Ureteric Obstruction of Solitary Kidney Following Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm: A Case Report

Abstract

Endovascular treatment of abdominal aortic aneurysm is commonplace at present. It has got lower mortality and morbidity compared to open surgical repair. However, it requires long-term follow-up. The main complications are endoleaks, stent migrations, kinks, and rupture. Ureteric obstruction is uncommon but an important complication following endovascular treatment of abdominal aortic aneurysms. We present a case of ureteric obstruction in a solitary kidney following endovascular repair of abdominal aortic aneurysm and its successful management by ureteric stenting.

Keywords

Abdominal aortic aneurysm Stenting Solitary kidney Ureteric obstruction

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References

Parodi JC , Palmaz JC , Barone HD Transfemoral intraluminal graft implantation for abdominal aortic aneurysm . Ann Vasc Surg. 1991;5:491-499.

Lederle FA , Kane RL , MacDonald R. , Wilt TJ Systematic review: repair of unruptured abdominal aortic aneurysm. Ann Intern Med. 2007;146:735-741.

Nowygrod R. , Egorova N. , Greco G. , et al. Trends, complications, and mortality in peripheral vascular surgery. J Vasc Surg. 2006;43:205-216.

Greenhalgh RM , Brown LC , Kwong GP , Powell JT , Thompson SG Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised control trial. Lancet. 2004;364: 843-848.

Subramanian K. , Woodburn KR , Travis SJ , Hancock J. Secondary interventions following endovascular repair of abdominal aortic aneurysm. Diagn Interv Radiol. 2006;12:99-104.

Simons PCG , van Overhagen H. , Bruijninckx CM , Kropman RF , Kuijpers KC Periaortitis with ureteral obstruction after endovascular repair of an abdominal aortic aneurysm. Am J Roentgenol. 2002;179: 118-120.

Lambie SH , De Nunzio M. , Williams JH , McIntyre CW Obstructive uropathy associated with endovascular repair of an inflammatory abdominal aortic aneurysm. Nephrol Dial Transplant. 2004;19:745-746.

Browning N. , Barry R. , Nel C. , Basson S. , Linde P. Late complications after aortic surgery. Ann Vasc Surg. 1994; 8:232-237.

Heard G. , Hinde G. Hydronephrosis complicating aortic reconstruction. Br J Surg . 1975;62:344-347.

10.

Deleersnijder R. , Daenens K. , Fourneau I. , Maleux G. , Nevelsteen A. Endovascular repair of inflammatory aortic aneurysms with special reference to concomitant ureteric obstruction. Eur J Vasc Endovasc Surg. 2002; 24: 146-149.

11.

Srirangam SJ , Manikandan R. , Ross D. , Collins GN Ureteric obstruction caused by aneurysm of the hypogastric artery. Scand J Urol Nephrol. 2003;37:364-365.

12.

Ueda T. , Miura N. , Suzuki K. , et al. Bilateral ureteral obstruction secondary to aneurysm of abdominal aorta: a case report [in Japanese]. Acta Urologica Japonica . 1992;38:569-572.

13.

Jetty P. , Barber GG Aortitis and bilateral ureteral obstruction after endovascular repair of abdominal aortic aneurysm. J Vasc Surg. 2004;39:1344-1347.

14.

National Institute for Health and Clinical Excellence. Interventional Procedure Guidance 163. March 2006; London, UK. ISBN 1-84629-177-1.

15.

Chung SY , Stein RJ , Landsittel D. , et al. 15-year experience with the management of extrinsic ureteral obstruction with indwelling ureteral stents. J Urol. 2004;172: 434.

16.

Wedderburn A. , Harrison M. Long-term stenting for benign ureteric disease . J R Soc Med. 1999;92: 368-369.