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• W2038058342 abstract "Introduction lower abdominal pain. Abdominal ultrasonography revealed hydronephrosis of the left kidney. There was The aetiology of retroperitoneal fibrosis remains unno evidence of nephroor ureterolithiasis. CT-scan certain. Malignant tumours, infections, systemic imdocumented a retroperitoneal soft tissue mass conmune diseases, and drugs such as beta–blockers, all stricting the left ureter suggestive of retroperitoneal have been suggested as potential causes. Enfibrosis. Percutaneous nephrostomy was performed vironmental factors such as exposure to asbestos as and treatment with prednisone 50 mg/day was well as genetic factors have also been implicated. started, with an impressive clinical and sonographic Typically, retroperitoneal fibrosis causes an extrinsic improvement. Nephrostomy catheter was removed compression of adjacent structures, with the deafter 2 weeks. Three months later the patient presented velopment of hydronephrosis as the most characteristic with intermittent claudication involving both hips, complication. Obstructive nephropathy is frequently which was rapidly progressive within the antecedent observed in patients suffering from retroperitoneal 4 weeks. He experienced a marked pain compromising fibrosis, which may extend from the pelvis to above the his exercise capacity and limited his walking distance diaphragm including fibrotic encroachment of renal to less than 100 m. CT-scan revealed extension of the arteries, aorta or inferior vena cava. Despite this, inretroperitoneal fibrosis from the anterior surface of the volvement of the iliac arteries presenting with symplumbar spine, circumferentially involving the abtoms of peripheral ischaemia has been considered dominal aorta (Fig. 1a) and both common iliac arteries a distinctly unusual scenario. Accordingly, there are (Fig. 1b). There were some atherosclerotic changes of limited therapeutic options for patients with critical the aorta and iliac arteries. Intra-arterial subtraction limb perfusion, who warrant an immediate interangiography showed a focal, high grade stenosis of vention to resolve ischaemia. the left common iliac artery, and a critical stenosis We describe a patient with extrinsic compression of of the right common iliac artery (Fig. 2a). Restoration both iliac arteries by retroperitoneal fibrosis sucof flow through the aorto-iliac bifurcation was cessfully treated with stent-supported endovascular achieved by percutaneous transluminal angioplasty reconstruction employing the ‘‘kissing balloon techsupplemented by deployment of Palmaz stents (Cornique’’ dis, Miami, Florida, U.S.A.) using the ‘‘kissing balloon technique’’ (Fig. 2b). Stent implantation was warranted due to significant residual stenosis following balloon angiography as a result of elastic recoil. There Case were no technical complications associated with the procedure. One month after the intervention clinical A 54-year-old male smoker presented to our institution and haemodynamic success was confirmed by reswith a 6-month history of progressive lumbar and olution of claudication symptoms and normal ultra∗ Please address all correspondence to: I. Baumgartner, Swiss Cardiosonogaphic examination. vascular Center, Division of Angiology, Inselspital, CH-3010 Bern, Switzerland. Two months later, the patient suffered from gluteal" @default.
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• W2038058342 date "2000-10-01" @default.
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• W2038058342 title "CASE REPORT: ««Kissing Balloon Technique»» for Bilateral Iliac Artery Obstruction in Retroperitoneal Fibrosis" @default.
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• W2038058342 doi "https://doi.org/10.1053/ejvs.2000.1181" @default.
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