Laparoscopic Extravascular Renal Vein Stent Placement for Nutcracker Syndrome

Zhang, Qi; Zhang, Yuelong; Lou, Shuixin; Liu, Feng; Ye, Zai-yuan; Zhang, Dahong

doi:10.1089/end.2010.0001

Cited by 23 publications

(17 citation statements)

References 30 publications

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“…One may postulate that externally suturing stent could be a way to keep it in place; therefore, Barnes firstly reported extravascular stenting and externally suturing the stent performed by open surgery in 1988 [ 12 ]. Currently, sporadic cases of extravascular stenting for the NCS have been reported with excellent outcome at short-term follow up [ 13 – 17 ]. The stent has good conformability to adapt to the vessel wall and adhere to the vessel wall tightly [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome

et al. 2015

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BackgroundNutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal invasive procedures. Stents in the renal vein can cause fibromuscular hyperplasia, proximal migration or embolization.Case presentationA 30-year-old female was diagnosed with nutcracker syndrome for severe left flank pain. After failed conservative approach, she underwent endovascular stenting and subsequently developed recurrent symptom for stent migration one month postoperatively. She underwent successful extravascular stenting with complete symptom resolution.ConclusionThe extravascular stenting is an alternative option after migration of left renal vein endovascular stenting. The computed tomographic imaging was closely correlated to therapeutic interventions and stent migration.

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Section: Discussionmentioning

confidence: 99%

Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome

et al. 2015

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“…Extravascular stenting by laparoscopic surgery was first described by Scultetus et al [3] to avoid the increased risk of more complex reconstruction of vessels through open surgery. Currently, sporadic cases of laparoscopically placed extravascular stents for NCS have been reported with excellent outcomes at short-term follow-up [14]. However, these procedures were performed via transperitoneal approach.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Laparoscopic Extravascular Stent Placement for Renal Nutcracker Syndrome: Initial Experience

Shao²,

Qin³

et al. 2014

Urol Int

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Objective: To report our initial experience in treating renal nutcracker syndrome by retroperitoneal laparoscopic extravascular stenting. Patients and Methods: Two male patients, aged 13 and 16 years, were diagnosed with nutcracker syndrome and received retroperitoneal laparoscopic extravascular stent placement. The perioperative data were collected and evaluated. The follow-up was 10 and 18 months. Results: Both procedures were successful without obvious complications. Total operative time was 65 and 50 min, estimated blood loss was 110 and 70 ml, and postoperative hospital stay was 4 and 6 days. The symptom of gross hematuria ceased 3 and 6 days after surgery. Both patients had normal findings during follow-up. Conclusions: Treatment of nutcracker syndrome by retroperitoneal laparoscopic extravascular stent placement is a safe and feasible procedure, especially for youngsters in the period of physical development. Longer follow-up and further experience are needed to evaluate the efficacy of this procedure.

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“…Other options were described including intra-vascular or extravascular stents and renal auto transplantation. The indications for laparoscopic surgery continue to augment for the treatment of the nutcracker syndrome [12,13].…”

Section: Discussionmentioning

confidence: 99%

An unusual association of von Hippel–Lindau disease and posterior nutcracker syndrome: Management of neurological and urological aspects in a young male

Karmani¹,

Mallat²,

Hmida³

et al. 2015

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Von Hippel-Lindau (VHL) disease is a complex and systemic entity that can be discovered by neurological complications. Its association with other serious malformative disease like nutcracker syndrome (NCS) was not described, and its complex presentation must not make some other serious problem easily missed or neglected. Case Report: A 27-year-old male patient with 3 intramedullary hemangioblastoma of six months of insidious evolution complicated by medullary compression. The lesions were completely removed with excellent neurological postoperatory outcome. Thinking of VHL disease, our investigations were expanded and revealed multiple vermian and cerebellar hemangioblastomas, renal masses, and multiple pancreatic cysts. In addition, an incidentally found of posterior NCS during the abdominal computed tomography (CT) done for VHL disease investigations. Our attitude to both neurosurgical and urological problems (the serious presentation of VHL disease with multiple locations of hemangioblastoma and right renal carcinomas) and for the missed symptomatic posterior nutcracker syndrome were discussed. IJCRI publishes Conclusion:The complex presentation of the VHL disease must not makesome other serious problems easily missed or neglected like renal carcinoma or nutcracker syndrome as seen in our case.

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Laparoscopic Extravascular Renal Vein Stent Placement for Nutcracker Syndrome

Cited by 23 publications

References 30 publications

Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome

Extravascular stent management for migration of left renal vein endovascular stent in nutcracker syndrome

Retroperitoneal Laparoscopic Extravascular Stent Placement for Renal Nutcracker Syndrome: Initial Experience

An unusual association of von Hippel–Lindau disease and posterior nutcracker syndrome: Management of neurological and urological aspects in a young male

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