European Journal of Vascular & Endovascular Surgery
Volume 31, Issue 4 , Pages 410-416 , April 2006

Current Trends in the Diagnosis and Management of Renal Nutcracker Syndrome: A Review

  • K. Ahmed
    • ,
  • R. Sampath
    • ,
  • M.S. Khan

      Affiliations

    • Corresponding Author InformationCorresponding author. Dr M.S. Khan, MBBS, FRCS (Urol), FEBU, Department of Urology, First Floor Thomas Guy's House, Guy's Hospital, London SE1 9RT, UK.

,Accepted 26 May 2005.

References 

  1. El Sadr AR, Mina A. Anatomical and surgical aspects in the operative management of varicoceles. Urol Cut Rev. 1950;54:257–262
  2. Chait A, Matasar KW, Fabian CE, Mellins HZ. Vascular impressions on the ureters. Am J Roentgenol Radium Ther Nucl Med. 1971;111:729–749
  3. De Schepper A. Nutcracker phenomenon of the renal vein causing left renal vein pathology. J Belg Rad. 1972;55:507–511
  4. Hohenfellner M, Steinbach F, Schultz-Lampel D, et al. Nut cracker syndrome: New aspects of pathophysiology, diagnosis and treatment. J Urol. 1991;146:685–688
  5. Lau JLT, Lo R, Chan FL, Wong KK. The posterior nutcracker. Haematuria secondary to retroaortic left renal vein. Urology. 1986;28:437–438
  6. Sharper KRL, Jackson JE, Williams G. The nutcracker syndrome: An uncommon cause of haematuria. BJU. 1994;74:144–146
  7. Wendel RG, Crawford ED, Hehman KN. The nutcracker phenomenon: An unusual cause for renal varicosities with haematuria. J Urol. 1980;123:761
  8. Zhang HK, Shen LG, Li M, et al. Diagnosis and treatment of left renal venal entrapment syndrome. Chin J Gener Surg. 2001;16:511
  9. Wei SM, Chen ZD, Zhou M. Intravenous stent placement for treatment of nutcracker syndrome. J Urol. 2003;170:1934–1935
  10. Lopatkin NA, Morozov AV, Lopatkina LN. Essential renal haemorrhages. Eur Urol. 1978;4:115–119
  11. Buschi AJ, Harrison RB, Brenbridge ANAG, Williamson BRJ, Gentry RR, Cole R. Distended left renal vein; CT/sonographic normal variant. AJR. 1980;135:339–342
  12. Takahashi Y, Sano A, Matsuo M. An effective ‘transluminal balloon angioplasty’ therapy for paediatric chronic fatigue syndrome with nutcracker phenomenon. Clin Nephrol. 2000;53:77–78
  13. d'Archambeau O, Maes M, De Schepper AM. The pelvic congestion syndrome: The role of nutcracker phenomenon and results of endovascular stent. JBR-BTR. 2004;87(1):1–8
  14. Scultetus AH, Villavicencio LL, Gillespie DL. The nutcracker syndrome: Its role in the pelvic venous disorders. J Vasc Surg. 2001;34(5):812–819
  15. Little AF, Lavoipierre AM. Unusual clinical manifestations of the nutcracker syndrome. Australas Radiol. 2002;46(2):197–200
  16. Takemura T, Iwasa H, Yamamoto S, Fukushima K, Isokawa S, Okada M, et al. Clinical and radiological features in four adolescents with nutcracker syndrome. Paediatr Nephrol. 2000;14(10–11):1002–1005
  17. Ali-El-Dein B, Osman Y, Shehab El-Din AB, El-Diasty T, Mansour O, Ghoneim MA. Anterior and posterior nutcracker syndrome: A report on 11 cases. Transplant Proc. 2003;35:851–853
  18. Zhang H, Zhang N, LI M, Jin W, Pan S, Wang Z, et al. Treatment of six cases of left renal nutcracker phenomenon: Surgery and endografting. Chin Med J. 2003;116(11):1782–1784
