Clinicalefficiencyofendovascularinterventionaltherapyforthesolitarykidneywithrenalaneurysm
10.3969/j.issn.1002-1671.2019.07.024
- VernacularTitle:腔内介入治疗孤立肾肾动脉瘤的临床疗效分析
- Author:
Fangzheng LI
1
;
Jianzhuang REN
;
Wenguang ZHANG
;
Xuhua DUAN
;
Jiaxing WANG
;
Li WAN
;
Linhui XU
;
Guorui ZHAO
;
Pengfei CHEN
Author Information
1. 郑州大学第一附属医院放射介入科
- Keywords:
solitarykidney;
renalaneurysm;
endovascularinterventionaltherapy
- From:
Journal of Practical Radiology
2019;35(7):1128-1131
- CountryChina
- Language:Chinese
-
Abstract:
Objective Toanalyzetheclinicalefficiencyofendovascularinterventionaltherapyinthetreatmentofsolitarykidney withrenalaneurysm.Methods FromJune2014toDecember2017,7casesofsolitarykidneypatientscombinedwithrenalaneurysm werecollected,including4casesofrenalaneurysmlocatedinthemainrenalartery,1caseinrenalsegmentalarteryand2casesinthe renalparenchyma.4casesofmainrenalarteryaneurysmsweretreatedwithstentimplantation;1caseofrenalsegmentalarteryaneurysm was treatedwithstent-assistedcoilembolization;2casesofrenalparenchymaaneurysm wererespectivelytreatedwithpolyvinylalcohol (PVA)embolizationandPVA withcoilembolization.After1month,3months,6monthsandevery6months,therenaldopplerexamination,blood routine,urineroutine,renalfunctionandotherbiochemicalexaminationswerereviewed,andrenalarterialCTAorrenalangiographywereperformed whennecessary.Results Thesuccessrateofoperationwas100%in7solitarykidneypatientswithrenalaneurysm,andtheaneurysmswere graduallyreducedafteroperationwithoutseriousadversereactionsandcomplications.Norecanalizationorrecurrenceofrenalaneurysmwasfound duringthefollow-up,andtherenalfunctionwasbetterthanbefore.Conclusion Endovascularinterventionaltherapyinthetreatment ofsolitarykidneywithrenalaneurysmisminimallyinvasiveandlessrisky.Anditismoretargetedandflexibleforthetreatmentof solitarykidneywithdifferenttypesofrenalaneurysm.
