Novel technique for treatment of a renal artery occlusion in a child with neurofibromatosis: a combined endovascular and laparoscopic approach.
Neurofibromatosis is associated with mid-aortic dysplasia, renal artery aneurysms and renal artery ostial stenosis, or occlusions in about 1% of cases. We describe a novel approach to recanalize an occluded renal artery in a 10-year-old girl with neurofibromatosis and difficulty in pharmacologically controlling her hypertension. Normally, when reconstruction is required, an open operative technique is used. We report on the combined use of laparoscopic exposure and percutaneous retrograde puncture of the occluded renal artery, which could be recanalized and stented. The pros and cons of this new approach are discussed.
Lindblad
Bengt
B
Departments of Vascular Diseases, Endovascular Centre and General Surgery, University Hospital MAS, Malmö, Sweden. bengt.lindblad@med.lu.se
Lindh
Mats
M
Ivancev
Krassi
K
Petersson
Ulf
U
Montgomery
Agneta
A
D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology / Q000628:therapy; D010535:Laparoscopy / Q000009:adverse effects; D009456:Neurofibromatosis 1 / Q000150:complications*; D015641:Radiography, Interventional; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000959:Antihypertensive Agents