Renal artery entrapment — anatomical risk factors rating

Arazińska, Agata; Polguj, Michał; Topol, Mirosław; Wojciechowski, Andrzej; Trębiński, Łukasz; Stefańczyk, Ludomir

doi:10.5603/fm.a2016.0017

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…Most cases of renal entrapment are results of musculotendinous fibres, hypertrophic diaphragmatic crus or high ectopic renal artery origin. (Arazińska et al 2016) This case is extraordinary because the left renal artery is compressed by the inferior mesenteric artery. The patient may not have suffered any symptoms due to adequate perfusion of the kidney, being a consequence of fusion and presence of two other arteries.…”

Section: Discussionmentioning

confidence: 98%

Coexistence of a rare type of ectopic kidney with atypical renal vasculature

Waśniewska¹,

Bukowski²,

Szymański

et al. 2020

Anat Sci Int

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Knowledge of anatomical anomalies is significant for all specialists in clinical practice and may prevent serious complications following medical procedures. This report presents the rare crossed fused renal ectopia (CFRE) with atypical renal vasculature in cadaver of a 68-year-old man. The ectopic kidney was located on right side with four renal veins, three renal arteries, two ureters, where one of them is double. The embryological background, as well as the potential clinical significance of this morphological variation, is discussed. An interventional radiological and surgical procedure should be appropriately implemented to treat anomalies of vessels and CFRE.

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Section: Discussionmentioning

confidence: 98%

Coexistence of a rare type of ectopic kidney with atypical renal vasculature

Waśniewska¹,

Bukowski²,

Szymański

et al. 2020

Anat Sci Int

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“…In a study on 204 computed tomography images, Arazińska et al [34] reported a mean RA-CT distance of 25.53±6.59 mm. On the other hand, measurements performed in males aged 18 to 45 years showed that the distance between RA and CT was 16-129 mm (mean, 33 mm) and the distance between RA and AB was 66-123 mm (mean, 97 mm) [35].…”

Section: Distances Of Renal Arteries To Ct and Abmentioning

confidence: 99%

Morphological and Morphometric Analysis of the Renal Artery Using Computed Tomographic Angiography

Taşdemir,

Öztürk,

Çiftçi

et al. 2023

Eur J Ther

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Objective: The anatomical features of the renal arteries are important for the diagnosis of various diseases affecting the kidneys and the renal arteries (RA), as well as for preoperative planning of surgical interventions. The objective of this study was to conduct a comprehensive analysis of the morphological and morphometric parameters of renal arteries specific to the Turkish population. Methods: RA diameter, angle, and distance to other vessels were performed on computed tomography angiography images of 299 patients (156 women, 143 men), considering their branching variations and the level of origin from the abdominal aorta. Results: The frequency of RA variations was 16.5%. The right RA was observed to arise between the lower T12 level and middle L4 level, most commonly (25.39%) at the L1-2 disc level. The left RA was found to originate between the upper T12 level and lower L3 level, mostly (27.44%) at the L1-2 disc level. The mean diameter of the right RA was 5.49±1.24 mm in females and 6.01±1.69 mm in males, while the mean diameter of the left RA was 5.96±1.44 mm in females and 6.45±1.74 mm in males. The mean exit angle of the right RA from the abdominal aorta was 57.06±17.27° in females and 57.65±16.62° in males, and that of the left RA was 67.05±18.13° in females and 70.37±17.42° in males. The distance of the right RA to the celiac trunk was 3.1±1.29 cm, and its distance to the aortic bifurcation was 9.56±1.52 cm. The distance of the left RA to the celiac trunk was 3.27±1.25 cm, and its distance to the aortic bifurcation was 9.38±1.41 cm. Analysis of the relationship of the study parameters with age showed statistically significant correlations between age and the left RA diameter and between age and the distance of both the right and left renal arteries to the celiac trunk. Conclusion: This study could contribute to the literature on renal artery morphology and morphometry in the Turkish population and provide guidance to clinicians.

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“…The ligament is highly variable with an appearance ranging from a well‐defined ligamentous mass to an amorphous area of connective tissue. In some patients, low insertion or high origin of the celiac or renal artery relative to the MAL may cause extrinsic compression of the celiac, mesenteric (Kopecky et al, ; Ilica et al, ; Matusz et al, ), and renal arteries (Ilica et al, ; Arazińska et al, ), as well as, the aorta (Curl et al, ). Compression of the celiac axis by the median arcuate ligament produces characteristic findings that are visible on CT angiography, which demonstrates a characteristic focal narrowing in the proximal celiac axis.…”

Section: Introductionmentioning

confidence: 99%

Median arcuate ligament syndrome: Predictor of ischemic complications?

et al. 2016

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Median arcuate ligament syndrome (MALS) is a pathologic entity that can affect the celiac axis. Due to the extensive collateral network of mesenteric circulation, stenosis of one mesenteric artery does not lead to significant symptoms. The purpose of this study was to describe multidetector computed tomography (MDCT) angiography findings of celiac artery entrapment by the median arcuate ligament and determine those patients with high risks of ischemic complications. From January 2012 to March 2016, 103 patients with celiac artery (CA) compression by median arcuate ligament were detected. In 23 patients collateral circulation was developed. In order to investigate the problem, we managed to estimate the correlation between range of stenosis of CA and presence of collateral circulation between the celiac artery (CA) and superior mesenteric artery (SMA). A statistically significant correlation was found between range of CA stenosis and collateral circulation presence (Spearman's correlation coefficient 0.339, P < 0.0001). In conclusions, based on our observations, we hypothesize that ischemia as a result of mesenteric vessel narrowing by the median arcuate ligament may occur more often than indicated by clinical symptoms and described in literature. Clin. Anat. 29:1025-1030, 2016. © 2016 Wiley Periodicals, Inc.

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Renal artery entrapment — anatomical risk factors rating

Abstract: p < 0.033 (Folia Morphol 2016; 75, 4: 486-492)

Cited by 5 publications

References 16 publications

Coexistence of a rare type of ectopic kidney with atypical renal vasculature

Coexistence of a rare type of ectopic kidney with atypical renal vasculature

Morphological and Morphometric Analysis of the Renal Artery Using Computed Tomographic Angiography

Median arcuate ligament syndrome: Predictor of ischemic complications?

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