Correlation of Imaging and Hemodynamic Findings with Clinical Outcomes for Diagnosis of Left Renal Vein Compression Syndrome

de Schepper A. “Nutcracker”-fenomeen van de vena renalis en veneuze pathologie van de linker nier ["Nutcracker" phenomenon of the renal vein and venous pathology of the left kidney]. J Belge Radiol. 1972;55(5):507–11.

PubMed  Google Scholar 

Lau JLT, Lo R, Chan FL, Wong KK. The posterior “nutcracker”: hematuria secondary to retroaortic left renal vein. Urology. 1986;28(5):437–9. https://doi.org/10.1016/0090-4295(86)90085-3.

Article  CAS  PubMed  Google Scholar 

Grimm LJ, Engstrom BI, Nelson RC, Kim CY. Incidental detection of nutcracker phenomenon on multidetector CT in an asymptomatic population: prevalence and associated findings. J Comput Assist Tomogr. 2013;37(3):415–8. https://doi.org/10.1097/RCT.0B013E3182873235.

Article  PubMed  Google Scholar 

Yoon T, Kim SH, Kang E, Kim S. Nutcracker phenomenon and syndrome may be more prevalent than previously thought. Korean J Radiol. 2022;23(11):1112–4. https://doi.org/10.3348/KJR.2022.0617.

Article  PubMed  PubMed Central  Google Scholar 

Ananthan K, Onida S, Davies AH. Nutcracker syndrome: an update on current diagnostic criteria and management guidelines. Eur J Vasc Endovasc Surg. 2017;53(6):886–94. https://doi.org/10.1016/J.EJVS.2017.02.015.

Article  CAS  PubMed  Google Scholar 

Kolber MK, Cui Z, Chen CK, Habibollahi P, Kalva SP. Nutcracker syndrome: diagnosis and therapy. Cardiovasc Diagn Ther. 2021;11(5):1140. https://doi.org/10.21037/CDT-20-160.

Article  PubMed  PubMed Central  Google Scholar 

Shin JI, Lee JS, Kim MJ. The prevalence, physical characteristics and diagnosis of nutcracker syndrome. Eur J Vasc Endovasc Surg. 2006;32(3):335–6. https://doi.org/10.1016/J.EJVS.2006.04.030.

Article  CAS  PubMed  Google Scholar 

Meissner MH, Khilnani NM, Labropoulos N, et al. The symptoms-varices-pathophysiology classification of pelvic venous disorders: a report of the american vein & lymphatic society international working group on pelvic venous disorders. J Vasc Surg Venous Lymphat Disord. 2021;9(3):568–84. https://doi.org/10.1016/J.JVSV.2020.12.084.

Article  PubMed  Google Scholar 

Ribeiro FS, Puech-Leão P, Zerati AE, Nahas WC, David-Neto E, De Luccia N. Prevalence of left renal vein compression (nutcracker phenomenon) signs on computed tomography angiography of healthy individuals. J Vasc Surg Venous Lymphat Disord. 2020;8(6):1058–65. https://doi.org/10.1016/j.jvsv.2020.04.005.

Article  PubMed  Google Scholar 

Takebayashi S, Ueki T, Ikeda N, Fujikawa A. Diagnosis of the nutcracker syndrome with color Doppler sonography: correlation with flow patterns on retrograde left renal venography. AJR Am J Roentgenol. 1999;172(1):39–43. https://doi.org/10.2214/AJR.172.1.9888735.

Article  CAS  PubMed  Google Scholar 

Fitoz S, Ekim M, Ozcakar ZB, Elhan AH, Yalcinkaya F. Nutcracker syndrome in children: the role of upright position examination and superior mesenteric artery angle measurement in the diagnosis. J Ultrasound Med. 2007;26(5):573–80. https://doi.org/10.7863/jum.2007.26.5.573.

Article  PubMed  Google Scholar 

Kim SH, Cho SW, Kim HD, Chung JW, Park JH, Han MC. Nutcracker syndrome: diagnosis with Doppler US. Radiology. 1996;198(1):93–7. https://doi.org/10.1148/RADIOLOGY.198.1.8539413.

Article  CAS  PubMed  Google Scholar 

Atasoy D, Cansu A, Bekirçavuşoğlu AF, Bahat Özdoğan E, Ahmetoğlu A. The utility of magnetic resonance angiography in children with nutcracker syndrome. Turk J Med Sci. 2021;51(5):2396–402. https://doi.org/10.3906/SAG-2101-14.

Article  PubMed  PubMed Central  Google Scholar 

Lamba R, Tanner DT, Sekhon S, McGahan JP, Corwin MT, Lall CG. Multidetector CT of vascular compression syndromes in the abdomen and pelvis. Radiographics. 2014;34(1):93–115. https://doi.org/10.1148/RG.341125010.

Article  PubMed  Google Scholar 

Kim KW, Cho JY, Kim SH, et al. Diagnostic value of computed tomographic findings of nutcracker syndrome: correlation with renal venography and renocaval pressure gradients. Eur J Radiol. 2011;80(3):648–54. https://doi.org/10.1016/J.EJRAD.2010.08.044.

