Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass

B. Toursarkissian, A. Mejia, M. H. Wholey, M. A. Lawler, I. M. Thompson, M. T. Sykes

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Purpose: To report the endovascular exclusion of an abdominal aortic aneurysm (AAA) in a patient with a horseshoe kidney and an isthmus mass with preservation of accessory renal vessels. Case Report: A 70-year-old man with a 5-cm AAA and renal cell carcinoma involving a horseshoe kidney was treated with an AneuRx bifurcated graft. Two accessory renal arteries believed to feed the isthmus mass were sacrificed, but 2 other accessory renal arteries from the left common iliac artery (CIA) were preserved by using an extension cuff to cover the aneurysmal left CIA distal to their origins. The right renal isthmus mass decreased in size on follow-up imaging. At 9 months, there was no endoleak evident on computed tomographic scans, and the aneurysm measured 4.8 cm. Conclusions: The presence of accessory renal arteries in AAA patients with horseshoe kidneys should not automatically exclude them from consideration for endovascular repair. Creative stent-graft arrangements can be a treatment option.

Original languageEnglish (US)
Pages (from-to)604-608
Number of pages5
JournalJournal of Endovascular Therapy
Volume8
Issue number6
DOIs
StatePublished - 2001

Fingerprint

Abdominal Aortic Aneurysm
Renal Artery
Iliac Artery
Transplants
Endoleak
Kidney
Renal Cell Carcinoma
Stents
Aneurysm
Fused Kidney
Therapeutics

Keywords

  • Accessory renal arteries
  • AneuRx endograft
  • Renal cell carcinoma
  • Renal tumor
  • Stent-grafts

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Toursarkissian, B., Mejia, A., Wholey, M. H., Lawler, M. A., Thompson, I. M., & Sykes, M. T. (2001). Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass. Journal of Endovascular Therapy, 8(6), 604-608. https://doi.org/10.1583/1545-1550(2001)008<0604:EARIAP>2.0.CO;2

Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass. / Toursarkissian, B.; Mejia, A.; Wholey, M. H.; Lawler, M. A.; Thompson, I. M.; Sykes, M. T.

In: Journal of Endovascular Therapy, Vol. 8, No. 6, 2001, p. 604-608.

Research output: Contribution to journalArticle

Toursarkissian, B, Mejia, A, Wholey, MH, Lawler, MA, Thompson, IM & Sykes, MT 2001, 'Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass', Journal of Endovascular Therapy, vol. 8, no. 6, pp. 604-608. https://doi.org/10.1583/1545-1550(2001)008<0604:EARIAP>2.0.CO;2
Toursarkissian, B. ; Mejia, A. ; Wholey, M. H. ; Lawler, M. A. ; Thompson, I. M. ; Sykes, M. T. / Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass. In: Journal of Endovascular Therapy. 2001 ; Vol. 8, No. 6. pp. 604-608.
@article{f503ad58c7454338af2d7d2bcfe253be,
title = "Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass",
abstract = "Purpose: To report the endovascular exclusion of an abdominal aortic aneurysm (AAA) in a patient with a horseshoe kidney and an isthmus mass with preservation of accessory renal vessels. Case Report: A 70-year-old man with a 5-cm AAA and renal cell carcinoma involving a horseshoe kidney was treated with an AneuRx bifurcated graft. Two accessory renal arteries believed to feed the isthmus mass were sacrificed, but 2 other accessory renal arteries from the left common iliac artery (CIA) were preserved by using an extension cuff to cover the aneurysmal left CIA distal to their origins. The right renal isthmus mass decreased in size on follow-up imaging. At 9 months, there was no endoleak evident on computed tomographic scans, and the aneurysm measured 4.8 cm. Conclusions: The presence of accessory renal arteries in AAA patients with horseshoe kidneys should not automatically exclude them from consideration for endovascular repair. Creative stent-graft arrangements can be a treatment option.",
keywords = "Accessory renal arteries, AneuRx endograft, Renal cell carcinoma, Renal tumor, Stent-grafts",
author = "B. Toursarkissian and A. Mejia and Wholey, {M. H.} and Lawler, {M. A.} and Thompson, {I. M.} and Sykes, {M. T.}",
year = "2001",
doi = "10.1583/1545-1550(2001)008<0604:EARIAP>2.0.CO;2",
language = "English (US)",
volume = "8",
pages = "604--608",
journal = "Journal of Endovascular Therapy",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "6",

}

TY - JOUR

T1 - Endovascular AAA repair in a patient with a horseshoe kidney and an isthmus mass

AU - Toursarkissian, B.

AU - Mejia, A.

AU - Wholey, M. H.

AU - Lawler, M. A.

AU - Thompson, I. M.

AU - Sykes, M. T.

PY - 2001

Y1 - 2001

N2 - Purpose: To report the endovascular exclusion of an abdominal aortic aneurysm (AAA) in a patient with a horseshoe kidney and an isthmus mass with preservation of accessory renal vessels. Case Report: A 70-year-old man with a 5-cm AAA and renal cell carcinoma involving a horseshoe kidney was treated with an AneuRx bifurcated graft. Two accessory renal arteries believed to feed the isthmus mass were sacrificed, but 2 other accessory renal arteries from the left common iliac artery (CIA) were preserved by using an extension cuff to cover the aneurysmal left CIA distal to their origins. The right renal isthmus mass decreased in size on follow-up imaging. At 9 months, there was no endoleak evident on computed tomographic scans, and the aneurysm measured 4.8 cm. Conclusions: The presence of accessory renal arteries in AAA patients with horseshoe kidneys should not automatically exclude them from consideration for endovascular repair. Creative stent-graft arrangements can be a treatment option.

AB - Purpose: To report the endovascular exclusion of an abdominal aortic aneurysm (AAA) in a patient with a horseshoe kidney and an isthmus mass with preservation of accessory renal vessels. Case Report: A 70-year-old man with a 5-cm AAA and renal cell carcinoma involving a horseshoe kidney was treated with an AneuRx bifurcated graft. Two accessory renal arteries believed to feed the isthmus mass were sacrificed, but 2 other accessory renal arteries from the left common iliac artery (CIA) were preserved by using an extension cuff to cover the aneurysmal left CIA distal to their origins. The right renal isthmus mass decreased in size on follow-up imaging. At 9 months, there was no endoleak evident on computed tomographic scans, and the aneurysm measured 4.8 cm. Conclusions: The presence of accessory renal arteries in AAA patients with horseshoe kidneys should not automatically exclude them from consideration for endovascular repair. Creative stent-graft arrangements can be a treatment option.

KW - Accessory renal arteries

KW - AneuRx endograft

KW - Renal cell carcinoma

KW - Renal tumor

KW - Stent-grafts

UR - http://www.scopus.com/inward/record.url?scp=0035663214&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035663214&partnerID=8YFLogxK

U2 - 10.1583/1545-1550(2001)008<0604:EARIAP>2.0.CO;2

DO - 10.1583/1545-1550(2001)008<0604:EARIAP>2.0.CO;2

M3 - Article

C2 - 11797977

AN - SCOPUS:0035663214

VL - 8

SP - 604

EP - 608

JO - Journal of Endovascular Therapy

JF - Journal of Endovascular Therapy

SN - 1526-6028

IS - 6

ER -