Endovascular repair of a complex renal artery aneurysm using Pipeline (TM) Embolization Device (PED) assisted coil embolization

Authors

  • Jeff Jingfeng Liang
  • Gary Duckwiler
  • Jeremy Middleton
  • John Moriarty
  • Justin McWilliams

DOI:

https://doi.org/10.3941/jrcr.v15i10.4156

Keywords:

Renal artery aneurysm, visceral aneurysm, flow diverting stent, Pipeline, coil embolization

Abstract

Background: We describe the treatment of a renal artery aneurysm with complex anatomy using coils and the Pipeline (TM) Embolization Device (Medtronic, Irvine, CA), a flow-diverting stent typically used for the treatment of intracranial aneurysms. Methods: A 62-year-old female with history of an asymptomatic right renal artery aneurysm that was discovered incidentally 10 years ago was found to have enlargement of the aneurysm (1.9cm to 2.7cm) on a repeat surveillance CT scan. She was successfully treated with combined Pipeline Embolization Device and coil embolization of the aneurysm sac. Results: Post-procedural angiography showed complete occlusion of the aneurysm with maintenance of perfusion to the entire kidney. Conclusion: Pipeline (TM) assisted coil embolization may be an option for parenchyma-sparing treatment of renal artery aneurysms with complex anatomy.

Author Biographies

Jeff Jingfeng Liang

UCLA David Geffen School of Medicine, Student

Gary Duckwiler

Division of Interventional Neuroradiology, Director

Jeremy Middleton

Department of Radiology, Resident

John Moriarty

Division of Interventional Radiology, Associate Professor

Justin McWilliams

Division of Interventional Radiology, Associate Professor

Published

2021-10-31

Issue

Section

Interventional Radiology