Clinical Imaging
Volume 35, Issue 1 , Pages 29-41 , January 2011

Renal aneurysms and pseudoaneurysms

  • Marco Cura

      Affiliations

    • Radiology, Doctor's Hospital, 5501 S Mccoll Rd, Edinburg, TX 78539, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 210 8428938.
    • ,
  • Fadi Elmerhi

      Affiliations

    • Radiology, The University of Texas Health Science Center, San Antonio, TX 78229, USA
    • ,
  • Alejandro Bugnogne

      Affiliations

    • Radiology, Doctor's Hospital, 5501 S Mccoll Rd, Edinburg, TX 78539, USA
    • ,
  • Raul Palacios

      Affiliations

    • Madigan Army Medical Center, 9040A Fitzsimmons Dr., Tacoma, WA 98431, USA
    • ,
  • Rajeev Suri

      Affiliations

    • Radiology, The University of Texas Health Science Center, San Antonio, TX 78229, USA
    • ,
  • Timothy Dalsaso

      Affiliations

    • Humboldt Radiology Medical Group, Inc, Eureka, California, USA

Received 15 October 2009 ,Accepted 3 November 2009.

References 

  1. Vaughan TJ, Barry WF, Jeffords DL, Johnsrude IS. Renal artery aneurysms and hypertension. Radiology. 1971;99:287–293
  2. Henke PK, Cardneau JD, Welling TH, Upchurch GR, Wakefield TW, Jacobs LA, et al. Renal artery aneurysms: a 35-year clinical experience with 252 aneurysms in 168 patients. Ann Surg. 2001;234:454–462[discussion 462–53]
  3. Hageman JH, Smith RF, Szilagyi E, Elliott JP. Aneurysms of the renal artery: problems of prognosis and surgical management. Surgery. 1978;84:563–572
  4. Tham G, Ekelund L, Herrlin K, Lindstedt EL, Olin T, Bergentz SE. Renal artery aneurysms. Natural history and prognosis. Ann Surg. 1983;197:348–352
  5. Lumsden AB, Salam TA, Walton KG. Renal artery aneurysm: a report of 28 cases. Cardiovasc Surg. 1996;4:185–189
  6. Deterling RA. Aneurysm of the visceral arteries. J Cardiovasc Surg (Torino). 1971;12:309–322
  7. Bulbul MA, Farrow GA. Renal artery aneurysms. Urology. 1992;40:124–126
  8. Bui BT, Oliva VL, Leclerc G, Courteau M, Harel C, Plante R, et al. Renal artery aneurysm: treatment with percutaneous placement of a stent-graft. Radiology. 1995;195:181–182
  9. Edsman G. Angionephrography and suprarenal angiography; a roentgenologic study of the normal kidney, expansive renal and suprarenal lesions and renal aneurysms. Acta Radiol Suppl. 1957;1–141
  10. Sajja LR, Sitaram Reddy B, Sahariah S, Vijay Kumar D. Giant aneurysm of renal artery: surgical management. Asian Cardiovasc Thorac Ann. 2002;10:176–177
  11. Shonai T, Koito K, Ichimura T, Hirokawa N, Sakata K, Hareyama M. Renal artery aneurysm: evaluation with color Doppler ultrasonography before and after percutaneous transarterial embolization. J Ultrasound Med. 2000;19:277–280
  12. Bisschops RH, Popma JJ, Meyerovitz MF. Treatment of fibromuscular dysplasia and renal artery aneurysm with use of a stent-graft. J Vasc Interv Radiol. 2001;12:757–760
  13. Beseth BD, Quinones-Baldrich WJ. Renal artery aneurysm secondary to fibromuscular dysplasia in a young patient. Ann Vasc Surg. 2005;19:605–608
  14. Castaneda-Zuniga W, Zollikofer C, Valdez-Davila O, Nath PH, Amplatz K. Giant aneurysms of the renal arteries: an unusual manifestation of fibromuscular dysplasia. Radiology. 1979;133:327–330
  15. Plouin PF, Perdu J, La Batide-Alanore A, Boutouyrie P, Gimenez-Roqueplo AP, Jeunemaitre X. Fibromuscular dysplasia. Orphanet J Rare Dis. 2007;2:28
  16. Neymark E, LaBerge JM, Hirose R, Melzer JS, Kerlan RK, Wilson MW, et al. Arteriographic detection of renovascular disease in potential renal donors: incidence and effect on donor surgery. Radiology. 2000;214:755–760
  17. Beregi JP, Louvegny S, Gautier C, Mounier-Vehier C, Moretti A, Desmoucelle F, et al. Fibromuscular dysplasia of the renal arteries: comparison of helical CT angiography and arteriography. AJR Am J Roentgenol. 1999;172:27–34
  18. Witz M, Lehmann JM. Aneurysmal arterial disease in a patient with Ehlers–Danlos syndrome. Case report and literature review. J Cardiovasc Surg (Torino). 1997;38:161–163
