RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO
Renal artery aneurysm (RAA) is a rare disease that is detected in autopsy in 0.01 – 0.09% as a casual finding. The RAA are divided into: true aneurysms (saccular or fusiform), dissecting aneurysms (from the aorta, only from renal arteries), pseudoaneurysms, intrarenal aneurysms. The causes of RAA...
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| Format: | Article |
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Shevchenko Scientific Society
2018-06-01
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| Series: | Праці Наукового товариства імені Шевченка. Медичні науки |
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| Online Access: | https://mspsss.org.ua/index.php/journal/article/view/129 |
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| author | Іhor Kobza Rostyslav Zhuk Danylo Fedoriv Taras Kobza Yuliya Mota Dariya Solman Roman Mykhalchuk |
| author_facet | Іhor Kobza Rostyslav Zhuk Danylo Fedoriv Taras Kobza Yuliya Mota Dariya Solman Roman Mykhalchuk |
| author_sort | Іhor Kobza |
| collection | DOAJ |
| description | Renal artery aneurysm (RAA) is a rare disease that is detected in autopsy in 0.01 – 0.09% as a casual finding. The RAA are divided into: true aneurysms (saccular or fusiform), dissecting aneurysms (from the aorta, only from renal arteries), pseudoaneurysms, intrarenal aneurysms. The causes of RAA include: atherosclerosis, fibro-muscular dysplasia, hypertension, hydronephrosis, Ehlers-Danlos syndrome. In 90% of cases, RAA manifests itself in arterial hypertension. Abdominal pain, paresis of the intestine, the presence of pulsating formation, hematuria may indicate on increase in the size of the aneurysm or their dissection. The use of ultrasound duplex scan, CT, MRI and angiography can confirm the RAA in 0.3-2.5% in high-risk groups. Indications for surgical treatment include: RAA > 2 cm, RAA in women of childbearing age, abdominal or lumbar pain, hematuria, refractory to drug therapy arterial hypertension, functionally significant stenosis of RA with size of RAA > 1cm, thromboembolism, dissection, rupture of RAA. Surgical treatment of the RAA consists of: in situ reconstruction (in-situ prosthesis, tangential resection and angioplasty, nephrectomy), endovascular interventions (aneurysm embolization, stenting), extracorporeal reconstruction – ex vivo. The autotransplantation of the kidney with extracorporeal reconstruction of the renal artery with RAA of the second and third branching is an efficient method of treatment, which provides satisfactory long-term clinical results and is performed in cases when classical reconstruction or endovascular correction is impossible. |
| first_indexed | 2024-12-14T12:43:06Z |
| format | Article |
| id | doaj.art-69ce53a7464b4b5387118cf7bdd776e1 |
| institution | Directory Open Access Journal |
| issn | 2708-8634 2708-8642 |
| language | English |
| last_indexed | 2024-12-14T12:43:06Z |
| publishDate | 2018-06-01 |
| publisher | Shevchenko Scientific Society |
| record_format | Article |
| series | Праці Наукового товариства імені Шевченка. Медичні науки |
| spelling | doaj.art-69ce53a7464b4b5387118cf7bdd776e12022-12-21T23:00:52ZengShevchenko Scientific SocietyПраці Наукового товариства імені Шевченка. Медичні науки2708-86342708-86422018-06-01521658310.25040/ntsh2018.01.07129RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVOІhor Kobza0Rostyslav Zhuk1Danylo Fedoriv2Taras Kobza3Yuliya Mota4Dariya Solman5Roman Mykhalchuk6Danylo Halytsky Lviv National Medical University, Lviv, UkraineDanylo Halytsky Lviv National Medical University, Lviv, UkraineRegional Clinical Hospital in LvivRegional Clinical Hospital in LvivDanylo Halytsky Lviv National Medical University, Lviv, UkraineRegional Clinical Hospital in LvivRegional Clinical Hospital in LvivRenal artery aneurysm (RAA) is a rare disease that is detected in autopsy in 0.01 – 0.09% as a casual finding. The RAA are divided into: true aneurysms (saccular or fusiform), dissecting aneurysms (from the aorta, only from renal arteries), pseudoaneurysms, intrarenal aneurysms. The causes of RAA include: atherosclerosis, fibro-muscular dysplasia, hypertension, hydronephrosis, Ehlers-Danlos syndrome. In 90% of cases, RAA manifests itself in arterial hypertension. Abdominal pain, paresis of the intestine, the presence of pulsating formation, hematuria may indicate on increase in the size of the aneurysm or their dissection. The use of ultrasound duplex scan, CT, MRI and angiography can confirm the RAA in 0.3-2.5% in high-risk groups. Indications for surgical treatment include: RAA > 2 cm, RAA in women of childbearing age, abdominal or lumbar pain, hematuria, refractory to drug therapy arterial hypertension, functionally significant stenosis of RA with size of RAA > 1cm, thromboembolism, dissection, rupture of RAA. Surgical treatment of the RAA consists of: in situ reconstruction (in-situ prosthesis, tangential resection and angioplasty, nephrectomy), endovascular interventions (aneurysm embolization, stenting), extracorporeal reconstruction – ex vivo. The autotransplantation of the kidney with extracorporeal reconstruction of the renal artery with RAA of the second and third branching is an efficient method of treatment, which provides satisfactory long-term clinical results and is performed in cases when classical reconstruction or endovascular correction is impossible.https://mspsss.org.ua/index.php/journal/article/view/129ex vivo renal artery repair, renal autotransplantation, aneurysm |
| spellingShingle | Іhor Kobza Rostyslav Zhuk Danylo Fedoriv Taras Kobza Yuliya Mota Dariya Solman Roman Mykhalchuk RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO Праці Наукового товариства імені Шевченка. Медичні науки ex vivo renal artery repair, renal autotransplantation, aneurysm |
| title | RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO |
| title_full | RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO |
| title_fullStr | RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO |
| title_full_unstemmed | RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO |
| title_short | RENAL ARTERY ANEURYSMS: DIAGNOSIS AND SURGICAL TREATMENT EX VIVO |
| title_sort | renal artery aneurysms diagnosis and surgical treatment ex vivo |
| topic | ex vivo renal artery repair, renal autotransplantation, aneurysm |
| url | https://mspsss.org.ua/index.php/journal/article/view/129 |
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