Emergency renal ablation for life-threatening hemorrhage from multiple capsular branches during renal artery stenting.
A 55-year-old woman underwent bilateral renal artery stent placement with good angiographic result. After the procedure, the patient complained of left flank pain secondary to subcapsular hematoma. Retrospective evaluation of images taken during stent implantation favored the diagnosis of guidewire perforation. Three hours after the procedure, contrast-enhanced computed tomography and subsequent renal angiography showed multifocal extravasations. We performed emergent renal ablation for the treatment of massive bleeding. To our knowledge, this is the first use of transcatheter renal ablation technique for this purpose.
Aytekin
Cuneyt
C
Yildirim
Utku M
UM
Ozyer
Umut
U
Harman
Ali
A
Boyvat
Fatih
F
D000792:Angiography; D021721:Balloon Occlusion / Q000379:methods*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003287:Contrast Media; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional; D012078:Renal Artery Obstruction / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed
D003287:Contrast Media