  19. Yigal A, Tal H, Nurit H, Tova CS, Hershcovici T. Thromboembolic renal infarction due to a renal artery aneurysm in a patient with Ehlers–Danlos syndrome type IV. Eur J Intern Med. 2006;17:377–379
  20. Goy JJ, Tinguely F, Poncioni L, Berger A, Stauffer JC. Aneurysm of the renal artery in a patient with the Marfan syndrome, treated by stenting and coils implantation. Catheter Cardiovasc Interv. 2007;69:701–703
  21. Sharma AK. Renal artery aneurysm, hypertension and neurofibromatosis. J R Soc Med. 1991;84:373–374
  22. Han M, Criado E. Renal artery stenosis and aneurysms associated with neurofibromatosis. J Vasc Surg. 2005;41:539–543
  23. North KN, Whiteman DA, Pepin MG, Byers PH. Cerebrovascular complications in Ehlers–Danlos syndrome type IV. Ann Neurol. 1995;38:960–964
  24. Dietz HC, Cutting GR, Pyeritz RE, Maslen CL, Sakai LY, Corson GM, et al. Marfan syndrome caused by a recurrent de novo missense mutation in the fibrillin gene. Nature. 1991;352:337–339
  25. Sakai LY, Keene DR, Engvall E. Fibrillin, a new 350-kD glycoprotein, is a component of extracellular microfibrils. J Cell Biol. 1986;103:2499–2509
  26. Loeys BL, Schwarze U, Holm T, Callewaert BL, Thomas GH, Pannu H, et al. Aneurysm syndromes caused by mutations in the TGF-beta receptor. N Engl J Med. 2006;355:788–798
  27. Johnson PT, Chen JK, Loeys BL, Dietz HC, Fishman EK. Loeys–Dietz syndrome: MDCT angiography findings. AJR Am J Roentgenol. 2007;189:W29–W35
  28. Lie JT. Diagnostic histopathology of major systemic and pulmonary vasculitic syndromes. Rheum Dis Clin North Am. 1990;16:269–292
  29. Eble JN. Angiomyolipoma of kidney. Semin Diagn Pathol. 1998;15:21–40
  30. Earthman WJ, Mazer MJ, Winfield AC. Angiomyolipomas in tuberous sclerosis: subselective embolotherapy with alcohol, with long-term follow-up study. Radiology. 1986;160:437–441
  31. van Baal JG, Smits NJ, Keeman JN, Lindhout D, Verhoef S. The evolution of renal angiomyolipomas in patients with tuberous sclerosis. J Urol. 1994;152:35–38
  32. Yamakado K, Tanaka N, Nakagawa T, Kobayashi S, Yanagawa M, Takeda K. Renal angiomyolipoma: relationships between tumor size, aneurysm formation, and rupture. Radiology. 2002;225:78–82
  33. Hupp T, Allenberg JR, Post K, Roeren T, Meier M, Clorius JH. Renal artery aneurysm: surgical indications and results. Eur J Vasc Surg. 1992;6:477–486
  34. Murray SP, Kent C, Salvatierra O, Stoney RJ. Complex branch renovascular disease: management options and late results. J Vasc Surg. 1994;20:338–345[discussion 346]
  35. Martin RS, Meacham PW, Ditesheim JA, Mulherin JL, Edwards WH. Renal artery aneurysm: selective treatment for hypertension and prevention of rupture. J Vasc Surg. 1989;9:26–34
  36. Ortenberg J, Novick AC, Straffon R AStewart BH. Surgical treatment of renal artery aneurysms. Br J Urol. 1983;55:341–346
  37. Kember PG, Peck RJ. Renal arteriovenous malformation mimicking hydronephrosis. J Clin Ultrasound. 1998;26:95–97
  38. Takaha M, Matsumoto A, Ochi K, Takeuchi M, Takemoto M, Sonoda T. Intrarenal arteriovenous malformation. J Urol. 1980;124:315–318
  39. Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics. 2005;25(Suppl 1):S173–S189
  40. Barlow B, Gandhi R. Renal artery thrombosis following blunt trauma. J Trauma. 1980;20:614–617
  41. Mejia JC, Myers JG, Stewart RM, Dent DL, Connaughton JC. A right renal vein pseudoaneurysm secondary to blunt abdominal trauma: a case report and review of the literature. J Trauma. 2006;60:1124–1128
  42. Hewett JJ, Freed KS, Sheafor DH, Vaslef SN. Contained hematoma (pseudoaneurysm) of the inferior vena cava associated with blunt abdominal trauma. AJR Am J Roentgenol. 1999;172:1144
  43. Yacoe ME, Dake MD. Development and resolution of systemic and coronary artery aneurysms in Kawasaki disease. AJR Am J Roentgenol. 1992;159:708–710
