Endovascular management of recurrent stenosis following left renal vein transposition for the treatment of Nutcracker syndrome Donald T. Baril, MD, Patricio.

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Presentation transcript:

Endovascular management of recurrent stenosis following left renal vein transposition for the treatment of Nutcracker syndrome Donald T. Baril, MD, Patricio Polanco, MD, Michel S. Makaroun, MD, Rabih A. Chaer, MD Journal of Vascular Surgery Volume 53, Issue 4, Pages 1100-1103 (April 2011) DOI: 10.1016/j.jvs.2010.10.112 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomographic (CT) venogram demonstrating narrowing of left renal vein between the aorta and the superior mesenteric artery. Journal of Vascular Surgery 2011 53, 1100-1103DOI: (10.1016/j.jvs.2010.10.112) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Duplex imaging of left renal vein narrowing with peak systolic velocity (PSV) of 173 cm/s. Journal of Vascular Surgery 2011 53, 1100-1103DOI: (10.1016/j.jvs.2010.10.112) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Left renal venogram with large collateral 10 months after transposition. B, Left renal venogram after self-expanding stent placement. Journal of Vascular Surgery 2011 53, 1100-1103DOI: (10.1016/j.jvs.2010.10.112) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 A, Intravascular ultrasound (IVUS) demonstrating recurrent stenosis of the transposed left renal vein. B, IVUS following successful angioplasty and stenting. Journal of Vascular Surgery 2011 53, 1100-1103DOI: (10.1016/j.jvs.2010.10.112) Copyright © 2011 Society for Vascular Surgery Terms and Conditions