[Embolization therapy of an arteriovenous fistula after percutaneous lithotripsy in combination with angioplasty of an ipsilateral kidney arterial stenosis].
We describe successful selective coil embolization therapy in a patient with renal hemorrhage caused by iatrogenic pseudoaneurysm after percutaneous nephrostomy and lithotripsy. In the same session, an incidentally detected severe renal artery stenosis that had caused moderate hypertension was treated by balloon angioplasty. No complications occurred. Coaxial micro-catheter technique and platinum microcoils were used for embolization and allowed targeted occlusion of the bleeding renal artery and preserved the surrounding renal parenchyma. Bleeding was controlled immediately and hematuria disappeared after embolization therapy.
Diehm
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N
Schweizer Herz- und Gefässzentrum, Abteilung Angiologie. Nicolas.Diehm@insel.ch
Voss
R M
RM
Do
D D
DD
Triller
J
J
Dinkel
H P
HP
D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000379:methods; D001164:Arteriovenous Fistula / Q000209:etiology* / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods*; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D012078:Renal Artery Obstruction / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome