title: Transarterial glue embolization in iatrogenic renovascular injuries.
abstract: Iatrogenic injuries of the intrarenal arterial system include pseudoaneurysms and fistulas. They can cause hematuria and life-threatening hemodynamic instability, and therefore should be treated promptly. Endovascular treatment is recommended for these cases due to its effectiveness. Among the different agents used for embolization, n-butyl-2-cyanoacrylate (glue) has rarely been used. We present 15 patients with pseudoaneurysms and/or arteriovenous or caliceal fistulas who were treated by glue embolization. In our patient group, five had a history of percutaneous nephrolithotomy, six had renal biopsies, three had nephron-sparing surgery, and one had percutaneous nephrostomy. Glue embolizations were performed with the microcatheter technique. All patients were successfully treated, and all but one had excellent follow-ups. One patient suffered from disseminated intravascular coagulation secondary to transfusion and died after the procedure. We think glue embolization is a safe and effective treatment for this group of patients and present our experience along with the technical approach.
authors.affiliation: Faculty of Medicine, Department of Radiology, Marmara University, Istanbul, Turkey. cagataycimsit@yahoo.com
authors.forename: Nuri Cagatay
authors.initials: NC
authors.lastname: Cimsit
authors.forename: Feyyaz
authors.initials: F
authors.lastname: Baltacioglu
authors.forename: Ismet
authors.initials: I
authors.lastname: Cengic
authors.forename: Ihsan Nuri
authors.initials: IN
authors.lastname: Akpinar
authors.forename: Yalçin
authors.initials: Y
authors.lastname: Ilker
authors.forename: Levent
authors.initials: L
authors.lastname: Turkeri
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004659:Enbucrilate / Q000627:therapeutic use*; D006801:Humans; D007049:Iatrogenic Disease; D007668:Kidney / Q000098:blood supply* / Q000601:surgery; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D015641:Radiography, Interventional; D016896:Treatment Outcome
chemical_list: D004659:Enbucrilate