Renal artery laceration secondary to percutaneous nephrostomy catheter placement.
Renal artery hemorrhage secondary to placement of percutaneous nephrostomy catheters can lead to major operations and even nephrectomy. We recently treated a woman who suffered a renal artery laceration during percutaneous nephrostomy catheter placement using interventional radiographic techniques. The perforation site was identified using angiography and treated using selective embolization. The patient was able to avoid a surgical procedure with its inherent risks.
Koonings
P P
PP
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, California 90007.
Teitelbaum
G P
GP
Finck
E J
EJ
Schlaerth
J B
JB
D000328:Adult; D000792:Angiography; D002404:Catheterization / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D006869:Hydronephrosis / Q000628:therapy; D007674:Kidney Diseases / Q000209:etiology / Q000628:therapy; D009403:Nephrostomy, Percutaneous; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D014950:Wounds, Penetrating / Q000209:etiology* / Q000628:therapy