J Lipid Atheroscler.  2015 Jun;4(1):45-49. 10.12997/jla.2015.4.1.45.

A Case of Near Total Occlusion of the Renal Artery after Endovascular Abdominal Aortic Aneurysm Repair

• Jung IH
• Kang C
• Nam DI
• Moon HG
• Youn B
• Cho SC
• Hwang SH
• Kim W

• KMID: 2005735
• DOI: http://doi.org/10.12997/jla.2015.4.1.45

Abstract

Endovascular abdominal aortic aneurysm repair is a safe, durable, and effective procedure. However, complications could occur with stent graft devices. When the renal ostia become obstructed by this device, renovascular hypertension may result. In general, renal artery occlusion secondary to stent graft impingement remains uncommon. We herein describe a patient with renal atrophy, new-onset hypertension, and elevated serum renin and aldosterone levels following endovascular aneurysm repair. Blood pressure and the levels of renin and aldosterone were normalized by renal artery stenting.

Keyword

Endovascular procedures; Renal artery obstruction; Aortic aneurysm; Abdominal

MeSH Terms

Aldosterone
Aneurysm
Aortic Aneurysm
Aortic Aneurysm, Abdominal*
Atrophy
Blood Pressure
Blood Vessel Prosthesis
Endovascular Procedures
Humans
Hypertension
Hypertension, Renovascular
Renal Artery Obstruction
Renal Artery*
Renin
Stents
Aldosterone
Renin

Figure

• 

  Fig. 1 Final aortogram following endovascular aneurysm repair (A), the follow-up aortogram (B and C), and the follow-up right renal angiogram (D) 5 months post-EVAR. AP; antero-posterior, CRA; cranial, LAO; left anterior oblique

• 

  Fig. 2 Abdominal angiography before (A) and after (B) placement of the renal artery stent

• 

  Fig. 3 Captopril renal scans done before (A) and after (B) placement of the renal artery stent

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  Fig. 4 Balloon angioplasty using a 5×40 mm balloon (A) and final angiogram (B) after deployment of 6×18 mm SCUBA®

Reference

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