Nutcracker syndrome treated by intravascular ultrasound-guided endovascular stenting

中山醫學大學機構典藏 CSMUIR > 行政單位 > 研發處 > 期刊論文 > Item 310902500/25123

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题名:	Nutcracker syndrome treated by intravascular ultrasound-guided endovascular stenting
作者:	Chang, Kuan-Chieh Tu ； Po-Yu Lai ； Chun-Hung Su ； Shao-Fan Huang ； Kai-Wei
贡献者:	中山醫學大學
日期:	2022-06-01
上传时间:	2022-10-21T03:28:26Z (UTC)
出版者:	中山醫學大學
摘要:	Nutcracker syndrome is an uncommon disease and should be easily overlooked. It is characterized by left renal vein entrapment between the abdominal aorta and the superior mesenteric artery. Hematuria and abdominal or flank pain are the most common symptoms. We present a 36-year-old female with chronic lower abdominal pain for 2 months. Computed tomography revealed extrinsic compression of the left renal vein by the aorta and superior mesenteric artery. Venography with pressure measurement showed a 6-mmHg pressure gradient between the left renal vein and the inferior vena cava. Nutcracker syndrome was confirmed. Endovascular stenting was performed under intravascular ultrasound guidance. After procedure, the pressure gradient between the left renal vein and inferior vena cava fell to 0-mmHg and her symptoms resolved. Endovascular stenting is becoming popular among intervention therapies as it is less invasive with a satisfactory result. Intravascular ultrasound can provide more precise lesion information and is helpful in stent sizing and identifying appropriate landing zone.
URI:	https://ir.csmu.edu.tw:8080/handle/310902500/25123
關聯:	中山醫學雜誌； 33卷1期 (2022 / 06 / 01) ， P69 - 74
显示于类别:	[研發處] 期刊論文

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