Table 2.
Review of the Published Literatures on Renal Artery Aneurysms in Patients with Granulomatosis with Polyangiitis.
| Author, Year | No. of patients | Age | Sex | Diagnostic tool for GPA | Aneurysmal symptoms | Hemodynamics | Diagnostic tool for aneurysms | Duration between aneurysm and GPA diagnosis | Involved artery | Rupture artery aneurysm | Treatment | Outcome |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Baker, 1978 (2) | 1 | 24 | male | Biopsy | Rt. flank pain, shock | Unstable | Angiography | 2 days | Renal | Yes (renal) | AE (gelfoam) | Recovery |
| Moutsopoulos, 1983 (3) | 2 | 30 | male | Biopsy | NA | Stable | Angiography | 4 months | Renal | No | Immunosupression | NA |
| 53 | female | Clinical featues | NA | Stable | Angiography | 1 month | Renal | No | Immunosupression | NA | ||
| Senf, 2003 (4) | 1 | 35 | male | Biopsy, PR3-ANCA | Lt. flank pain, shock | Unstable | CT | 24 days | Hepatic, renal, splanchnic | Yes (hepatic) | Immunosupression | Recovery |
| Arlet, 2007 (5) | 1 | 29 | male | Biopsy, PR3-ANCA | Abdominal pain, vomitting | Stable | CT | 5 years | PD, Hepatic, renal | No | AE (coil, for hepatic artery) | Recovery |
| Carron, 2011 (6) | 1 | 79 | male | Clinical features, PR3-ANCA | Shock due to colon hematoma | Unstable | Angiography | 4 weeks | Renal | No | Immunosupression | Recovery |
| Boersma, 2013 (7) | 1 | 51 | female | PR3-ANCA | Lower abdominal and flank pain | Unstable | Angiography | 15 years | Renal | Yes (renal) | AE | Recovery |
| Kim, 2017 (8) | 1 | 71 | male | Biopsy, PR3-ANCA | none | Stable | CT | concomitant | Renal | No | Immunosupression | Recovery |
| Mahmudpour, 2018 (9) | 1 | 60 | male | PR3-ANCA | Rt. flank pain, shock | Unstable | CT | NA | Renal | Yes (renal) | Nephrectomy | Died due to renal failure |
| Skonieczny, 2019 (10) | 1 | 50 | male | Clinical features, PR3-ANCA | Rt. flank pain, shock | Unstable | CT | 15 days | Renal | Yes (renal) | AE (coil), immunosupression | Died due to infection |
| Present case | 1 | 75 | female | Clinical features, PR3-ANCA | Abdominal pain, shock | Unstable | CT | 20 days | Renal | Yes (renal) | AE (coil), immunosupression | Recovery |
AE, arterial embolization; CT, computed tomography; GPA, gramulomatosis with polyangitis; Lt, left; NA, no available; PD, pancreatic-duodena; PR3-ANCA, proteinase3-anti-neutrophil cytoplasmic antibodies; and Rt, right