2Samir Abou Zied, 1Ahmed Akl

1Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia; 2Faculty of Medicine, Cairo University, Cairo, Egypt


Nut creaker syndrome is  under diagnosed vascular presentation with variety of treatments suggested in the literature, we present our experience in treating 2 cases using endovascular renal vein stening  highlighting technical difficulties during the procedure and mid term outcomes

Material(s) and Method(s):

2  symptomatic patient with confirmed radiological diagnosis of nut creaker syndrome underwent left renal vein stenting  .patients followed up for  6 months post operative for  radiological , laboratory, and symptoms.


Successful  left renal vein stenting in 2 cases with one case needed complementary distal gonadal vein coiling for pelvic varicosities .

complete relieve of symptoms achieved and was maintained throughout the follow up period, on case had protienurea on presentation which was cured afeter the procedure..


Renal vein stenting is a treatment option for patient with nut creaker syndrome failed to improve on conservative ttt.. some technical difficulties  associated with deployment of large stents to the renal vein, this can be managed by using trans jugular approach insted of femoral access.