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Endovascular repair of a complex renal artery aneurysm using PipelineTM Embolization Device (PED) assisted coil embolization.

Published Web Location

https://doi.org/10.3941/jrcr.v15i10.4156
Abstract

Background

We describe the treatment of a renal artery aneurysm with complex anatomy using coils and the PipelineTM Embolization Device (Medtronic, Irvine, CA), a flow-diverting stent typically used for the treatment of intracranial aneurysms.

Methods

A 62-year-old female with history of an asymptomatic right renal artery aneurysm that was discovered incidentally 10 years ago was found to have enlargement of the aneurysm (1.9cm to 2.7cm) on a repeat surveillance CT scan. She was successfully treated with combined Pipeline Embolization Device and coil embolization of the aneurysm sac.

Results

Post-procedural angiography showed complete occlusion of the aneurysm with maintenance of perfusion to the entire kidney.

Conclusion

PipelineTM assisted coil embolization may be an option for parenchyma-sparing treatment of renal artery aneurysms with complex anatomy.

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