Evidence map›Paper›PMID 38811391›Full record

ArticleWorld journal of urology2024

A new notable compression source of left renal vein entrapment: right renal artery.

Zhanfeng Sun, Haitao Wang, Huijie Jiang, Yongbin Shen, Ziming Shi, Qingxiao Wang, Han Wang, Weiliang Jiang, Xuanyi Du

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Zhanfeng Sun *Department of Vascular Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Haitao Wang *Department of Vascular Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Huijie JiangDepartment of Radiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Yongbin ShenDepartment of Vascular Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Ziming ShiDepartment of Vascular Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Qingxiao WangDepartment of Vascular Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Han WangDepartment of Biostatistics, Kun Tuo Medical Research and Development (Beijing) Co., Ltd, Beijing, China.
Weiliang JiangDepartment of Vascular Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Xuanyi DuDepartment of Nephrology, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Nangang District, Harbin, 150086, Heilongjiang, China. dxy_shennei@126.com.ORCID http://orcid.org/0000-0003-0960-2764

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo estimate the incidences of left renal vein (LRV) entrapment by right renal artery (RRA), a phenomenon primarily reported as case reports.

methodsThe cross-sectional study consecutively screened renal vessel CT data of 38 (Renal) patients with nephropathy and 305 (Non-renal) patients with peripheral arterial diseases in a teaching hospital in northeast China between November 2018 and March 2023. The LRV compression by adjacent anatomical structures, including but not limited to RRA and multiple compression-related parameters, were investigated through multiplanar analysis of the CT data.

resultsThe overall LRV entrapment rates by adjacent structures were 41.93% (12/31) and 24.00% (6/25), the rates of RRA-sourced LRV compression 22.58% (7/31) and 20.00% (5/25), and the rates of compression by superior mesenteric artery (SMA) 16.13% (5/31) and 4.00% (1/25) in the Renal and Non-renal groups, respectively, with no significance. The venous segments distal to the RRA-compressed site had a significantly larger transectional lumen area than those of the non-compressed veins in both groups (3.09 ± 1.29 vs. 1.82 ± 0.23, p < 0.001 and 4.30 ± 2.65 vs. 2.12 ± 0.55, p = 0.006; maximum-to-minimum area ratios in Renal and Non-renal groups, respectively). Nearly 80% of RRAs were found arising anteriorly rightwards instead of passing straight to the right.

conclusionRRA-sourced LRV compression was not rare, and its incidence was higher than that of the compression by SMA in both patient cohorts. RRA could be a more common compression source than SMA concerning LRV entrapment. Further investigations involving different populations, including healthy individuals, are needed.

Indexed as

Renal ArteryRenal VeinsAdultAgedCross-Sectional StudiesFemaleHumansIncidenceMaleMiddle AgedRenal Nutcracker SyndromeTomography, X-Ray ComputedComputed tomographyMembranous nephropathyPeripheral arterial diseasesRenal arteryRenal nutcracker syndromeRenal veins

Identifiers

PMID38811391
PMCPMC11136829

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