Abstract
Objective To discuss the methods of diagnose and management of complicted renal artery aneurysm(RAA).Methods The clinical data of 5 patients who diagnosed for RAA were analyzed retrospectively.One was male and the other 4 cases were female with mean age of 35 years old.Diameter range of RAA was 0.5-9.0 cm(mean 3.5 cm).Three case were solitary RAA and 2 case was bilateral.Clinicsl manifestations included flank pain and hematuria in 2 cases,abdominal pain with hemorrhagic shock in 1 case and hypertension in 1 case.Color ultrasonic diagnosed parapelvic cyst with calcification,hydronephrosis and RAA.All 5 cases were confirmed by angiography of renal artery.Results A solitary reual with multiple RAA burst died 5 days after dignosed without surgical treatment.One giant RAA which diameter was 9.0 cm was undergone embolism of renal artery and then performed nephrectomy.The other 3 cases underwent super selective renal artery embolization,endovascular treatment with stent-graft and selective renal artery ligation.Renal-sparing cases were followed-up for 10,12 and 24 months without recurrence.Conclusions If RAA is no more than 2 cm in diameter,the watchful waiting is feasible.The operation or endovascular treatment should be taken according to patient situation,symptom,renal function,complication and condition of RAA such as size,number and location. Key words: Kidney; Aneurysm; Angiography Therapy
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