Endovascular stenting for the nutcracker phenomenon

R. Chiesa, A. Anzuini, E. M. Marone, C. Briguori, M. R L Moura, G. Melissano, A. Colombo, S. Rosanio

Research output: Contribution to journalArticlepeer-review


Purpose: To present a case highlighting the efficacy of stent implantation for left renal vein (LRV) entrapment, otherwise known as the nutcracker phenomenon. Case Report: A 17-year-old boy presented with a history of gross hematuria and left flank pain. Magnetic resonance angiography documented compression of the LRV between the superior mesenteric artery and aorta. A Memotherm stent was successfully placed across the LRV to restore adequate luminal flow after a Wallstent failed to adequately span the narrowed segment. Spiral CT angiography at 6 months confirmed LRV patency; the patient remains asymptomatic and free of hematuria at 12 months. Conclusions: Endovascular stenting for the nutcracker phenomenon is safe and effective and may represent a valuable approach for lessening the morbidity of surgical procedures.

Original languageEnglish
Pages (from-to)652-655
Number of pages4
JournalJournal of Endovascular Therapy
Issue number6
Publication statusPublished - 2001


  • Compression syndromes
  • Hematuria
  • Memotherm stent
  • Renal vein
  • Wallstent

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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