title: Endovascular Treatment of a Complex Renal Artery Aneurysm Using Coils and the Pipeline Embolization Device in a Patient with a Solitary Kidney.
abstract: BACKGROUND
  We report a case of endovascular treatment of a complex renal artery aneurysm using the Pipeline Embolization Device, a flow diverting stent which is indicated for the treatment of large and giant cerebral aneurysms.
  
  
  METHODS
  A forty-year-old female with medically refractory hypertension and congenital agenesis of the right kidney was found to have a 2.8-cm left superior renal artery branch aneurysm. The patient was treated successfully using the Pipeline Embolization Device (Medtronic, Irvine, CA) with coil embolization of the aneurysm and of one outflow vessel.
  
  
  RESULTS
  On 3-year follow-up, her renal function was normal, vascular imaging showed complete occlusion of the aneurysm, and physiological remodeling of the reconstructed artery and parenchymal imaging showed no evidence of renal infarction.
  
  
  CONCLUSIONS
  Flow diverting stents are a valuable treatment option for visceral aneurysms with complex anatomy.
authors.affiliation: Division of Vascular and Endovascular Surgery, Stony Brook University Hospital, Stony Brook, NY.
authors.forename: Demetri
authors.initials: D
authors.lastname: Adrahtas
authors.affiliation: Division of Vascular and Endovascular Surgery, Stony Brook University Hospital, Stony Brook, NY.
authors.forename: Patrick
authors.initials: P
authors.lastname: Jasinski
authors.affiliation: Division of Vascular and Endovascular Surgery, Stony Brook University Hospital, Stony Brook, NY.
authors.forename: George
authors.initials: G
authors.lastname: Koullias
authors.affiliation: Division of Vascular and Endovascular Surgery, Stony Brook University Hospital, Stony Brook, NY.
authors.forename: David
authors.initials: D
authors.lastname: Fiorella
authors.affiliation: Division of Vascular and Endovascular Surgery, Stony Brook University Hospital, Stony Brook, NY. Electronic address: Apostolos.Tassiopoulos@stonybrookmedicine.edu.
authors.forename: Apostolos K
authors.initials: AK
authors.lastname: Tassiopoulos
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000098:blood supply*; D011474:Prosthesis Design; D012077:Renal Artery / Q000000981:diagnostic imaging; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome