{Reference Type}: Journal Article
{Title}: Management of renal artery aneurysms: A retrospective study.
{Author}: Vi L;Kim MJ;Eisenberg N;Tan KT;Roche-Nagle G;
{Journal}: Vascular
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 19
{Factor}: 1.105
{DOI}: 10.1177/17085381241263190
{Abstract}: <B>BACKGROUND: </B>Although renal artery aneurysms (RAAs) are rare and often asymptomatic with slow growth, their natural progression and optimal management are not well understood. Treatment recommendations for RAAs do exist; however, they are supported by limited data.<BR><B>METHODS: </B>A retrospective cohort study was conducted to explore the management of patients diagnosed with an RAA at our institution from January 1st, 2013, to December 31st, 2020. Patients were identified through a search of our radiological database, followed by a comprehensive chart review for further assessment. Data collection encompassed patient and aneurysm characteristics, the rationale for initial imaging, treatment, surveillance, and all-cause mortality.<BR><B>RESULTS: </B>One hundred eighty-five patients were diagnosed with or treated for RAAs at our center during this timeframe, with most aneurysms having been discovered incidentally. Average aneurysm size was 1.40 cm (±0.05). Of those treated, the mean size was 2.38 cm (±0.24). Among aneurysms larger than 3 cm in size, comprising 3.24% of the total cases, 83.3% underwent treatment procedures. Only 20% of women of childbearing age received treatment for their aneurysms. There was one instance of aneurysm rupture, with no associated mortality or significant morbidity.<BR><B>CONCLUSIONS: </B>Our institution's management of RAAs over the period of the study generally aligned with guidelines. One potential area of improvement is more proactive intervention for women of childbearing age.