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Innovative treatment of renal artery aneurysm performed at MC Erebouni
For the first time in Armenia, effective and innovative treatment of renal artery aneurysm was performed at MC Erebouni.
On March 2, 2017, patient N.G., 59, was admitted to MC Erebouni with macrohematuria (presence of blood in urine).
On 18.01.2017, resection of the left upper renal lobe for renal cell cancer was performed. The patent was later discharged from the hospital. However, 1.5 month later the patient noticed a blood in the urine (macrohematuria), which became abundant during the last week.
CT scan with intravenous contrasting revealed an aneurysm of the additional left renal artery (which was the cause of blooding).
There are 2 methods of the treatment of additional renal artery aneurysm, open surgical and endovascular.
It was decided to carry out endovascular occlusion of the left additional renal artery from which the aneurysm was feeding.
On March 3, 2017, the patient underwent to the intervention catheterization for aneurism coil occlusion under general anesthesia: through right femoral artery access (the left common iliac artery was made a prosthetic appliance 10 years ago) intervention cardiologist of Department of Angiography and Intervention cardiology A. Tsaturyan carried out selective angiography of the left renal arteries that confirmed the diagnosis, which was established by CT exam. With the help of intravascular COOK Coils (USA) the embolization of additional renal artery aneurysm was carried out. Total embolization was reached by three Coils, after which anterograde flow wasn`t observed. Blood in the urine (hematuria) was no longer observed and the patient was discharged on the second day.
Renal artery aneurysm is a rare pathology, which is found in 0.09% cases, diagnosed by CT exam, which is prescribing, as a rule, in renovascular hypertension, hematuria. Open surgical intervention has risks related to both common anesthesia and surgery. Endovascular, minimally invasive treatment of aneurysms and renal arterio-venous fistula gives 100% guaranteed solution for this pathology. This creates an opportunity to avoid resection and even kidney removal, there is a low intraoperative risk and short period of hospitalization, combined with high efficiency of intervention.
Such kind of surgery, embolization of additional renal artery aneurysm and arterio-venous fistula was carried out for the first time an MC Erebouni and in Armenia.
https://www.erebunimed.com/eng/news.more/243
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