肾动脉动脉瘤:文献综述和病例报告

Q4 Medicine Revista Mexicana de Angiologia Pub Date : 2021-11-29 DOI:10.24875/rma.21000042
Víctor A. Aguilar-Garay, W. F. Mijangos, J. C. Moreno-Rojas, D. Hernández-López, Teresa M. Casares-Bran, Guillermo Díaz Terán-Aguilera
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引用次数: 0

摘要

背景:肾动脉动脉瘤(RAA)是一种罕见的血管异常,在内脏动脉瘤中发病率排名第二,发生率为0.09%,发病年龄50岁,以性别女性为主,多见于右侧。最常见的位置是实质囊状型。年增长率为0.06-0.6mm /年。虽然无症状,但70%的患者以动脉高血压为首发表现。易致血管破裂的因素被认为是常规或血管内手术治疗的绝对指征。血管内管理已显示出不断的发展,是一个可行的替代低发病率和死亡率。液体或金属材料栓塞或支架排除是已证实有效的选择,然而,它们取决于每个医院中心的可用性。目的:我们报告一例偶然诊断为右肾动脉动脉瘤的高血压患者。结果:血管内路径因破裂标准得以解决,术后进展良好,肾脏超声随访无动脉瘤血流迹象。
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Aneurisma de arteria renal: revisión de la literatura y reporte de caso
Background: Renal artery aneurysm (RAA) is a rare vascular abnormality, the second in frequency of visceral aneurysms, it occurs in 0.09% of the general population, the age of presentation is 50 years, predominance in sex female, more frequent on the right side. The most common location is parenchymal saccular type. The annual growth rate is 0.06-0.6mm per year. Although they are asymptomatic, 70% are associated with arterial hypertension as the first manifestation. The factors that predispose to rupture are considered an absolute indication for conventional or endovascular surgical management. Endo-vascular management has shown a constant evolution, being a viable alternative with low morbidity and mortality. Embolization with liquid or metallic material or exclusion with a stent are options with proven effectiveness, however, they depend on the availability of each hospital center. Objective: We present a case of a hypertensive patient with the incidental diagnosis of an aneurysm of the right renal artery. Result: endovascular route was resolved due to rupture criteria, presents good postoperative evolution, renal ultrasound follow-up without evidence of aneurysm flow.
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来源期刊
Revista Mexicana de Angiologia
Revista Mexicana de Angiologia Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.20
自引率
0.00%
发文量
19
审稿时长
16 weeks
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