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    Renal Artery Aneurysm

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    Pete Cobra Cobraiti
    A renal artery aneurysm is a dilated segment of the renal artery that exceeds twice the normal diameter. They are rare, occurring in about 0.7% of people usually between ages 40-60. Most cause no symptoms but can potentially rupture, causing pain, hypertension or blood in the urine. Treatment may involve open or endovascular surgery to repair or exclude the aneurysm if it poses risks like being large, recently diagnosed as a false aneurysm, or in a pregnant woman. Outcomes are generally very good with elective repair and have improved even after rupture with advancements in care.

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    Renal Artery Aneurysm

    Uploaded by

    Pete Cobra Cobraiti
    54 views2 pages
    A renal artery aneurysm is a dilated segment of the renal artery that exceeds twice the normal diameter. They are rare, occurring in about 0.7% of people usually between ages 40-60. Most cause no symptoms but can potentially rupture, causing pain, hypertension or blood in the urine. Treatment may involve open or endovascular surgery to repair or exclude the aneurysm if it poses risks like being large, recently diagnosed as a false aneurysm, or in a pregnant woman. Outcomes are generally very good with elective repair and have improved even after rupture with advancements in care.

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    Pathophysiology on Renal artery aneurysm

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    A renal artery aneurysm is a dilated segment of the renal artery that exceeds twice the normal diameter. They are rare, occurring in about 0.7% of people usually between ages 40-60. Most cause no symptoms but can potentially rupture, causing pain, hypertension or blood in the urine. Treatment may involve open or endovascular surgery to repair or exclude the aneurysm if it poses risks like being large, recently diagnosed as a false aneurysm, or in a pregnant woman. Outcomes are generally very good with elective repair and have improved even after rupture with advancements in care.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    54 views2 pages

    Renal Artery Aneurysm

    Uploaded by

    Pete Cobra Cobraiti
    A renal artery aneurysm is a dilated segment of the renal artery that exceeds twice the normal diameter. They are rare, occurring in about 0.7% of people usually between ages 40-60. Most cause no symptoms but can potentially rupture, causing pain, hypertension or blood in the urine. Treatment may involve open or endovascular surgery to repair or exclude the aneurysm if it poses risks like being large, recently diagnosed as a false aneurysm, or in a pregnant woman. Outcomes are generally very good with elective repair and have improved even after rupture with advancements in care.

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    Pete/Jada

    Med-Surge 201
    Pathophysiology on Renal Artery Aneurysm

    Renal Artery Aneurysm:

    A renal artery aneurysm is a dilated segment of the renal artery that exceeds twice the diameter
    of a normal renal artery. These types of aneurysms are rare; the incidence is about .7 percent.
    Overall, the average age for patients to present with renal artery aneurysms is between ages 40
    and 60. One explanation can be atherosclerosis (sometimes called hardening or clogging of the
    arteries. But, normally it is more common in women than men because of the increased
    prevalence of fibromuscular dysplasia among females.
    There are two kinds of renal artery aneurysms: true and false. Ninety percent of these cases are
    true, which means all layers of the blood vessel wall are present in the aneurysm, and 10 percent
    are false (all layers are not present and the aneurysm is possibly being contained by fibrous or
    inflammatory tissue). False aneurysms are usually caused by trauma or because of a medical
    treatment or procedure.

    Renal Artery Aneurysm Symptoms:


    Most renal artery aneurysms do not produce symptoms and found incidentally on other
    abdominal imaging. Sometimes, this kind of aneurysm can rupture or cause hypertension, pain,
    and/or hematuria (blood in the urine). The most dreaded complication is rupture which could
    lead to mortality. Rupture in pregnant women has a maternal mortality rate of 55 percent, and a
    fetal death rate of 85 percent.

    Renal Artery Aneurysm Treatments:


    The medical team may recommend surgery to treat the renal artery aneurysm if it ruptures;
    causes pain, a blood clot, or hematuria; or is a recently diagnosed false aneurysm. Additionally,
    surgical treatment may be prescribed for pregnant women or women of child bearing age and
    people with aneurysms larger than two cm in diameter.
    Splenic artery aneurysm surgical treatment options include:
    Open Surgical Repair: There are various open surgeries that are available to treat renal
    artery aneurysms. A lot of the decision making as to which technique to use depends on
    the kind of the aneurysm and its relation and location to the main branches of the renal
    artery and the kidney. The most straightforward involves suturing with primary or patch
    closure. Patients with complex cases may require bypass using a vein in the leg or
    extraction of the kidney to repair the aneurysm followed by reinsertion of the kidney.
    Some patients may require total or partial nephrectomy because the anatomy may not be
    amenable to repair techniques. These operations are challenging, but, when performed by
    trained surgeons, the risk of complications is low. There is an extended length of stay and
    recovery time as compared to endovascular techniques.

    Endovascular Techniques: Endovascular techniques for repairing renal artery


    aneurysms are relatively new, but these have had optimal outcomes. The surgeon may
    recommend endovascular surgery, depending on the anatomy and location of the
    aneurysm. One endovascular treatment uses coil embolization (thin platinum or steel
    wires with retained memory that allows them to spiral once deployed from a catheter).
    Liquid embolization is another emerging technique. There has also been good experience
    using coated stent grafts for treatment as the technology has advanced. These procedures
    can be performed from the wrist or the groin with minimal complications and very short
    hospitalization and recovery times. Long-term results are unclear, so these patients
    require periodic surveillance for life.

    Outcome and prognosis are very good with elective repair. The prognosis after rupture of a renal
    artery aneurysm has also improved with advancements in care.

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