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Vascular and Endovascular Surgery
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*Angioplasty
*Endoscopy
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Article

Novel Technique for Treatment of a Renal Artery Occlusion in a Child With Neurofibromatosis: A Combined Endovascular and Laparoscopic Approach

Bengt Lindblad*, Mats Lindh, Krassi Ivancev, Ulf Petersson, and Agneta Montgomery

* To whom correspondence should be addressed. E-mail: Bengt.Lindblad{at}med.lu.se.


   Abstract

Neurofibromatosis is associated with mid-aortic dysplasia, renal artery aneurysms and renal artery ostial stenosis, or occlusions in about 1% of cases. We describe a novel approach to recanalize an occluded renal artery in a 10-year-old girl with neurofibromatosis and difficulty in pharmacologically controlling her hypertension. Normally, when reconstruction is required, an open operative technique is used. We report on the combined use of laparoscopic exposure and percutaneous retrograde puncture of the occluded renal artery, which could be recanalized and stented. The pros and cons of this new approach are discussed.

First published on November 7, 2008, doi:10.1177/1538574408326263

Vascular and Endovascular Surgery 2009;43:199.

A more recent version of this article appeared on April 1, 2009


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