  44. Rose V. Kawasaki syndrome–cardiovascular manifestations. J Rheumatol Suppl. 1990;24:11–14
  45. Smith JN, Hinman F. Intrarenal arterial aneurysms. J Urol. 1967;97:990–996
  46. Grosser G, Mundinger A, Pumpe C, Herbst EW, Kuhlmann M, Kropelin T. Renal artery aneurysm in Wegener's granulomatosis. Rofo. 1989;151:167–170
  47. Chan RJ, Goodman TA, Aretz TH, Lie JT. Segmental mediolytic arteriopathy of the splenic and hepatic arteries mimicking systemic necrotizing vasculitis. Arthritis Rheum. 1998;41:935–938
  48. Heritz DM, Butany J, Johnston KW, Sniderman KW. Intraabdominal hemorrhage as a result of segmental mediolytic arteritis of an omental artery: case report. J Vasc Surg. 1990;12:561–565
  49. Lee SI, Chew FS. Splanchnic segmental arterial mediolysis. AJR Am J Roentgenol. 1998;170:122
  50. Lapeyre M, Correas JM, Ortonne N, Balleyguier C, Helenon O. Color-flow Doppler sonography of pseudoaneurysms in patients with bleeding renal angiomyolipoma. AJR Am J Roentgenol. 2002;179:145–147
  51. Laouad I, Buchler M, Noel C, Sadek T, Maazouz H, Westeel PF, et al. Renal artery aneurysm secondary to Candida albicans in four kidney allograft recipients. Transplant Proc. 2005;37:2834–2836
  52. Potti A, Danielson B, Sen K. “True” mycotic aneurysm of a renal artery allograft. Am J Kidney Dis. 1998;31:E3
  53. Sliker CW. Renal artery mycotic pseudoaneurysm: diagnosis with multidetector computed tomographic angiography. Emerg Radiol. 2005;11:250–251
  54. DuBrow RA, Patel SK. Mycotic aneurysm of the renal artery. Radiology. 1981;138:577–582
  55. Fujikata S, Tanji N, Iseda T, Ohoka H, Yokoyama M. Mycotic aneurysm of the renal transplant artery. Int J Urol. 2006;13:820–823
  56. Robbs JV, Baker LW. Tuberculous renal artery aneurysm: a case report. S Afr Med J. 1976;50:731–735
  57. Rabinowitz R, Schillinger JF, Churchill BM. Leaking mycotic aneurysm of renal artery in a child. J Urol. 1979;121:84–85
  58. Nosher JL, Chung J, Brevetti LS, Graham AM, Siegel RL. Visceral and renal artery aneurysms: a pictorial essay on endovascular therapy. Radiographics. 2006;26:1687–1704[quiz 1687]
  59. Deitch JS, Hansen KJ, Regan JD, Burkhart JM, Ligush J. Infected renal artery pseudoaneurysm and mycotic aortic aneurysm after percutaneous transluminal renal artery angioplasty and stent placement in a patient with a solitary kidney. J Vasc Surg. 1998;28:340–344
  60. Vosshenrich R, Fischer U. Contrast-enhanced MR angiography of abdominal vessels: is there still a role for angiography?. Eur Radiol. 2002;12:218–230
  61. Fleming H, Ostor AG, Pickel H, Fortune DW. Arteriovenous malformations of the uterus. Obstet Gynecol. 1989;73:209–214
  62. Flynn MK, Levine D. The noninvasive diagnosis and management of a uterine arteriovenous malformation. Obstet Gynecol. 1996;88:650–652
  63. Huang MW, Muradali D, Thurston WA, Burns PN, Wilson SR. Uterine arteriovenous malformations: gray-scale and Doppler US features with MR imaging correlation. Radiology. 1998;206:115–123
  64. Faggioli GL, Gargiulo M, Bertoni F, Tarantini S, Stella A. Hypertension due to an aneurysm of the left renal artery in a patient with neurofibromatosis. Ann Vasc Surg. 1992;6:456–459
  65. Hantman SS, Barie JJ, Glendening TB, Eisenberg MN, Rapoport KD. Giant renal artery aneurysm mimicking a simple cyst on ultrasound. J Clin Ultrasound. 1982;10:136–139
  66. Prokop M. Protocols and future directions in imaging of renal artery stenosis: CT angiography. J Comput Assist Tomogr. 1999;23(Suppl 1):S101–S110
  67. Smith PA, Fishman EK. Three-dimensional CT angiography: renal applications. Semin Ultrasound CT MR. 1998;19:413–424
  68. Fink C, Hallscheidt PJ, Hosch WP, Ott RC, Wiesel M, Kauffmann GW, et al. Preoperative evaluation of living renal donors: value of contrast-enhanced 3D magnetic resonance angiography and comparison of three rendering algorithms. Eur Radiol. 2003;13:794–801
