Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome

A 20-year-old man complained of debilitating left flank pain for 6 months with an episode of gross hematuria. Computed tomography showed compression of the left renal vein between the aorta and superior mesenteric artery with an aortomesenteric angle of 25 degrees. Venography showed a gradient of 3 ...

Full description

Bibliographic Details
Main Authors: Judith C. Lin, MD, MBA, Buddima Ranasinghe, MD, PhD, Amit Patel, MBBS, Craig G. Rogers, MD
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428720300538
_version_ 1819296497028562944
author Judith C. Lin, MD, MBA
Buddima Ranasinghe, MD, PhD
Amit Patel, MBBS
Craig G. Rogers, MD
author_facet Judith C. Lin, MD, MBA
Buddima Ranasinghe, MD, PhD
Amit Patel, MBBS
Craig G. Rogers, MD
author_sort Judith C. Lin, MD, MBA
collection DOAJ
description A 20-year-old man complained of debilitating left flank pain for 6 months with an episode of gross hematuria. Computed tomography showed compression of the left renal vein between the aorta and superior mesenteric artery with an aortomesenteric angle of 25 degrees. Venography showed a gradient of 3 mm Hg across the compression and 94.4% luminal compression of the left renal vein. After discussion of all surgical and endovascular options, robot-assisted laparoscopic placement of an extravascular cuff around the left renal vein was performed using the da Vinci X Surgical System (Intuitive Surgical, Sunnyvale, Calif). The patient did well with full resolution of the left flank pain.
first_indexed 2024-12-24T04:59:03Z
format Article
id doaj.art-8fe61a9a4a1d4a1bb9969782d73c523c
institution Directory Open Access Journal
issn 2468-4287
language English
last_indexed 2024-12-24T04:59:03Z
publishDate 2020-09-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj.art-8fe61a9a4a1d4a1bb9969782d73c523c2022-12-21T17:14:17ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-09-0163346347Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndromeJudith C. Lin, MD, MBA0Buddima Ranasinghe, MD, PhD1Amit Patel, MBBS2Craig G. Rogers, MD3Division of Vascular Surgery, Henry Ford Hospital, Detroit, Mich; Correspondence: Judith C. Lin, MD, Division of Vascular Surgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202Department of Urology, Henry Ford Hospital, Detroit, MichDepartment of Urology, Henry Ford Hospital, Detroit, MichDepartment of Urology, Henry Ford Hospital, Detroit, MichA 20-year-old man complained of debilitating left flank pain for 6 months with an episode of gross hematuria. Computed tomography showed compression of the left renal vein between the aorta and superior mesenteric artery with an aortomesenteric angle of 25 degrees. Venography showed a gradient of 3 mm Hg across the compression and 94.4% luminal compression of the left renal vein. After discussion of all surgical and endovascular options, robot-assisted laparoscopic placement of an extravascular cuff around the left renal vein was performed using the da Vinci X Surgical System (Intuitive Surgical, Sunnyvale, Calif). The patient did well with full resolution of the left flank pain.http://www.sciencedirect.com/science/article/pii/S2468428720300538Nutcracker syndromeRobotic-assistedExtravascular cuff
spellingShingle Judith C. Lin, MD, MBA
Buddima Ranasinghe, MD, PhD
Amit Patel, MBBS
Craig G. Rogers, MD
Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome
Journal of Vascular Surgery Cases and Innovative Techniques
Nutcracker syndrome
Robotic-assisted
Extravascular cuff
title Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome
title_full Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome
title_fullStr Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome
title_full_unstemmed Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome
title_short Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome
title_sort robot assisted laparoscopic placement of extravascular stent for nutcracker syndrome
topic Nutcracker syndrome
Robotic-assisted
Extravascular cuff
url http://www.sciencedirect.com/science/article/pii/S2468428720300538
work_keys_str_mv AT judithclinmdmba robotassistedlaparoscopicplacementofextravascularstentfornutcrackersyndrome
AT buddimaranasinghemdphd robotassistedlaparoscopicplacementofextravascularstentfornutcrackersyndrome
AT amitpatelmbbs robotassistedlaparoscopicplacementofextravascularstentfornutcrackersyndrome
AT craiggrogersmd robotassistedlaparoscopicplacementofextravascularstentfornutcrackersyndrome