Tratamento endovascular da síndrome de quebra-nozes: relato de caso

Agle, Claudia Guimarães; Filho, Dejean Sampaio Amorim; Almeida, Leonardo Cortizo de; Neves, Cesar Amorim Pacheco

doi:10.1590/1677-5449.180135

Cited by 5 publications

(7 citation statements)

References 16 publications

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“…Conservative treatment, of choice, when possible, consists in restoring the normal layer of peri-vascular fat tissue with a high calorie diet [ 34 ]. The other two therapeutic approaches are surgical treatment [ 35 , 36 ] and endovascular stenting treatment [ 37 ]. The surgical treatment consists in overcoming the stenosis with the resection of the first jejunal loop and the retrovascular duodenum followed by the anastomosis between the duodenum and the second jejunal loop which are anteriorized.…”

Section: Nutcracker Syndrome (Ncs)mentioning

confidence: 99%

The role of ultrasound imaging in vascular compression syndromes

Farina¹,

Foti²,

Conti³

et al. 2021

Ultrasound J

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Vascular compression syndromes are rare alterations that have in common the compression of an arterial and/or venous vessel by contiguous structures and can be congenital or acquired. The best known are the Thoracic Outlet Syndrome, Nutcracker Syndrome, May–Thurner Syndrome, and Dunbar Syndrome. The incidence of these pathologies is certainly underestimated due to the non-specific clinical signs and their frequent asymptomaticity. Being a first-level method, Ultrasound plays a very important role in identifying these alterations, almost always allowing a complete diagnostic classification. If in expert hands, this method can significantly contribute to the reduction of false negatives, especially in the asymptomatic population, where the finding of the aforementioned pathologies often happens randomly following routine checks. In this review, we briefly discuss the best known vascular changes, the corresponding ultrasound anatomy, and typical ultrasound patterns.

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Section: Nutcracker Syndrome (Ncs)mentioning

confidence: 99%

The role of ultrasound imaging in vascular compression syndromes

Farina¹,

Foti²,

Conti³

et al. 2021

Ultrasound J

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“…The progressive increase in LRV pressure promotes the development of varices in the renal pelvis and ureter, leading to the most commonly found symptom, hematuria. Other possible symptoms include left flank pain, diffuse abdominal pain, chronic pelvic pain, varicocele, and chronic fatigue (WANG et al, 2012;ANANTHAN et al, 2017;VELASQUEZ et al, 2017;AGLE et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…The exact prevalence of NCS is unknown, partly due to the lack of definitive diagnostic criteria and partly due to the variability in clinical presentation (AGLE et al, 2019). Patients can present at any age, from infancy to the seventh decade, with a peak prevalence in young people (second or third decade) and middleaged adults (ANANTHAN et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Patients can present at any age, from infancy to the seventh decade, with a peak prevalence in young people (second or third decade) and middleaged adults (ANANTHAN et al, 2017). Initially, the prevalence of this condition was reported as higher in females, however, subsequent studies demonstrated that it is equally prevalent among both sexes (ANANTHAN et al, 2017;VELASQUEZ et al, 2017;AGLE et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Complications of Endovascular Treatment in Patients with Nutcracker Syndrome: A Literature Review

Silvério da Paixão,

Costa Muniz,

Esteves Silva

et al. 2023

ijSciences

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Nutcracker Syndrome, a rare anatomical condition, consists of the compression of the Left Renal Vein as it passes at the Aortomesenteric level and results in nonspecific signs and symptoms. Its exact prevalence is unknown and can present at any age, with a peak prevalence between the second and third decade. Its diagnosis is of exclusion and is primarily through imaging tests, with Venography and pressure gradient measurement being the gold standard. Treatment varies according to clinical severity, ranging from conservative measures to surgical approach, either open or endovascular. The latter, despite being safer, can present various complications. In view of this, a literature review was conducted to analyze potential complications of endovascular treatment for Nutcracker Syndrome. A total of 21 articles correlating the complications of endovascular treatment for patients with this syndrome were found and included. Most studies presented restenosis, local fibromuscular hyperplasia, erosion, thrombus occlusion, and stent migration as the main and most common complications. Stent migration can lead to worse outcomes necessitating surgical reapproach. Nutcracker Syndrome, being rare, has few studies that follow the long-term outcomes of possible treatments. Among these, endovascular treatment is currently the most recommended as it is minimally invasive, but it is not failure-free, necessitating individualized stent choice and follow-up to reduce the incidence of various complications.

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“…На сегодняшний день в доступной литературе, касающейся вопросов стентирования ЛПВ, имеются свидетельства малого опыта (суммарно не более 150) [42], преимущественно в формате «клинический случай». Мы предлагаем к обсуждению наш личный опыт эндоваскулярного лечения 35 пациентов с синдромом орехокола.…”

Section: Introductionunclassified

Left renal vein stenting: indications, disputable points, immediate and long-term results

Васильев

Жуков²,

Синицын

et al. 2021

Androl. genit. hir.

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The article presents the results of stenting of the left renal vein in 35 patients with proven hemodynamically significant compression of the vein in “aorto-mesenteric tweezers”. Clinical manifestations of lesions of the left renal vein are very diverse, and pathogenetic mechanisms remain not fully understood. Therefore, the determination of indications for stenting and perfect technical performance are predictors of success in the near and long-term periods of postoperative follow-up. Our experience in stenting the left renal vein demonstrates the possibility of achieving intraoperative technical success in 100 % of cases, as well as a significant improvement in the quality of life in most patients after endovascular intervention, due to a significant reduction in the clinical manifestations of the pathological phenomenon.

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Tratamento endovascular da síndrome de quebra-nozes: relato de caso

Cited by 5 publications

References 16 publications

The role of ultrasound imaging in vascular compression syndromes

The role of ultrasound imaging in vascular compression syndromes

Complications of Endovascular Treatment in Patients with Nutcracker Syndrome: A Literature Review

Left renal vein stenting: indications, disputable points, immediate and long-term results

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