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Endovascular stent placement for the treatment of nutcracker syndrome
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  • 作者:Yang Liu (1) liuyang_sdu@126.com
    Yan Sun (1) sdxueguan@163.com
    Xue J. Wu (1) Drwuxuejun@126.com
    Yue Jiang (1) jiangyue-6688@163.com
    Xing Jin (1) jinxing_888@126.com
  • 关键词:Nutcracker syndrome – ; Diagnosis – ; Surgical treatment – ; Endovascular stent
  • 刊名:International Urology and Nephrology
  • 出版年:2012
  • 出版时间:August 2012
  • 年:2012
  • 卷:44
  • 期:4
  • 页码:1097-1100
  • 全文大小:215.1 KB
  • 参考文献:1. de Schepper A (1972) Nutcracker fenomeen van da vena renalis envenuez pathologie van de linker nier. J Belge Radiol 55:507–511
    2. Shin JI, Lee JS, Kim MJ (2006) The prevalence, physical characteristics and diagnosis of nutcracker syndrome. Eur J Vasc Endovasc Surg 32:335–336
    3. Ahmed K, Sampath R, Khan MS (2006) Current trends in the diagnosis and management of renal nutcracker syndrome: a review. Eur J Vasc Endovasc Surg 31:410–416
    4. El-Sda AR, Mina E (1950) Anatomical and surgical aspects in the operative management of varicoceles. Urol Cutan Rev 54:257–262
    5. Takebayashi S, Ueki T, Ikeda N et al (1999) Diagnosis of the nutcracker syndrome with color Doppler sonography: correlation with flow patterns on retrograde left renal venography. AJR Am J Roentgenol 172:39–43
    6. Kawamoto S, Horton K, Fishman E (2008) Nutcracker phenomenon demonstrated by multidetector computed tomography with three-dimensional imaging. Urology 71(2):227–229
    7. Beinart C, Sniderman KW, Tamura S et al (1982) Left renal vein to inferior vena cava pressure relationship in humans. J Urol 127(6):1070–1071
    8. Kim JY, Joh JH, Choi HY et al (2006) Transposition of the left renal vein in nutcracker syndrome. Eur J Vasc Endovasc Surg 31:80–82
    9. Wei SM, Chen ZD, Zhou M (2003) Intravenous stent placement for the treatment of the nutcracker syndrome. J Urol 170:1934–1935
    10. Chen S, Zhang H, Tian L et al (2009) A stranger in the heart: LRV stent migration. Int Urol Nephrol 41:427–430
  • 作者单位:1. Department of Vascular Surgery, Provincial Hospital Affiliated to Shandong University, 324 Road Jing Wu Wei Qi, Jinan, 250021 Shandong, China
  • ISSN:1573-2584
文摘
A patient presented with recurrent macroscopic hematuria, persistent orthostatic proteinuria and intermittent flank pain for 12 months. Doppler ultrasound, computed tomography angiography and selective renal vein phlebography revealed the compression of the left renal vein by the abdominal aorta. The patient was diagnosed with nutcracker syndrome and underwent endovascular stent placement. No intraoperative or postoperative complications occurred. The clinical symptoms completely resolved 14 days after the operation. At a follow-up of 6 months, the patient continued to be asymptomatic.

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