Hybrid Management for Anterior Nutcracker Syndrome: Left Renal Vein Stenting with Laparoscopic Stent Exofixation.
Laparoscopic stent exofixation
Left renal vein stenting
Nutcracker syndrome
Stent migration
Journal
EJVES vascular forum
ISSN: 2666-688X
Titre abrégé: EJVES Vasc Forum
Pays: England
ID NLM: 101766732
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
03
2021
revised:
30
08
2021
accepted:
11
11
2021
entrez:
24
2
2022
pubmed:
25
2
2022
medline:
25
2
2022
Statut:
epublish
Résumé
Left renal vein stenting (LRVS) for the treatment of anterior nutcracker syndrome (NCS) has been associated with a significant risk of stent migration into the inferior vena cava or right ventricle. A hybrid technique is reported for the treatment of NCS to prevent stent migration. The first part of the procedure consists of LRVS at the level of the aortomesenteric compression. The second part consists of laparoscopic stent exofixation through a transperitoneal direct approach. The left renal vein is exposed in order to visualise the stent meshes through the venous wall. Stent exofixation in performed with a simple transfixing polypropylene stitch, reinforced with a Teflon pledget. The hybrid treatment of anterior NCS combining laparoscopic stent exofixation with left renal vein stenting is a simple and low morbidity technique. Further follow up data are needed to evaluate its potential benefit in reducing the risk of left renal vein stent migration.
Identifiants
pubmed: 35199081
doi: 10.1016/j.ejvsvf.2021.11.001
pii: S2666-688X(21)00061-7
pmc: PMC8850327
doi:
Types de publication
Journal Article
Langues
eng
Pagination
44-48Informations de copyright
© 2021 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery.
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