The treatment modalities for renal artery aneurysm have changed. The aim in
the presented case was to evaluate the endovascular therapy in a 52-year-o
ld woman (with hematuria as the only symptom) with a saccular aneurysm at t
he first bifurcation of the right main renal artery, which was diagnosed wi
th contrast-enhanced computerized tomography and angiography. We approached
the aneurysm with minimally invasive supraselective embolization. There we
re no postoperative complications, as confirmed with control angiography, d
uring the intervention and after an interval of 4 weeks. In conclusion, sel
ective coil embolization as first-line therapy to treat saccular renal arte
ry aneurysm is feasible. In this case, minimally invasive procedure provide
d maximum functioning kidney tissue.