Renal artery aneurysms

J Vasc Surg. 2015 Sep;62(3):779-85. doi: 10.1016/j.jvs.2015.05.034. Epub 2015 Jul 26.


Renal artery aneurysms are rare in the general population, although the true incidence and natural history remain elusive. Controversy over criteria for repair persists across decades. Indications for repair presently include aneurysm size >2 cm, female gender within childbearing age, symptoms like pain and hematuria, medically refractory hypertension including that associated with functionally important renal artery stenosis, thromboembolism, dissection, and rupture. Conventional surgical reconstruction options are variable and continue to offer technically sound and durable results. Endovascular therapies with novel devices also offer technical success with few major adverse events, and are increasingly employed as indications for intervention broaden. This review summarizes the accumulated evidence on true renal artery aneurysms with a particular focus on contemporary treatment criteria, natural history, options for repair and outcomes following such.

Publication types

  • Review

MeSH terms

  • Aneurysm* / diagnosis
  • Aneurysm* / epidemiology
  • Aneurysm* / therapy
  • Endovascular Procedures
  • Evidence-Based Medicine
  • Humans
  • Incidence
  • Predictive Value of Tests
  • Renal Artery* / surgery
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome
  • Vascular Surgical Procedures