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Jornal Vascular Brasileiro

Print version ISSN 1677-5449On-line version ISSN 1677-7301

Abstract

AGLE, Claudia Guimarães; AMORIM FILHO, Dejean Sampaio; ALMEIDA, Leonardo Cortizo de  and  NEVES, Cesar Amorim Pacheco. Endovascular treatment of Nutcracker syndrome: case report. J. vasc. bras. [online]. 2019, vol.18, e20180135.  Epub June 06, 2019. ISSN 1677-5449.  http://dx.doi.org/10.1590/1677-5449.180135.

Chronic pelvic pain is a debilitating disease that directly impacts on quality of life and generates costs for health services. Nutcracker Syndrome is an important cause of pelvic pain and consists of a set of signs secondary to compression of the left renal vein, most commonly between the superior mesenteric artery and the aorta. Treatment remains controversial and varies depending on the patient's clinical severity. However, endovascular treatment with renal vein stenting has achieved excellent results. We report the case of a 59 year-old female treated by endovascular repair with a self-expanding nitinol stent. Clinical data, details of the procedure, and follow-up results are presented. Technical success was achieved and there patient reported no postoperative complications. Short-term, there was relief from symptoms and follow-up imaging tests showed improvement.

Keywords : nutcracker syndrome; nutcracker phenomenon; renal vein entrapment; pelvic congestion syndrome; endovascular procedures.

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