<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-706X</journal-id>
<journal-title><![CDATA[Angiologia e Cirurgia Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1646-706X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Angiologia e Cirurgia Vascular]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-706X2020000400269</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[False aneurysms of the Renal Artery: is it a known diagnosis in the medical community?]]></article-title>
<article-title xml:lang="pt"><![CDATA[Falsos aneurismas da Artéria Renal: é este um diagnóstico conhecido na comunidade médica?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Rui de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Porto Instituto de Ciências Biomédicas Abel Salazar ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto Serviço de Angiologia e Cirurgia Vascular ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>269</fpage>
<lpage>274</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-706X2020000400269&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-706X2020000400269&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-706X2020000400269&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  False aneurysms of the Renal Artery usually originate from iatrogenic causes or renal trauma. The incidence is increasing because minimally invasive procedures have become widely used in the treatment of renal pathology and therefore iatrogenic injuries have become more frequent. Due to the nature of the wall, they have a high risk of rupture and should therefore be diagnosed and treated soon.  Objective:  To evaluate the experience of the CHUP&#8217;s angiology and vascular surgery department in the approach of false aneurysms of the renal artery from 2010 to 2018.  Methods and Material:  A retrospective review was undertaken using the clinical and imagiological records of 20 patients diagnosed with FRA. Results: Etiology was iatrogenic in 95% of the cases. All patients were symptomatic and 85% had macroscopic hematuria. The time between injury and clinical manifestation was 4.5 days. The therapy performed in all cases consisted of embolization of the FRA feeding artery. The time between injury and treatment was 18.1 days. The kidney salvage rate was 95%.  Discussion/Conclusion:  In this study, the main etiology and the surgical technique used are in agreement with the published literature. With this kidney salvage rate we can conclude that endovascular treatment is an effective method of treatment of these lesions. Although there are no published references in the literature, we observed that the time between injury and treatment was high, which translates into a late diagnosis. Therefore, the urologists&amp;apos; awareness of this complication is extremely important.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Os falsos aneurismas da artéria renal são maioritariamente causados por lesões iatrogénicas ou por trauma renal. A incidência destes está a aumentar devido ao incremento do uso de procedimentos minimamente invasivos no tratamento da patologia renal e, consequente aumento das lesões iatrogénicas. Devido à natureza da parede, estes apresentam um alto risco de rutura e, portanto, devem ser diagnosticados e tratados precocemente.  Objetivo:  Avaliar a experiência do Departamento de Angiologia e Cirurgia Vascular do CHUP na abordagem dos falsos aneurismas da artéria renal.  Métodos e materiais:  Foi realizada uma revisão retrospetiva com recurso aos registos clínicos e imagiológicos de 20 pacientes com diagnóstico de falsos aneurismas da artéria renal entre 2010 a 2018.  Resultados:  Em 95% dos casos a etiologia foi iatrogénica. Todos os pacientes apresentaram-se sintomáticos, 85% com hematúria macroscópica. O tempo médio entre a lesão e a manifestação clínica foi de 4,5 dias. O tratamento realizado em todos os casos consistiu na embolização da artéria alimentadora. O tempo entre a lesão e o tratamento foi de 18,1 dias. A taxa de salvamento do rim foi de 95%.  Discussão/Conclusão:  Neste estudo, a principal etiologia e a técnica cirúrgica utilizada estão de acordo com a literatura publicada. Esta taxa de salvamento do rim, reforça que o tratamento endovascular é um método eficaz. Embora não haja referências publicadas na literatura que permitam a comparação, neste estudo observou-se que o tempo entre a lesão e o tratamento foi elevado, o que se traduz num diagnóstico tardio. Neste sentido, a consciencialização dos urologistas em relação a esta complicação é extremamente importante.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Renal artery aneurysms]]></kwd>
<kwd lng="en"><![CDATA[False aneurysms]]></kwd>
<kwd lng="en"><![CDATA[Pseudoaneurysms]]></kwd>
<kwd lng="en"><![CDATA[Endovascular treatment]]></kwd>
<kwd lng="pt"><![CDATA[Aneurismas da artéria renal]]></kwd>
<kwd lng="pt"><![CDATA[Falsos aneurismas]]></kwd>
<kwd lng="pt"><![CDATA[Pseudoaneurismas]]></kwd>
<kwd lng="pt"><![CDATA[Tratamento endovascular]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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