  69. Kaatee R, Van Leeuwen MS, De Lange EE, Wilting JE, Beek FJ, Beutler JJ, et al. Spiral CT angiography of the renal arteries: should a scan delay based on a test bolus injection or a fixed scan delay be used to obtain maximum enhancement of the vessels?. J Comput Assist Tomogr. 1998;22:541–547
  70. Yang JC, Hye RJ. Ruptured renal artery aneurysm during pregnancy. Ann Vasc Surg. 1996;10:370–372
  71. Cerny JC, Chang CY, Fry WJ. Renal artery aneurysms. Arch Surg. 1968;96:653–663
  72. Fiesseler FW, Riggs RL, Shih R. Ruptured renal artery aneurysm presenting as hematuria. Am J Emerg Med. 2004;22:232–234
  73. McKenzie CG. Rupture of a renal artery aneurysm presenting with severe haematuria and clot retention. Br J Surg. 1967;54:660–662
  74. Bastounis E, Pikoulis E, Georgopoulos S, Alexiou D, Leppaniemi A, Boulafendis D. Surgery for renal artery aneurysms: a combined series of two large centers. Eur Urol. 1998;33:22–27
  75. Henriksson C, Bjorkerud S, Nilson AE, Pettersson S. Natural history of renal artery aneurysm elucidated by repeated angiography and pathoanatomical studies. Eur Urol. 1985;11:244–248
  76. Hubert JP, Pairolero PC, Kazmier FJ. Solitary renal artery aneurysm. Surgery. 1980;88:557–565
  77. Stanley JC, Rhodes EL, Gewertz BL, Chang CY, Walter JF, Fry WJ. Renal artery aneurysms. Significance of macroaneurysms exclusive of dissections and fibrodysplastic mural dilations. Arch Surg. 1975;110:1327–1333
  78. Rundback JH, Rizvi A, Rozenblit GN, Poplausky M, Maddineni S, Crea G, et al. Percutaneous stent-graft management of renal artery aneurysms. J Vasc Interv Radiol. 2000;11:1189–1193
  79. Klein GE, Szolar DH, Breinl E, Raith J, Schreyer HH. Endovascular treatment of renal artery aneurysms with conventional non-detachable microcoils and Guglielmi detachable coils. Br J Urol. 1997;79:852–860
  80. Centenera LV, Hirsch JA, Choi IS, Beckmann CF, Gillard CS, Libertino J. Wide-necked saccular renal artery aneurysm: endovascular embolization with the Guglielmi detachable coil and temporary balloon occlusion of the aneurysm neck. J Vasc Interv Radiol. 1998;9:513–516
  81. Gandini R, Spinelli A, Pampana E, Fabiano S, Pendenza G, Simonetti G. Bilateral renal artery aneurysm: percutaneous treatment with stent-graft placement. Cardiovasc Intervent Radiol. 2006;29:875–878
  82. Manninen HI, Berg M, Vanninen RL. Stent-assisted coil embolization of wide-necked renal artery bifurcation aneurysms. J Vasc Interv Radiol. 2008;19:487–492
  83. deSouza NM, Reidy JF, Koffman CG. Arteriovenous fistulas complicating biopsy of renal allografts: treatment of bleeding with superselective embolization. AJR Am J Roentgenol. 1991;156:507–510
  84. Lupattelli T, Abubacker Z, Morgan R, Belli AM. Embolization of a renal artery aneurysm using ethylene vinyl alcohol copolymer (Onyx). J Endovasc Ther. 2003;10:366–370
  85. Gupta V, Galwa R, Khandelwal N, Bapuraj JR. Postpyelolithotomy renal artery pseudoaneurysm management with percutaneous thrombin injection: a case report. Cardiovasc Intervent Radiol. 2008;31:422–426
  86. Lal A, Kumar A, Prakash M, Singhal M, Agarwal MM, Sarkar D, et al. Percutaneous cyanoacrylate glue injection into the renal pseudoaneurysm to control intractable hematuria after percutaneous nephrolithotomy. Cardiovasc Intervent Radiol. 2009;32:767–771
  87. Kothary N, Soulen MC, Clark TW, Wein AJ, Shlansky-Goldberg RD, Crino PB, et al. Renal angiomyolipoma: long-term results after arterial embolization. J Vasc Interv Radiol. 2005;16:45–50
  88. Crotty KL, Orihuela E, Warren MM. Recent advances in the diagnosis and treatment of renal arteriovenous malformations and fistulas. J Urol. 1993;150:1355–1359

☆ No disclosures of possible conflict of interest and/or commercial involvement.

PII: S0899-7071(09)00308-8

doi: 10.1016/j.clinimag.2009.12.001

Clinical Imaging
Volume 35, Issue 1 , Pages 29-41 , January 2011

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