Posterior nutcracker syndrome: an infrequent cause of hematuria

Allam, Sridhar R.; Livingston, Tom S.; Kalaria, Vijay G.; Diaz-Calderon, Wilder; Pumphrey, John A; Patel, Lincoln; Sankarapandian, Balamurugan

doi:10.1038/ki.2013.308

Cited by 7 publications

(4 citation statements)

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“… 6 To date, endovascular intervention has been described in only two cases of PNCS that used a 10 × 37-mm balloon-expandable stent and a 14 × 40-mm self-expandable stent, respectively ( Table ). 7 , 8 Both cases were successful at eliminating hematuria and flank pain. However, complications, such as stent thrombosis and erosion, are feared.…”

Section: Discussionmentioning

confidence: 95%

A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome

Stawiarski

Wosnitzer

Erben

2017

Journal of Vascular Surgery Cases, Innovations and Techniques

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Posterior nutcracker syndrome occurs when a retroaortic left renal vein becomes compressed between the abdominal aorta and the lumbar spine. Although open surgical approaches remain the treatment of choice, endovascular stenting has been used successfully. We describe a case of a 28-year-old man who presented with microscopic hematuria, left-sided flank pain, and testicular swelling. Computed tomography findings were consistent with posterior nutcracker syndrome. He underwent a novel hybrid operation that included left renal vein transposition followed by endovascular stenting. Repeated imaging at 3 and 12 months revealed a patent stent with complete resolution of symptoms.

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Section: Discussionmentioning

confidence: 95%

A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome

Stawiarski

Wosnitzer

Erben

2017

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…Multiple techniques have been described to treat pNCS, including conservative management, 8 , 9 , 10 LRV transposition, 11 , 12 , 13 , 14 left gonadal vein transposition, 15 nephrectomy with autotransplantation, 16 LRV venoplasty and stenting, 17 , 18 hybrid LRV transposition with stenting, 19 and extravascular stenting. 20 …”

Section: Discussionmentioning

confidence: 99%

Left renal vein transposition for posterior Nutcracker syndrome

Hilaire

Paisley

Greene

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…More rarely, the nutcracker phenomenon may be posterior, resulting from LRV compression between the aorta and the spine or even in a circumaortic renal vein. Given that this condition is rare, defining the role of endovascular treatment is difficult, because there is no evidence of the outcomes of these patients in the long term [7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

“…Given that this condition is rare, defining the role of endovascular treatment has been difficult, because no evidence is available of the outcomes for these patients in the long term. 7 , 8 , 9 , 10 …”

mentioning

confidence: 99%