  19. Takebayashai S, Ueki T, Ikeda N, Fujikawa A. Diagnosis of nutcracker syndrome with colour Doppler sonography: Correlation with flow patterns on retrograde left renal venography. Am J Roentgenol. 1999;172(1):39–43
  20. Shokeir AA, el-Diasty TA, Ghoneim MA. The nutcracker syndrome: New methods of diagnosis and treatment. Br J Urol. 1994;74(2):139–143
  21. Beinart C, Sniderman KW, Tamura S, Vaughan ED, Sos TA. Left renal to inferior vena cava relationship in humans. J Urol. 1982;127:1070–1071
  22. Andrianne R, Limet R, Waltregny D, de Leval J. Haematuria caused by nutcracker syndrome: Post operative confirmation of its presence. Prog Urol. 2002;12(6):1323–1326
  23. Tanaka H, Waga S. Spontaneous remission of persistent severe haematuria in an adolescent with nutcracker syndrome: Seven years' observation. Clin Exp Nephrol. 2004;8(1):68–70
  24. Pastershank SP. Left renal vein obstruction by a superior mesenteric artery. J Can Assoc Radiol. 1974;25:52–54
  25. Stewart BH, Reiman G. Left venous hypertension, ‘nutcracker’ syndrome. Managed by direct renocaval re-implantation. Urology. 1982;20:365–369
  26. Neste MG, Narasimham DL, Belcher KK. Endovascular stent placement as a treatment for renal venous hypertension. J Vasc Interv Radiol. 1996;7:859–861
  27. Park YB, Lim SH, Ahn JH, Kang E, Myung SC, Shim HJ, et al. Nutcracker syndrome: Intravascular stenting approach. Nephrol Dial Transplant. 2000;(15):991001
  28. Wei SM, Chen ZD, Zhou M. Intravenous stent placement for the treatment of the nutcracker syndrome. J Urol. 2003;170:1934–1935
  29. Segawa N, Azuma H, Iwamoto Y, Sakamoto T, Suzuki T, Yamamoto K, et al. Expandable metallic stent placement for nutcracker phenomenon. Urology. 1999;53:631–633
  30. Barnes RW, Fleisher HL, Redman JF, Smith JW, Harshfield DL, Ferris EJ. Mesoaortic compression of the left renal vein (the so called nutcracker syndrome): Repair by a new stenting procedure. J Vasc Surg. 1988;8:415–421
  31. Gong Yu, Song BO. The nutcracker syndrome. J Urol. 2003;169:2293–2294
  32. Segawa N, Katsuoka Y, et al. Expandable metalic stent placement for nutcracker syndrome. Urology. 1999;53:631–633
  33. Oteki T, nagase S, hirayama A, Sugimoto , Koyama A, et al. Nutcracker syndrome associated with sever anaemia and mild proteinuria. Clin Nephrol. 2004;62(1):62–65
  34. Van der laan L, Vos JA, Moll FL, et al. The central venous compression syndrome: Rare, but adequately treatable with endovascular stenting. Ned Tijdschr Geneeskd. 2004;148(9):433–437
  35. Hosotani Y, Kiyomoto H, Kohno M, et al. The Nutcracker phenomenon accompanied by renin-dependent hypertension. Am J Med. 2003;114:617–618
  36. Lin WQ, Huang HF, li M, Zhou JQ, et al. Diagnosis and therapy of nutcracker phenomenon: Long-term follow up. Zhonghua Wai Ke Za Zhi. 2003;41(12):889–892
  37. Itoh S, Yoshida K, Nakamura Y, Mitsuhashi N. Aggravation of nutcracker syndrome during pregnancy. Obstet Gynecol. 1997;90(2):[no. 4]
  38. Chuang CK, Chu SH, Lai PC. The nutcracker syndrome managed by auto-transplantation. J Urol. 1997;157:1833–1834
  39. Stewart BH, Reiman G. Left renal venous hypertension ‘nutcracker syndrome’. Urology. 1982;20(4):365–369

PII: S1078-5884(05)00521-6

doi: 10.1016/j.ejvs.2005.05.045

European Journal of Vascular & Endovascular Surgery
Volume 31, Issue 4 , Pages 410-416 , April 2006

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