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 journalArticle


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

Cite this

Chiesa, R., Anzuini, A., Marone, E. M., Briguori, C., Moura, M. R. L., Melissano, G., Colombo, A., & Rosanio, S. (2001). Endovascular stenting for the nutcracker phenomenon. Journal of Endovascular Therapy, 8(6), 652-655. https://doi.org/10.1583/1545-1550(2001)008<0652:ESFTNP>2.0.CO;2