SAGE Publications, Journal of Endovascular Therapy, 6(8), p. 652-655, 2001
DOI: 10.1583/1545-1550(2001)008<0652:esftnp>2.0.co;2
SAGE Publications, Journal of Endovascular Therapy, 6(8), p. 652-655, 2001
DOI: 10.1177/152660280100800620
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Purpose: To present a case highlighting the efficacy of stent implantation for left renal vein (LRV) entrapment, otherwise known as the nutcracker phenomenon. Case Report: A 17-year-old boy presented with a history of gross hematuria and left flank pain. Magnetic resonance angiography documented compression of the LRV between the superior mesenteric artery and aorta. A Memotherm stent was successfully placed across the LRV to restore adequate luminal flow after a Wallstent failed to adequately span the narrowed segment. Spiral CT angiography at 6 months confirmed LRV patency; the patient remains asymptomatic and free of hematuria at 12 months. Conclusions: Endovascular stenting for the nutcracker phenomenon is safe and effective and may represent a valuable approach for lessening the morbidity of surgical procedures.