Article  PubMed  Google Scholar 

Cuéllar I, Calàbria H, Quiroga Gómez S, Sebastià Cerqueda C, Boyé de la Presa R, Miranda A, Àlvarez-Castells A. Nutcracker or left renal vein compression phenomenon: multidetector computed tomography findings and clinical significance. Eur Radiol. 2005;15(8):1745–51. https://doi.org/10.1007/S00330-005-2688-Y.

Article  Google Scholar 

Fong JKK, Poh ACC, Tan AGS, Taneja R. Imaging findings and clinical features of abdominal vascular compression syndromes. AJR Am J Roentgenol. 2014;203(1):29–36. https://doi.org/10.2214/AJR.13.11598.

Article  PubMed  Google Scholar 

Nastasi DR, Fraser AR, Williams AB, Bhamidi V. A systematic review on nutcracker syndrome and proposed diagnostic algorithm. J Vasc Surg Venous Lymphat Disord. 2022;10(6):1410–6. https://doi.org/10.1016/J.JVSV.2022.08.003.

Article  PubMed  Google Scholar 

Lamarca Mendoza MP, Herrero ÁF, Feria BM, et al. A single center experience using ivus as an adjunct in nutcracker syndrome. Eur J Vasc Endovasc Surg. 2019;58(6):e464–5. https://doi.org/10.1016/j.ejvs.2019.06.1130.

Article  Google Scholar 

Kolber MK, Cui Z, Chen CK, Habibollahi P, Kalva SP. Nutcracker syndrome: diagnosis and therapy. Cardiovasc Diagn Ther. 2021;11(5):1172–6. https://doi.org/10.21037/CDT-20-160.

Article  Google Scholar 

Wang L, Yi L, Yang L, et al. Diagnosis and surgical treatment of nutcracker syndrome: a single-center experience. Urology. 2009;73(4):871–6. https://doi.org/10.1016/J.UROLOGY.2008.11.043.

Article  PubMed  Google Scholar 

Saito Y, Kobayashi Y, Fujii K, et al. Clinical expert consensus document on intravascular ultrasound from the Japanese Association of Cardiovascular Intervention and Therapeutics (2021). Cardiovasc Interv Ther. 2022;37(1):40–51. https://doi.org/10.1007/S12928-021-00824-0/FIGURES/5.

Article  PubMed  Google Scholar 

Ricci S, Moro L, Minotti GC, Incalzi RA, De Maeseneer M. Valsalva maneuver in phlebologic practice. Phlebology. 2018;33(2):75–83. https://doi.org/10.1177/0268355516678513.

Article  PubMed  Google Scholar 

Laborda A, Sierre S, Malvè M, et al. Influence of breathing movements and Valsalva maneuver on vena caval dynamics. World J Radiol. 2014;6(10):833. https://doi.org/10.4329/WJR.V6.I10.833.

Article  PubMed  PubMed Central  Google Scholar 

Kim WS, Cheon JE, Kim IO, et al. Hemodynamic investigation of the left renal vein in pediatric varicocele: Doppler US, venography, and pressure measurements. Radiology. 2006;241(1):228–34. https://doi.org/10.1148/radiol.2411050271.

Article  PubMed  Google Scholar 

Ruiz M, Hevia V, Fabuel JJ, Fernández AA, Gómez V, Burgos FJ. Kidney autotransplantation: long-term outcomes and complications. Experience in a tertiary hospital and literature review. Int Urol Nephrol. 2017;49(11):1929–35. https://doi.org/10.1007/S11255-017-1680-1.

Article  PubMed  Google Scholar 

Campsen J, Thorman A, Baker N, Hamilton B. Autotransplantation as a feasible intervention for combined nutcracker syndrome and Loin Pain Hematuria Syndrome. Urol Case Rep. 2021. https://doi.org/10.1016/J.EUCR.2021.101791.

Article  PubMed  PubMed Central  Google Scholar 

Vince HB, Tomson CR, Loveday EJ, Lear PA, Eastwood JB. Nutcracker phenomenon presenting as loin pain haematuria syndrome. NDT Plus. 2011;4(6):418–20. https://doi.org/10.1093/NDTPLUS/SFR152.

Article  PubMed  PubMed Central  Google Scholar 

Hartung O, Grisoli D, Boufi M, et al. Endovascular stenting in the treatment of pelvic vein congestion caused by nutcracker syndrome: lessons learned from the first five cases. J Vasc Surg. 2005;42(2):275–80. https://doi.org/10.1016/j.jvs.2005.03.052.

Article  PubMed  Google Scholar 

Xie Y, Wang H, Wang Y. Pelvic congestion syndrome secondary to nutcracker and May-Thurner syndromes: a case report. Asian J Surg Published online. 2023. https://doi.org/10.1016/J.ASJSUR.2023.03.042.

Article  Google Scholar 

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