title: Stent-Assisted Coil Embolization of a Symptomatic Renal Artery Aneurysm at a Bifurcation Point.
abstract: BACKGROUND
  Symptomatic renal artery aneurysms at bifurcation points present challenging clinical scenarios rarely amenable to endovascular repair due to concerns regarding parenchymal loss following intervention. Herein, we add to the scant body of literature describing successful endovascular repair of a saccular, symptomatic renal artery aneurysm situated at a bifurcation point.
  
  
  METHODS
  A 52-year-old woman with a 2.5-cm extraparenchymal, saccular, symptomatic left renal artery aneurysm underwent self-expanding stent-assisted detachable platinum microcoil embolization.
  
  
  RESULTS
  Complete aneurysm exclusion was achieved with minimal parenchymal loss. There were no perioperative complications, and no evidence of acute kidney injury perioperatively or at 3-month follow-up. Sustained symptomatic relief was achieved.
  
  
  CONCLUSIONS
  Endovascular therapy can provide safe and effective aneurysm treatment within challenging bifurcated renal artery anatomy.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. Electronic address: naiemn@gmail.com.
authors.forename: Naiem
authors.initials: N
authors.lastname: Nassiri
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
authors.forename: Lauren A
authors.initials: LA
authors.lastname: Huntress
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D000792:Angiography; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D012079:Renal Circulation; D015607:Stents; D016896:Treatment Outcome