on Poutasse classification,there is a gradual increase in proofs and studyresults showing that endovascular treatmentshould be preferred in renal artery aneurysmtreatment in correlation with the endovascularexperience and technology improvingespecially in recent years.Our aim in this case presentation was topresent the left renal artery saccular aneurysmrupture patient treated endovascularlyand discuss with literature. KW - renal artery aneurysm KW - endovascular treatment KW - spontaneous rupture N2 - Renal arter anevrizması, renal arterin,dallarının veya her ikisinin de elastik dokularınınve arteriyel duvar yapısının zayıflamasınedeniyle lokal olarak genişlemesine denir.Poutasse sınıflamasına göre sakküler, fuziform,disseke ve intrarenal olmak üzere dörttemel tipi vardır.Özellikle son yıllarda artan endovaskülertedavi tecrübesi ve teknoloji ile bağlantılı olarak,renal arter anevrizması tedavisinde endovaskülertedavinin öncelikli olduğunu belirtençalışmalarda da bir artış söz konusudur.Bu olgu sunumundaki amacımız endovaskülerolarak tedavi edilen 3 cm’lik sol renalarter sakküler anevrizma rüptürlü hastayısunmak ve literatür eşliğinde tartışmaktır. CR - 1. Campbell-Walsh Urology 10th Edition CR - 2. Bulbul MA, Farrow GA. “Renal artery aneurysms.” Urology 1992; 40: 124-6. CR - 3. Deterling RA. “Aneurysm ot the visceral arteries”. J Cardiovasc Surg 1981; 12: 309-322. CR - 4. Poutesse EF. Renal artery aneurysms: their natural history and surgery. J Urol 1966; 95: 297. CR - 5. Halloul Z, Buerger T, Grote R, et al.”Selective embolization of a renal artery aneurysm”. Vasa. 2000 Nov; 29:285-7. CR - 6. Pershad A, Heuser R. “Renal artery aneurysm: successful exclusion with a stent graft.” Catheter Cardiovasc Interv. 2004;61:314-6. CR - 7. Wei HB, Qi XL, Liu F, et al.” Robot-assisted laparoscopic reconstructed management of multiple aneurysms in renal artery primary bifurcations: a case report and literature review.” BMC Urol. 2017 Oct 16;17(1):96. doi: 10.1186/ s12894-017-0265-8. Review. Erratum in: BMC Urol. 2017 Nov 3;17:100. CR - 8. Guo H, Wang C, Yang M, et al. “Management of iatrogenic renal arteriovenous fistula and renal arterial pseudoaneurysm by transarterial embolization: A single center analysis and outcomes.” Medicine (Baltimore). 2017 Oct. CR - 9. Wei X, Sun Y, Wu Y, et al. “Management of wide-based renal artery aneurysms using noncovered stent-assisted coil embolization.” J Vasc Surg. 2017 Sep;66(3):850-857. doi: 10,1016/j.jvs.2017.04.035. Epub 2017 Jun. 19. CR - 10. Nassiri N, Huntress LA. “Stent-Assisted Coil Embolization of a Symptomatic Renal Artery Aneurysm at a Bifurcation Point.” Ann Vasc Surg. 2017 Jul;42.299.e11-299.e14. doi:10.1016/j.avsg.2016.10.042. Epub 2017 Mar 7. CR - 11. Sousa J, Mansilha A. “Endovascular Treatment of Symptomatic Renal Artery Aneurysm with Hostile Anatomy.” Eur J Vasc Endovasc Surg. 2017 Jun;53(6):843. doi:10,1016/j.ejvs.2017.02.018. Epub 2017 Mar 17. CR - 12. Bracale UM, Narese D, Ficarelli I, et al. “Stent-assisted detachable coil embolization of wide-necked renal artery aneurysms.” Diagn Interv Radiol. 2017 Jan-Feb;23 CR - 13. Adrahtas D, Jasinski P, Koullias G, et al. “Endovascular Treatment of a Complex Renal Artery Aneurysm Using Coils and the Pipeline Embolization Device in a Patient with a Solitary Kidney.” Ann Vasc Surg. 2016 Oct CR - 14. Koter SH, Baumann A. “Aneurysm of the Right Renal Artery.” Eur J Vasc Endovasc Surg. 2016 Jul CR - 15. Chung R, Touska P, Morgan R, et al. “Endovascular Management of True Renal Arterial Aneurysms: Results from a Single Centre.” Cardiovasc Intervent Radiol 2016 Jan. CR - 16. Li G, Sun Y, Song H, et al. “Embolization of ruptured renal artery aneurysms.” Clin Exp Nephrol. 2015 Oct. CR - 17. Tsilimparis N, Reeves JG, Dayama A, et al. “Endovascular vs open repair of renal artery aneurysms: outcomes of repair and long-term renalfunction.” J Am Coll Surg. 2013 Aug. CR - 18. Sédat J, Chau Y, Baque J. “Endovascular treatment of renal aneurysms: a series of 18 cases.” Eur J Radiol. 2012 Dec. UR - https://doi.org/10.33719/yud.592825 L1 - https://dergipark.org.tr/en/download/article-file/790448 ER -