False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?

Detalhes bibliográficos
Autor(a) principal: Machado,Marta
Data de Publicação: 2020
Outros Autores: Machado,Rui, Mendes,Daniel, Almeida,Rui de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2020000400269
Resumo: Abstract Introduction: False aneurysms of the Renal Artery usually originate from iatrogenic causes or renal trauma. The incidence is increasing because minimally invasive procedures have become widely used in the treatment of renal pathology and therefore iatrogenic injuries have become more frequent. Due to the nature of the wall, they have a high risk of rupture and should therefore be diagnosed and treated soon. Objective: To evaluate the experience of the CHUP’s angiology and vascular surgery department in the approach of false aneurysms of the renal artery from 2010 to 2018. Methods and Material: A retrospective review was undertaken using the clinical and imagiological records of 20 patients diagnosed with FRA. Results: Etiology was iatrogenic in 95% of the cases. All patients were symptomatic and 85% had macroscopic hematuria. The time between injury and clinical manifestation was 4.5 days. The therapy performed in all cases consisted of embolization of the FRA feeding artery. The time between injury and treatment was 18.1 days. The kidney salvage rate was 95%. Discussion/Conclusion: In this study, the main etiology and the surgical technique used are in agreement with the published literature. With this kidney salvage rate we can conclude that endovascular treatment is an effective method of treatment of these lesions. Although there are no published references in the literature, we observed that the time between injury and treatment was high, which translates into a late diagnosis. Therefore, the urologists' awareness of this complication is extremely important.
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spelling False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?Renal artery aneurysmsFalse aneurysmsPseudoaneurysmsEndovascular treatmentAbstract Introduction: False aneurysms of the Renal Artery usually originate from iatrogenic causes or renal trauma. The incidence is increasing because minimally invasive procedures have become widely used in the treatment of renal pathology and therefore iatrogenic injuries have become more frequent. Due to the nature of the wall, they have a high risk of rupture and should therefore be diagnosed and treated soon. Objective: To evaluate the experience of the CHUP’s angiology and vascular surgery department in the approach of false aneurysms of the renal artery from 2010 to 2018. Methods and Material: A retrospective review was undertaken using the clinical and imagiological records of 20 patients diagnosed with FRA. Results: Etiology was iatrogenic in 95% of the cases. All patients were symptomatic and 85% had macroscopic hematuria. The time between injury and clinical manifestation was 4.5 days. The therapy performed in all cases consisted of embolization of the FRA feeding artery. The time between injury and treatment was 18.1 days. The kidney salvage rate was 95%. Discussion/Conclusion: In this study, the main etiology and the surgical technique used are in agreement with the published literature. With this kidney salvage rate we can conclude that endovascular treatment is an effective method of treatment of these lesions. Although there are no published references in the literature, we observed that the time between injury and treatment was high, which translates into a late diagnosis. Therefore, the urologists' awareness of this complication is extremely important.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2020-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2020000400269Angiologia e Cirurgia Vascular v.16 n.4 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2020000400269Machado,MartaMachado,RuiMendes,DanielAlmeida,Rui deinfo:eu-repo/semantics/openAccess2024-02-06T17:22:59Zoai:scielo:S1646-706X2020000400269Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:29:27.483914Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
title False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
spellingShingle False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
Machado,Marta
Renal artery aneurysms
False aneurysms
Pseudoaneurysms
Endovascular treatment
title_short False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
title_full False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
title_fullStr False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
title_full_unstemmed False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
title_sort False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?
author Machado,Marta
author_facet Machado,Marta
Machado,Rui
Mendes,Daniel
Almeida,Rui de
author_role author
author2 Machado,Rui
Mendes,Daniel
Almeida,Rui de
author2_role author
author
author
dc.contributor.author.fl_str_mv Machado,Marta
Machado,Rui
Mendes,Daniel
Almeida,Rui de
dc.subject.por.fl_str_mv Renal artery aneurysms
False aneurysms
Pseudoaneurysms
Endovascular treatment
topic Renal artery aneurysms
False aneurysms
Pseudoaneurysms
Endovascular treatment
description Abstract Introduction: False aneurysms of the Renal Artery usually originate from iatrogenic causes or renal trauma. The incidence is increasing because minimally invasive procedures have become widely used in the treatment of renal pathology and therefore iatrogenic injuries have become more frequent. Due to the nature of the wall, they have a high risk of rupture and should therefore be diagnosed and treated soon. Objective: To evaluate the experience of the CHUP’s angiology and vascular surgery department in the approach of false aneurysms of the renal artery from 2010 to 2018. Methods and Material: A retrospective review was undertaken using the clinical and imagiological records of 20 patients diagnosed with FRA. Results: Etiology was iatrogenic in 95% of the cases. All patients were symptomatic and 85% had macroscopic hematuria. The time between injury and clinical manifestation was 4.5 days. The therapy performed in all cases consisted of embolization of the FRA feeding artery. The time between injury and treatment was 18.1 days. The kidney salvage rate was 95%. Discussion/Conclusion: In this study, the main etiology and the surgical technique used are in agreement with the published literature. With this kidney salvage rate we can conclude that endovascular treatment is an effective method of treatment of these lesions. Although there are no published references in the literature, we observed that the time between injury and treatment was high, which translates into a late diagnosis. Therefore, the urologists' awareness of this complication is extremely important.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-01
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format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2020000400269
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Angiologia e Cirurgia Vascular
publisher.none.fl_str_mv Sociedade Portuguesa de Angiologia e Cirurgia Vascular
dc.source.none.fl_str_mv Angiologia e Cirurgia Vascular v.16 n.4 2020
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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